Gastroscopy, what exactly are you afraid of?

  Mr. Wu is 45 years old, although only high school education, but smart, bold, as early as the early 1980s, riding on the east wind of reform and opening up, determined to go to sea, the use of timing, location, people and favorable conditions, from the mainland to deal with the purchase of cowhide sold to some leather factories in the Pearl River Delta and plucked the first bucket of gold to start, in the sea of business after several toss, so many years, but also earned millions of family business. With the continuous development of the business, social entertainment is also more and more, long-term “alcohol test”, often the last meal of wine is not all gone, the next meal and then drink, the natural result is to drink bad body more drink bad stomach, fell a stomachache old problem, every time a little more to drink some wine after the stomach pain attack, so he was troubled.  But no, just a few days ago, Mr. Wu due to social and a few important customers drinking together, each drank more than a kilogram of highly Maotai wine, stomach pain really on time again, and also nausea and vomiting, and even vomit with some blood; at first Mr. Wu did not care, thought that as usual stomach pain attack, a little rest and then just eat some stomach medicine will be fine, so he asked his family to buy him some He had his family buy him some expensive stomach medicine, but after eating it did not work, or the same stomach pain, nausea and vomiting, for several days in a row. The actual no way, in the wife’s repeated insistence, Mr. Wu agreed to put down all the business in hand, put off all social engagements, and focus on coming to the hospital to see a doctor.  After listening to Mr. Wu’s complaint and understanding his medical history in detail, I blamed Mr. Wu for not coming to the hospital earlier and suggested that Mr. Wu should have a gastroscopy as soon as possible. Mr. Wu emphasized that objectively, he was busy at work and did not have time to go to the hospital to see a doctor; subjectively, he was worried that he could not stand it because he heard many people say that gastroscopy is very hard; at the same time, he was also worried that many people use the same gastroscopy, which may cause some infectious diseases such as hepatitis. After I patiently gave him a detailed explanation, Mr. Wu finally agreed and accepted the gastroscopy, and his condition was detected and given the right treatment in time, so that his condition was treated effectively in time and he recovered quickly.  Gastroscopy was introduced to China in the early 1970s, and after two stages of development: fiberoptic gastroscopy and electronic gastroscopy, it has developed into a very important and mature clinical examination and treatment technology, and is one of the most important methods for diagnosing esophageal, gastric and duodenal diseases. Due to the lack of medical knowledge and the lack of understanding of gastroscopy, in clinical work, many patients are afraid to do gastroscopy, afraid of pain, afraid of weakness, afraid of dangerous accidents, afraid of unclean infectious diseases, etc., rather than be tormented by gastric disease, but also unwilling to do gastroscopy, the results are often delayed the disease. In fact, these worries are completely unnecessary.  Gastroscopy, the mirror body to pass through the mouth, throat, esophagus, stomach and then into the duodenum, if you do not do any preoperative preparation, will indeed cause some discomfort and uncomfortable, especially in the throat, can cause and induce some patients to produce nausea and vomiting and other reactions, in serious cases can cause throat lacerations and pain and other symptoms; some other patients due to poor cooperation or improper position, resulting in the examination of saliva backflow By fully trusting the doctor, using local anesthesia such as lidocaine and atropine to reduce salivary secretion, using dental pads and maintaining correct head and body position during the operation, and avoiding intraoperative swallowing, the above-mentioned uncomfortable and unpleasant symptoms can be effectively controlled and reduced. In addition, the esophagus, stomach and duodenum are mainly smooth muscles on which there is no painful nerve distribution, plus the body of the gastroscope itself is smooth and lubricated before examination, so gastroscopy and biopsy will not cause pain. Painless gastroscopy, which has emerged in recent years, allows patients to undergo gastroscopy under complete anesthesia with little or no discomfort.  Before suggesting a gastroscopy, the attending physician should have a detailed understanding of the patient’s condition, his or her medical history, allergy history, cardiopulmonary function, surgical and trauma history, and fully understand the indications and contraindications for gastroscopy treatment, which is the only responsible way for the patient. As long as there are suspected lesions in the upper gastrointestinal tract, they are all indications except for contraindications, and there is no need to worry about the problem of old age and weakness. Before the gastroscopy, the doctor fully adjusts the instrument and prepares various emergency drugs and instruments to prevent various accidents; the doctor operates strictly according to the protocol, and the doctor and patient work closely together, so the possibility of danger and accidents during the examination is extremely low, and even if it happens, it is easy to wait for timely treatment.  China is a big country of hepatitis, as a kind of infectious disease transmitted mainly through body fluids, people are worried about being infected with hepatitis virus during gastroscopy is very easy to understand. The Ministry of Health and the Chinese Society of Gastrointestinal Endoscopy have strict operating specifications for the cleaning and disinfection of gastroscopes, which require hospitals to enforce and frequently organize supervision and inspection. The strict implementation of disinfection norms, through water washing, enzyme washing, cleaning, chemical disinfection, glutaraldehyde soaking, alcohol wiping and other procedures, can effectively kill hepatitis virus, HIV, tuberculosis bacillus and other viral germs, so patients do not need to worry about catching infectious diseases during gastroscopy. Of course, if you are still unsure, you may want to visit the gastroscopy unit of the hospital to find out if their sterilization is standardized before deciding whether to undergo the examination at the hospital.