Advantages of gastroscopy: real-time visualization, direct access to disease information, combined with biopsy histology, can confirm the diagnosis of diseases of the esophagus, stomach, duodenum bulb and descending segment, and is the gold standard for the diagnosis of these diseases:.
I. Disadvantages of gastroscopy.
1, a certain amount of pain and trauma, about 70% of patients report nausea and vomiting
2. unbearable for some patients, such as patients with ischemic heart disease, psychological resistance and some mental illnesses.
With the progress of endoscopy and its related technology, the scope of endoscopy is gradually expanding: not only for patients with esophagogastroduodenal diseases, but also for screening of high-risk groups such as gastric and esophageal cancers.
Second, the people who need to do gastroscopy.
1.Patients with peptic ulcer.
2.Patients with gastritis.
3.Patients with indigestion symptoms such as anorexia and abdominal distension.
4.Patients with family history of gastric cancer and esophageal cancer.
III. People who need regular gastroscopy.
1.Peptic ulcer after treatment.
2.Patients with gastric polyps.
3.Patients with superficial gastritis with erosion, or long-term treatment with poor results
4, chronic atrophic gastritis.
5.Post-gastrectomy.
6.1st degree relatives of patients with gastric cancer and esophageal cancer.
IV. Many other treatments can be performed under gastroscopy, such as
1, polypectomy.
2, emergency hemostasis of bleeding from the stomach, upper duodenum or esophagus.
3, radical resection of early gastric cancer.
4, stent placement for esophageal strictures.
5, botulinum toxin injection and dilatation treatment for cardia achalasia.
6.Local chemotherapy of tumor, etc.
Compared with traditional treatment, gastroscopic treatment has the characteristics of minimally invasive and direct vision, thus it is especially suitable for patients with advanced disease and poor basic status.
Although gastroscopy is painful, these pains are bearable compared to its diagnostic value. Many diseases rely on gastroscopic findings for a final diagnosis, and in combination with histological examination, the results of gastroscopy provide the most valuable basis for the choice of treatment.
It is important to abandon the fear of gastroscopy and to face it courageously in order to detect the disease at an early stage, to treat it early, and to obtain the best results at a smaller cost.