Who is not suitable for gastroscopy? Who is suitable for gastroscopy?

Gastroscopy is more intuitive, and the barium swallow is through the swallowing of barium, and then X-ray, indirectly looking at the situation of the digestive tract, in addition to iodine water imaging.

Contraindications to gastroscopy.

One. Absolute contraindications.

1.Patients with severe coronary heart disease and myocardial injury with severe cardiac insufficiency.

2.Esophageal stricture or cardia obstruction.

3.Aortic aneurysm.

4.Hemorrhagic shock.

5.Acute pharyngitis and tonsillitis.

6.Pneumonia or other infection with high fever.

7.Asthmatic dyspnea.

8.Severe pulmonary dysfunction.

9.Extremely debilitating constitution.

10.The patient is uncooperative or mentally abnormal.

Two. Relative contraindications.

Acute illness or acute attack of chronic disease, which can be recovered after **, such as acute tonsillitis, pharyngitis, esophagitis, bronchial asthma attack, etc.

The gastroscopy is generally about 15-20 minutes, a little uncomfortable, the tube is inserted in the throat, and there is a feeling of nausea.

**Gastroscopy is general anesthesia, and the contraindication to routine gastroscopy is also a contraindication to bitter gastroscopy [[2].The following conditions are also not suitable for **bitter gastroscopy: Diseases that are easy to cause suffocation, such as those with a lot of phlegm, those with gastric vinegar, and those with a large amount of blood in the stomach; Heart rate below 50 beats min; Severe adultery and obesity; Pregnant and lactating women; Those who are allergic to the drugs used.

Gastroscopy generally requires post-intubation, but capsule gastroscopy can be performed without intubation. Capsule gastroscopy is to compress the gastroscope to the size of a capsule, and after swallowing, the gastric mucosa is examined. In addition, there are some examinations of the digestive tract, which do not require intubation, but not gastroscopy, and are commonly used such as barium swallow fluoroscopy, and contrast B ultrasound.

Under normal circumstances, ultrasound examination will be affected by gas, and there will be gas in the stomach, which can affect the results of the examination, but it can be passed after drinking contrast medium.

Those who cannot tolerate gastroscopy (such as heart disease, viral hepatitis, acute laryngitis, hypertension, etc.).If the endoscopic disinfection effect is not reliably guaranteed, in order to avoid the transmission of hepatitis B virus, 14C-UBT can be used instead of urease test, and biopsy is only used when gastric cancer is suspected.

Electronic gastroscopy is recommended for patients with the following conditions:

1) Those who have epigastric discomfort, epigastric pain, decreased eating, black stool, vomiting, suspected chronic gastric and duodenal diseases, and those who have not been confirmed by various examinations, should be diagnosed by gastroscopy.

2) If the barium swallow examination finds gastric ulcer, gastric polyp or gastric tumor, but the nature is not certain, gastroscopy and biopsy are required to determine the nature.

3) Patients with chronic gastritis, especially chronic atrophic gastritis, need to have regular gastroscopy, or must be clear pyloric obstruction.

4) In order to understand the type of tumor and the extent of the lesion, gastric cancer patients should undergo gastroscopy before surgery to facilitate the decision of surgical plan. Regular follow-up examinations are also required after gastric surgery to observe changes in the condition.

5) Upper gastrointestinal bleeding (melena or hematemesis) requires emergency gastroscopy (checked within 24 to 48 hours after bleeding) in order to find the bleeding site, and local hemostasis**, if the bleeding is found to be more violent, external surgery**.

6) If a foreign body is found during gastroscopy, it can be removed, and polyps can be microwave** or electrocoagulation resection**.

7) Persistent or reversible obstructive jaundice, the cause and nature of which cannot be determined by general examination.

8) as a treatment for intragastric lesions.

If you have stomach problems, I recommend that you take the following medicines first, if they have an effect, stick to them for a month, and the cost is not high. Chen Xianglu white dew, sucralfate tablets, aluminum hydrochloride mud capsules. I also had stomach problems for more than 3 months, and I haven't had pain for 6 years after taking it.

In clinical practice, if the patient suffers from digestive tract symptoms, such as epigastric pain, loss of appetite, belching, acid reflux, or has recently experienced some weight loss and black stool, these patients have undergone general internal medicine and the symptoms cannot be relieved, it is recommended that the patient have gastroscopy. The severity of clinical symptoms and cancer are not very related, and the severity of symptoms cannot determine whether gastroscopy is needed.

Gastroscopy is the most commonly used examination for digestive diseases.

Advantages of gastroscopy: real-time intuitive and direct access to disease information, combined with biopsy histology, can confirm the diagnosis of esophageal, gastric, duodenal bulb, descending segment diseases, is the gold standard (best method) for the diagnosis of these diseases.

Disadvantages of gastroscopy:

1) A certain amount of pain and trauma, about 70% of patients reported nausea and vomiting;

2) Some patients cannot bear it, such as ischemic heart disease, psychological resistance and some patients with mental illness.

With the advancement of endoscopy and related technologies, the scope of use of endoscope is gradually expanding: it is not only suitable for patients with esophageal gastroduodenal diseases, but also for the screening of high-risk groups such as gastric cancer and esophageal cancer. People who need to have a gastroscopy:

1) Patients with peptic ulcer, 2) patients with gastritis, 3) patients with dyspeptic symptoms such as anorexia and bloating, 4) patients with a family history of gastric cancer and esophageal cancer;

People who need regular gastroscopy:

1) After peptic ulcer **, 2) patients with gastric polyps, 3) superficial gastritis with erosion, or long-term ** with poor effect, 4) chronic atrophic gastritis, 5) after gastrectomy, 6) first-degree relatives of patients with gastric cancer and esophageal cancer.

There are many other types of gastroscopy that can be performed, such as:

1) polyp resection, 2) emergency hemostasis of gastric, upper duodenal or esophageal bleeding, 3) ** resection of early gastric cancer, 4) stenting of esophageal stricture, 5) botulinum toxin injection and dilation ** for achalasia, 6) local chemotherapy for tumors, etc. Compared with the traditional one, gastroscopy has the characteristics of minimally invasive and direct vision, so it is especially suitable for patients with advanced disease and poor underlying status.

Although gastroscopy is painful, it is bearable compared to its diagnostic value. Many diseases rely on the results of gastroscopy to make a final diagnosis, combined with histological examination, the results of gastroscopy provide the most valuable basis for the choice of method.

Abandon the fear of gastroscopy, bravely face gastroscopy, strive to detect diseases at an early stage, and strive to achieve the best results at a small cost.