Gastroscopy is one of the common examination items in gastroenterology, what should I pay attention

When taking a gastroscopy, you must pay attention to fasting for 12 hours before you can do it, and you must prepare your intestines and try to bring your family members to accompany you for the examination, and you need to make an appointment in advance, and you need to observe for 30 minutes after the gastroscopy before you can go back.

The first point is that you must pay attention to the weight of this burden on the stomach and intestines, the second point is that you should pay attention to your mentality, you must adjust it so that you don't get too nervous, and the third point is that you should pay attention to your usual eating habits.

Gastroscopy should first pay attention to its indications, and if there is severe heart disease, high blood pressure and lung disease, it should be performed after the condition is stable. On the day of the examination, you will need to have an empty stomach, and you will drink a local anesthetic pharyngeal medication 5 minutes before the examination to relieve the nausea symptoms during the examination.

During the examination, nausea can be caused when the endoscope enters the pharynx, which requires deep breathing. Fasting for 2 hours after the examination, and 4 hours if there is a pathological examination. If it is a gastroscopy, it is forbidden to drive and work at height on the day of the examination.

Be sure to pay attention to the fasting examination, and you should also follow the doctor's arrangement during the examination, and do not wear some metal watches or jewelry during the examination.

Gastrointestinal endoscopy is a creative test. The preparation before the examination should be more prudent, and endoscopy should not only play a role in examination, but also play a leading role. In this regard, the family doctor invited Dr. Wang Xin, deputy director of the Department of Gastroenterology of Zhujiang Hospital of Southern Medical University, to elaborate on various precautions for gastrointestinal endoscopy.

Gastrointestinal endoscopy should be paid more attention. The doctor seems to have forgotten to remind you of these precautions.

Gastrointestinal endoscopy - pay attention to the early fasting of the embargo, if you do gastroscopy, you generally start fasting from the night before, in fact, a small amount of drinking water does not matter. However, if you are in anesthesia gastroscopy and require strict fasting for 4-6 hours before anesthesia**, please note that a strict fasting embargo must be ensured to prevent anesthesia accidents.

Some patients have poor gastrointestinal function because of abdominal distention, so they need to be examined. This patient has poor gastrointestinal function, partial infarction, or gastric storage in the aorta. For patients with such a history, it is necessary to strictly fast and prohibit drinking water.

Fasting may be longer, or you can even put down the stomach tube to suck the contents of your stomach clean.

In the case of colonoscopy, the preparation may be stricter, and it is generally necessary to drink more porridge and powder and eat less high fiber the day before the examination. Some experts may recommend that you control your diet two or three days before the pre-anesthetic examination, but Dr. Wang Xin believes that excessive diet is not good for the body. Before gastrointestinal endoscopy, it is necessary to carefully communicate with the doctor about taking the medication.

Dr. Wang Xinzhi said that endoscopy not only plays a role in examination, but also plays a leading role, and pathological examination can be accepted during the examination to confirm the presence of Helicobacter pylori and atrophic gastritis. In particular, small polyps found during gastrointestinal endoscopy in older people may be treated directly. If the patient is on drugs such as high blood pressure and diabetes, there is basically no effect.

Repeated traction of the gastroscope, the patient will feel a foreign body sensation in the throat within 2 to 3 days after the examination, and he always wants to swallow, which is a normal reaction. Zhang Qing is the same. During the exam, it can be inflated and pulled, but this pain and traction is usually relieved after the exam is over.

In addition, sometimes there is a sudden severe abdominal pain after a gastrointestinal endoscopy and you feel very uncomfortable, so you must accept it in time**. Because it is necessary to prevent the occurrence of some perforations. Because once severe abdominal pain, defecation, and vomiting occur, it is necessary to go to the hospital in time.

During this period, it is necessary to pay attention to the fact that the diet in the last few days must be lighter, and you should also pay attention to opening your mouth wide so that the gastroscope can enter the body for examination.

During gastroscopy, you must have an empty stomach, spicy food can not be eaten, and patients with other diseases must be accompanied by family members before they can do gastroscopy

Some precautions when examining gastroscopy, first of all, before doing gastroscopy, it is necessary to prepare for the examination, fasting is a must, unless emergency gastroscopy, otherwise we will generally let patients choose to have an examination on an empty stomach for more than 8 hours before breakfast, so that the gastric contents can be completely discharged and have the least impact on the gastroscopy.

During this period, you must pay attention not to eat too much, and in this process, you must ensure that your body is in a very healthy state, and you must check it in time.

Fasting is required the night before the gastroscopy. You can't drink water within 4 hours, you must have an empty stomach, usually do gastroscopy in the morning, many times gastroscopy needs to be made in advance, everyone should do a good job of consultation, so as not to waste time.

During gastroscopy, in order to avoid the gastroscope entering the respiratory tract, the patient is often instructed to do (fibrillation) aCoughing movements.

b.Make an "ah" sound.

c.Turn your head to laugh and lose.

d.Swallowing action.

e.Exhale deeply.

Correct answer: d

a.Lie flat with your neck bent forward.

b.Lying on the left side with the neck slightly bent forward.

c.The right digs the beard in a lateral lying position, and the neck is slightly bent forward.

d.The left ant is lying on his side with his head tilted back.

e.Lie on the right side, and tilt your head back to the judge.

Correct answer: d

The most straightforward and unambiguous method of inspection.

Gastrointestinal, gastroscopy, colonoscopy.

Because it can penetrate deep into the external pipeline organs (such as the digestive tract, respiratory tract, urinary tract) and closed endoscopic acupoints (such as the thoracic cavity, abdominal cavity, joint cavity) for observation and diagnosis, living materials, and at the same time can also endoluminal surgery (such as tumor removal, dredging of cancerous obstruction, gallbladder amputation, ODDI sphincterotomy, etc.), the application of high-tech (such as microwave, laser, etc.) to carry out intervention, but also has photography, video or magnification and processing of images and other computer intelligent functions, is a modern and novel high-precision technology diagnosis and treatment equipment. The advantage of endoscopy is that it can be observed with the naked eye, the endoscope is equipped with a lighting device, which can be directly observed with the naked eye, and the angle of the front end of the endoscope can be adjusted, and it is also equipped with equipment that can shoot ** and take specimens.

Endoscopy can reliably solve the diagnosis of common tumors (such as gastric cancer, lung cancer, esophageal cancer, colorectal cancer, intestinal polyps, etc.), especially for the timely detection of early cancer, and can make pathological diagnosis before surgery, so it is superior to other diagnostic methods (including MRI, CT, B-ultrasound, ECT). Endoscopy can be selective and diversified for endoluminal benign tumors, superficial malignant tumors and some early cancers**; For some advanced cancers, even if various methods have been ineffective, the application of endoscopic surgery and endovascular high-tech can still alleviate symptoms, prolong life and improve quality of life.

The organs subject to endoscopy include the throat, esophagus, stomach, duodenum, small intestine, large intestine, bile duct, gallbladder, pancreas, bronchi and bladder, but cystoscopy, proctoscopy and laparoscopy are still rigid endoscopes. In addition, it is also possible to insert the endoscope into the abdominal cavity and other body cavities for examination. Patients with aortic aneurysm, esophageal varices, severe hypertension, cardiovascular disease, cervical spondylosis, etc., should not undergo esophagoscopy or gastroscopy.