Description

Endoscopy-colonoscopy

What is gastroscopy?

Other names are upper gastrointestinal endoscopy, esophagogastroduodenoscopy or pan endoscopy. With this method, your doctor can examine your esophagus, stomach, and the first part of your small intestine. During the procedure, your doctor uses a thin, flexible tube called an endoscope. At the end of this tube, there is a lens that takes the image, the image passes through the tube and is transferred to a video processor and then to a monitor. Some endoscopes can also be used without a monitor.

who should be done?

Patients with upper abdominal pain, nausea-vomiting, and difficulty swallowing can be performed at the doctor’s decision. It is the most valuable method in the diagnosis and treatment of bleeding from the stomach and duodenum. It is superior to all other medicated or non-medicated films in recognizing inflammation, ulcers and tumors. During the procedure, your doctor may take small pieces called a biopsy, obtained from the inner lining of the stomach or intestine. These parts are extremely useful for diagnosis. They are examined and reported with a microscope by pathologists. Your doctor can read these reports to make your diagnosis and treatment better.

The biopsy can also be taken to recognize a microbe called Helicobacter Pylori, which can be found in the stomach. In order to decide on the presence or absence of the microbe, your doctor can evaluate the collected piece in a pre-prepared test container or send it to the pathology laboratory. The microbe Helicobacter can cause gastritis, ulcers and sometimes cancer.

During the endoscopy procedure, your doctor can also perform some therapeutic procedures if he deems necessary. These procedures include stopping if there is bleeding, removing them if there is flesh growths called polyps, expanding with the help of tools called balloons or spark plugs if there is a stenosis, etc. These procedures will generally not disturb the comfort of the patient and will not cause a pain.

How to prepare?

In order to perform an adequate and reliable examination, the stomach must be completely empty. Therefore, feeding should be stopped 8 hours before the procedure, and fluid intake should be stopped 4 hours before the procedure. In short, 8 hours solid 4 hours’ liquid fasting is required. In special cases, your doctor may change these times. (Such as earlier if there is bleeding or longer if there is a stomach emptying problem)

What should you know to your doctor before the process?
Before the procedure, you must inform your doctor about the medications you are using. Some drugs may need to be discontinued or their dosage adjusted before the procedure. Some drugs, especially aspirin, which are known as blood thinners, are important. Since strong pain relievers cause some damage to the stomach, knowing them beforehand can help your doctor better evaluate what they see. It is important to know some heart diseases before the procedure. In addition, those with a history of allergy should definitely tell this to their doctor.

* Bleeding (in the form of red or coffee grounds, black colored stool)
* Burning in the chest
* Reflux type complaints (bitter-sour water in the mouth)
* Nausea-vomiting
* Abdominal pain
* Difficulty swallowing

What are the conditions that lead to these complaints and can be recognized in endoscopy?
* Stomach or duodenal ulcers
* Esophageal varices
* Stomach polyps
* Stomach and intestinal bleeding
* Stomach inflammation (gastritis) * Esophageal
strictures
* Hiatal hernia (stomach hernia)
* Esophagus and stomach cancers

Some examples of images obtained during the gastroscopy procedure are listed below.

IS IT A PAINFUL AND Bothering Procedure for the Patient?
Usually it is not. In order to increase patient comfort and prevent possible gas pains, some medications are given intravenously in small doses before the procedure. Since the drugs in question can cause distraction and fatigue, it is recommended to come to the center where the procedure will be performed with a companion and not to drive on the day of the procedure.

During the procedure, if necessary, a piece can be taken with the help of a controllable wire called biopsy forceps.

What are the situations to be notified before the transaction?
* Allergic diseases and drug allergies
* Previous heart valve surgery
* Warfarin (coumadin) use
* Heart failure, kidney failure
* A situation that prevents lying flat

What are the situations that the patient must do before the procedure?
Drugs containing iron
should be discontinued 7 days before the procedure. 48 hours before the procedure, a pulp-free diet should be started (red meat, fruit, vegetables, salad, mushrooms, corn, nuts, etc. should not be eaten; boiled or grilled fish with white meat, boiled chicken, cheese, egg, white meat. bread, butter, margarine, boiled potatoes, etc. can be eaten)

Stop using anti-diarrhea medications.
During preparation, plenty of fluids (water, tea, carbonated drinks, broth, pulpless soups, etc.) should be taken.

A good bowel cleansing will increase the quality of the procedure. For this reason, preparatory drugs should be used regularly and completely, and incomprehensible points should be learned from the endoscopy nurse.

In which cases?

It is mainly performed in cases of prolonged bloody and slimy diarrhea, in case of rectal bleeding, in cancer screening, in investigating the causes of anemia, and in cases of suspected colon disease by examination or imaging methods.

How much will it take?
Depending on the intestinal structure of the person, the process is usually completed in 5 to 10 minutes.

In which position is the transaction made?
The procedure is performed with the patient lying on his left side.

IS IT A PAINFUL AND Bothering Procedure for the Patient?
Usually it is not. In order to increase patient comfort and prevent possible gas pains, some medications can be given intravenously in small doses before the procedure. Generally, the process is completed without the need to administer the drugs in question. Since these drugs can cause distraction and fatigue if applied, it is recommended to come to the center where the procedure will be performed with a companion and not to drive on the day of the procedure.
During the procedure, if necessary, a piece can be taken with the help of a controllable wire called biopsy forceps.

What are the situations you should inform your doctor before the operation?
* Allergic diseases and drug allergies
* Previous heart valve surgery
* Warfarin (coumadin) use
* Heart failure, kidney failure
* A situation that prevents lying flat