Colonoscopy in New York City and Poughkeepsie — What to Expect

Colonoscopy in New York City — What to Expect

A colonoscopy is one of the most effective tools in preventive medicine. It allows Dr. Starpoli to examine the entire length of the colon and rectum using a thin, flexible, lighted tube called a colonoscope. During the procedure, Dr. Starpoli can detect, and in many cases immediately remove, abnormal tissue such as polyps before they develop into colorectal cancer.

Why Choose Dr. Starpoli for Your Colonoscopy?

Dr. Anthony Starpoli performs colonoscopies at Lenox Hill Hospital–Northwell Health, NYU Langone Medical Center, and Mount Sinai–Beth Israel. With decades of experience and triple board certification, Dr. Starpoli is among New York City's most trusted gastroenterologists for colon cancer screening.

• Triple board-certified in Internal Medicine, Gastroenterology, and Obesity Medicine

• Hospital affiliations at three major NYC medical centers

• Castle Connolly Top Doctor recognition

• Serving patients from Manhattan, Brooklyn, the Hudson Valley, and beyond

Who Should Have a Colonoscopy?

Current guidelines from the American Cancer Society recommend that average-risk adults begin colorectal cancer screening at age 45. You may need a colonoscopy earlier or more frequently if you have:

• A personal or family history of colorectal cancer or polyps

• Inflammatory bowel disease (Crohn's disease or ulcerative colitis)

• Unexplained rectal bleeding, changes in bowel habits, or abdominal pain

• A prior colonoscopy that found precancerous polyps

What Happens During a Colonoscopy?

The procedure takes approximately 30 minutes and is performed with conscious sedation — most patients sleep through the entire exam and wake up with no memory of it. A colonoscope is gently guided through the colon, and small amounts of air help keep the walls open so Dr. Starpoli can examine every area clearly. If polyps are found, they are removed on the spot using specialized instruments passed through the colonoscope.

Preparing for Your Colonoscopy

The day before your procedure, you will follow a bowel preparation ("prep") protocol that clears the colon so the camera can see the walls clearly. Dr. Starpoli's team will provide detailed written prep instructions at the time of scheduling, including dietary restrictions, approved liquids, and which medications to hold. Modern prep formulas are significantly easier to tolerate than older preparations.

What to Expect After the Procedure

After your colonoscopy, you will rest in a recovery area for 30–60 minutes until the sedation wears off. You will need a companion to drive you home. Most patients feel completely normal the same evening and can return to work the next day. Dr. Starpoli will discuss findings with you immediately after the procedure, and a written report is typically available within 24–48 hours.

Frequently Asked Questions About Colonoscopy

Is a colonoscopy painful?

Most patients experience no pain. You will receive IV sedation that keeps you relaxed and comfortable throughout. Some patients feel mild bloating afterward from the air used during the exam, which resolves within a few hours.

How long do I need to fast before a colonoscopy?

You will need to follow a clear-liquid diet the day before your procedure and fast (nothing by mouth) starting at midnight the night before. Dr. Starpoli's office will give you precise instructions tailored to your health status and medications.

Will my insurance cover a colonoscopy?

Routine screening colonoscopies are covered by most insurance plans, including Medicare, with no out-of-pocket cost when performed at the recommended screening intervals. Diagnostic colonoscopies (for symptoms) may have different coverage. Our billing team is happy to verify your benefits before your appointment.

Schedule Your Colonoscopy in NYC or Poughkeepsie Today

Small amounts of air are puffed into the colon to keep it open and let the doctor see clearly.

The exam itself takes about 30 minutes. Patients are usually given medicine to help them relax and sleep while it’s done.

Call our office at 212-673-2721 (Manhattan) or 845-471-1354 (Poughkeepsie) to schedule or schedule online.