Center : Gastrointestinal and Liver Center
Gastric endoscopy (EGD) is a standard procedure for an accurate diagnosis of the gastric diseases and is a simple examination that does not take long, and can treat some diseases immediately, such as upper gastric bleeding, reducing the need and risk of patients requiring surgery.
- Abdominal pain, tightness, or burning in the upper abdomen, chest, or neck area.
- Persistent burping or nausea and vomiting
- Heart burn
- Sore throat, dry throat, hoarseness, or persistent cough without knowing why
These are all symptoms caused by upper digestive tract, including the esophagus, stomach, and duodenum. Most people think that these symptoms are caused by eating spicy food, eating the wrong type of food, or not eating on time. But in fact, there are many upper digestive disorders that can cause these conditions, such as peptic ulcer disease, acid reflux disease in the esophagus, Esophagitis and Adenoids in the esophagus or in the stomach. In addition, infection with the bacteria Helicobacter Pylori. Helicobacter pylori in the stomach is also a major cause of stomach ulcers and can also cause gastric cancer, so, early detection is beneficial for treatment and can prevent serious complications.
Indications for gastric endoscopy
- People with any of the above-mentioned upper gastrointestinal symptoms that have no improvement after medical treatment. If a wound is found in the stomach, the doctor can perform a tissue biopsy to identify the cause of the wound. As well as being able to detect Helicobacter pylori bacteria at the same time, in addition, laparoscopic surgery in the case of tumor polyps in the gastrointestinal tract can be performed as well.
- People with symptoms associated with the warning signs are those over 40 years of age, bloating, prolonged abdominal fibrosis, lumps on the stomach, loss of appetite, weight loss, swallowing difficulties, frequent vomiting, family history of gastrointestinal cancer, all of which are warning signs that show the risk of cancer.
- To monitor the treatment of gastric ulcer, to confirm ulcer healing and eliminate doubts, causes of ulcers arising from tumors of the stomach and monitor the disappearance of Helicobacter pyrolysis bacteria after receiving antibiotics to eradicate the disease.
- People with black stool, bleeding, or anemia, indicates upper gastrointestinal bleeding (UGIB), endoscopy can provide a diagnosis and can be treated for hemorrhagic bleeding immediately.
- To provide treatment in the event of foreign bodies being stuck in the throat such as coins, dice, needles, animal bones, fish, etc.
- To make a diagnose and assess the severity of a corrosive ingestion such as acid or alkali, toilet cleaner.
- For treatment intestinal stricture or narrowing in the intestines, resulting from gastrointestinal tumors and gastrointestinal ulcers or because of swallowing corrosive substances.
Preparation for endoscopy
- Patients are informed by their doctors about the need for examination and assess readiness before endoscopy. Patients should inform their doctors if they Hypertension, blood disorders or are taking any medications, or allergic to any medications.
- Endoscopy (Gastroscope) is a small camera attached to a long cable linked by high-definition fiber, transmitted to the monitor which the doctor and the patient can view during examination.
- The patient is required to refrain from food and water at least 6 hours before the colonoscopy and before the endoscopy, the patient will be given an anesthetic spray on the throat to prevent irritation and the endoscope will be inserted through the mouth and throat softly in a side position, to examine 3 important organs: esophagus, stomach, and duodenum.
In some cases, people who are tested are given anti-anxiety medication or sleeping pills to feel relaxed during the examination. The average endoscopic examination takes approximately 10-15 minutes, after which the patient can rest in the recovery room for 1-2 hours and the endoscopic examination results can be obtained on the same day.
What to do after upper gastrointestinal endoscopy?
- Able to eat normally but abstain from drinking alcohol for 24 hours.
- There may be sore throat for 1-2 days after the endoscopy. Which can relieve symptoms by gargling with warm salt water or suck on lozenges to help relieve a sore throat.
- You may feel bloated, stomachache, or gas, which is normal and passing out gas will help you feel better.
- Strenuous activities should not be performed during the first 2 days after the colonoscopy (for example, running, lifting more than 5 kg of weight, or cycling).
- Your doctor will give you medication through your vein. If the puncture site is sore, red, or swollen, you can apply a warm, moist washcloth on the area for 15-20 minutes and do it 4 times a day for 2 days. It can help reduce the symptoms. You should consult a doctor if symptoms do not disappear within 2 days.
- Please stop taking you prescribed medications temporarily and consult with a gastroenterologist and liver doctor or the doctor who prescribed the medicine, before taking the medication again.
- Do not drive vehicles or operate heavy machinery during the first 24 hours following endoscopy.
If you have the following symptoms, see a doctor immediately.
- Severe chest or abdominal pain
- Dark stool and or vomiting blood.
- A bright red blood clot or a significant number of blood clots coming out through the rectum.
- Chills or a fever above 38 ° C
- You can consult a doctor online without cost.