Gastroenterology clinic visit, determine gastroscopy => make an appointment for (painless) gastroscopy, make an appointment in the gastroscopy room => complete the pre-gastroscopy items => make an appointment for gastroscopy on the same day (general gastroscopy requires a gastroenterology clinic number on the same day, painless gastroscopy requires a family member and an anesthesiology clinic number).
Precautions before examination:
1, relax and avoid tension.
2.Fast food and water for 12 hours before the examination.
3, if you are taking aspirin and other anticoagulant drugs, you need to stop taking them for 1 week before the examination.
4.Immunity four items, liver function and other laboratory tests need to be done before the examination, and blood routine, chest X-ray and electrocardiogram need to be done before the painless gastroscopy.
Precautions during the examination:
1.Dentures and glasses need to be removed.
2.Inhale through the nose and exhale through the mouth during the examination, and do not swallow to avoid choking and coughing.
3, after entering the mirror, the body and head should not be turned to prevent injury to internal organs.
Precautions after examination:
1, because of the pharyngeal anesthesia, there will be a foreign body feeling in the throat after the examination, do not cough violently.
2, because the anesthesia effect has not disappeared, eating too early will make the food easily enter the trachea, so you can eat water only 2 hours after the examination, such as pathological examination (the doctor will inform), should enter the warm and cool semi-liquid or soft food for a day after 2 hours of examination.
3.After painless gastroscopy, you should not drive or ride a bike on the same day.
Indications:
1, with gastrointestinal symptoms, considering esophageal, gastric, duodenal ulcers, inflammation, tumors.
2.Gastrointestinal bleeding with unknown etiology and bleeding site.
3, other imaging examinations reveal lesions in the upper gastrointestinal tract and need to clarify the nature.
4, people at high risk of upper gastrointestinal tumors, or pre-cancerous lesions and pre-cancerous disease screening.
5.Evaluation of ulcers and the effect of H. pylori treatment.
Contraindications are divided into relative contraindications and decision contraindications
1.Relative contraindications:
(1) cardiopulmonary insufficiency.
(2) Gastrointestinal bleeding with large or unstable blood pressure fluctuations.
(3) Patients with severe hypertension, high blood pressure.
(4) Severe bleeding tendency with hemoglobin below 50g/L or PT prolongation of more than 1.5 seconds.
(5) High spinal deformity.
(6) Giant diverticulum of the digestive tract.
2. Absolute contraindications:
(1) severe cardiopulmonary disorders that cannot tolerate endoscopy.
(2) Patients in critical condition such as suspected shock or perforation of the gastrointestinal tract.
(3) Those who suffer from mental illness and cannot cooperate with endoscopy.
(4) Patients with acute inflammation of the gastrointestinal tract, especially corrosive inflammation
(5) Apparent thoracoabdominal aortic aneurysm.
(6) Patients with stroke.