Preparation for gastroscopy

For 150 years since the invention of the first mass models of the gastroscope, doctors have developed a clear guidance on how to gastroscopy, and allowed to eat can I drink in front of her, how to make moral and physical preparation of the patient and so on.

All these tips make it much easier gastroscopy, increase its efficiency, decrease the chances of complications, so it is important to prepare for both target and for the doctor.

Esophagogastroduodenoscopy, EGD, fibrobroncoscopia, EGD names for one and the same procedure for endoscopic research of the mucous membrane of the esophagus, stomach and duodenum, commonly called a gastroscopy.

If the gastroscopy was extremely unpleasant and dangerous method, a symbol of the hospital’s anguish, in our time, the level of development of electronics and medicine has made it almost safe and much less painful.

Testimony

A gastroscopy is a diagnostic procedure indispensable if you suspect any disease of the organs of the upper part of the gastrointestinal tract. External symptoms, only enable the physician to assume the presence of one of several illnesses, but for accurate diagnosis and directed treatment without endoscopy can not do.

The cases in which prescribed gastroscopy:

1. 1. Vomiting blood, black stool, signs of anemia, any unexplained weight loss.
2. 2. Vomiting, not bringing relief.
3. 3. Acute pain in the epigastric area or right upper quadrant.
4. 4. Regular stomach pain after meals and on an empty stomach, constant heartburn.
5. 5. Frequent nausea, change in taste.
6. 6. Check the status of the mucosa with ulcer in remission after a recent surgery and the like.
7. 7. Planned inspections (a gastroscopy performed simultaneously with colonoscopy) every 3 years at age 45 years.

Contraindications

Issues that may hinder the conduct of gastroscopy or certain of its stages, the patient should notify the doctor prior to the procedure. Gastroenterologist in preparation for interviewing the patient to understand what professionals have to engage with the urgent need purpose of endoscopic examination.

A gastroscopy is done in such cases:

1. 1. Conscious refusal of the patient.
2. 2. Stenosis of the larynx, esophagus, stomach, and the procedure is terminated when no further penetration of endoscopic tube.
3. 3. Myocardial infarction, stroke, dissection of aortic aneurysm – to complete the transition of acute forms to chronic effects.
4. 4. Chemical burn of the esophagus 2-nd or 3-th degree, in the course of a week or month. Mechanical damage of the esophagus.
5. 5. A hypertensive crisis.

The following diseases do the gastroscopy of the stomach is extremely dangerous, and require from the attending physician in preparation for the procedure to call the professionals or to postpone its implementation:

• Severe mental and neurological disorders.
• Acute infection, sepsis.
• Hemophilia, varicose veins of the esophagus.
• Severe violations cardiovascular activity, heart failure.
• Pulmonary insufficiency, asthma, shortness of breath.
• A General weakened condition of the body, recent surgery.
• Suspected peritonitis, acute appendicitis.
• Major defects in the structure of the spine, esophagus, larynx.
• Diabetes.

Preparing for gastroscopy

The doctor starts to prepare for the procedure immediately after the decision on her appointment.

The first stage of preparation is talking to the patient, in the course of which follows:

• to convince the patient of the necessity and safety of gastroscopy, to assuage his concerns about discomfort to obtain the signature on the consent for the procedure;
• ask the patient about their diseases and allergies to various medications;
• instruct surveyed about diet, warn of possible discomfort and the main technical points;
• to assign a blood test for hepatitis, syphilis, HIV for the safety of medical staff.

The second half of the training falls on the patient:

1. After giving blood for analysis, and return home, it is recommended to take a diet that excludes potentially harmful or dangerous products, alcohol, pickles, fried, spicy, salty, smoked and so on. If symptoms indicate problems with the stomach, the pancreas, the bile ducts, then the right will go to the appropriate medical diet (table 1, 2, 5).

2. 36 hours before the procedure, you must abandon the rude, rich in fiber, heavy meals – fresh vegetables and greens, nuts, chocolate, cereals (except semolina), meat, black bread. Possible to stop Smoking.

3. The last meal at 19.00 (if the gastroscopy is in the morning), it is best to drink sweet tea with a simple sandwich and eat some easy pureed meal, but not overeat.

4. At night and in the morning take a defoamer (based on simethicone, for example, Espumizan).

5. At 6 am allowed a glass of clean water without gas, you can drink the prescribed medication. To take anticoagulants and Smoking on the day of the gastroscopy is prohibited.

6. You just need to bring the results of previous surveys of the gastrointestinal tract (endoscopic, radiological, ultrasound), blood tests, towel.

7. If the procedure is in the afternoon, 5 hours before you can drink sweet tea, and the latter receiving important medicines to spend at least 3 hours. Is the day of the survey it is impossible in any case.

8. You must remove dentures, contact lenses, to wear as free linen.

How is the procedure?

1. Endoscopist step by step explain to the patient details and alerts how to respond to a particular situation, asks about allergies to sedatives and anesthetics.

2. Before starting operations, if necessary, is the preparation of a dropper, and are sedatives. The back of your throat and root of the tongue are processed by the lidocaine spray that reduces the gag reflex and negative feelings. In special cases is General anesthesia.

3. Installs equipment for blood pressure monitoring, if necessary – additional devices (ECG, pulse oximetry).

4. The patient is placed on his left side, serves to press the mouthpiece with his teeth, he put the tube of the gastroscope. The most unpleasant moment of swallowing this pipe. The saliva should be free to drain out of the mouth, it does not need to be ashamed of.

5. Gradually moving, the doctor examines the with the camera the mucous membranes of the esophagus, stomach, duodenum, identifying possible illness and writing down important points. For the best view through the tube can be air, water, if necessary – biopsy. The survey takes 10-30 minutes.

6. The treatment finishes with half an hour can not eat or drink, to get results and a trip to the gastroenterologist is better to continue to eat health diet. A few hours will torture the air burp, 2-3 days, difficult swallowing, to facilitate it is possible to rinse throat with warm 1% solution of salt. After anesthesia, it is desirable to get home with assistance and a 24 hours not to drive a car.