1.Who should undergo gastroscopy?
(1) People with the following symptoms should undergo gastroscopy: acid reflux, belching, vomiting, epigastric pain, unexplained loss of appetite and weight loss, vomiting blood, unfavorable swallowing or obstructive feeling when eating, and upper abdominal mass.
(2) Gastroscopy has been done originally and the diagnosis is atrophic gastritis, ulcer disease, or after surgery for esophageal cancer or gastric cancer such cases need to be reviewed after a period of treatment to observe the effect of treatment.
(3) Gastric or duodenal polyps are found, and foreign bodies are swallowed into the esophagus.
”Gastric stone disease” belongs to the category of “accumulation” and “obstruction” in Chinese medicine, which is caused by excessive consumption of fruits such as persimmon, which damages the spleen and stomach, and the failure of spleen transportation, accumulation of dampness into phlegm, phlegm stagnation, stagnation of the middle jiao, and gradually The accumulation of phlegm and stagnation of phlegm in the middle jiao will gradually become a mass. People who eat fruits such as persimmon, hawthorn, grapes and pineapple are prone to grow “stomach stones” after having a lot of stomach acid. Because these fruits contain tannin, which is rich in astringent properties, it can act as a coagulation after contact with dilute hydrochloric acid. In the case of a stomach stone, it can be treated by gastroscopy, which saves the pain of surgery and the cost of medical treatment.
If there is one of the cases mentioned above, you should not hesitate to do gastroscopy immediately, and if there are two, you should not delay.
2.Will gastroscopy transmit the disease from the previous patient to the next patient?
No. There is a set of strict procedures for sterilization of gastroscopy, and there will be no cross-infection. Patients can rest assured that they will be examined.
3.What are the absolute contraindications for gastroscopy?
Severe cardiopulmonary disease, unable to tolerate endoscopy; unstable upper gastrointestinal hemorrhage vital signs; suspected gastrointestinal perforation patients; patients with mental illness, unable to cooperate with gastroscopy; patients in the acute stage of corrosive esophagitis, gastritis; patients with obvious thoracoabdominal aortic aneurysm; patients in the acute stage of stroke.
4.What is painless gastroscopy?
Compared with traditional gastroscopy, the biggest advantage of it is that patients will not feel discomfort and pain. Painless gastroscopy requires anesthesia for the patient, and the patient will be unconscious after the gastroscopy, and the patient will wake up soon after the examination without any obvious discomfort.
5.Is there any harm in gastroscopy biopsy? When do I need a biopsy?
The morphology of the gastric mucosa can be clearly seen on the monitor, and the doctor will only recommend the patient to do pathological examination when needed. The purpose of the examination is to determine the nature of the lesion, such as is inflammation, is atrophy, is hyperplasia, or tumor, etc.
6.What preparations should be made before gastroscopy?
(1) Fasting for 8 hours before gastroscopy;
(2) Hepatitis B surface antigen and HIV antibody test should be performed;
(3) The application of local anesthetic in the pharynx (to remove the bubbles and reduce nausea) is required before the examination;
(4) need to have a certain psychological preparation, the whole body relaxation, with good gastroscopy physician;
(5) Gastroscopy should be performed only 3-5 days after barium meal examination;
(6) Patients over 50 years old need to have an electrocardiogram.
7.What kind of people need to test for H. pylori? What is the best way to detect H. pylori?
Peptic ulcer, peptic polyps, atrophic gastritis and other precancerous lesions, chronic refractory gastritis, functional dyspepsia, family history of gastric cancer, unexplained bad breath or bitter breath patients need to test for H. pylori, 13C, 14C breathalyzer test is the most advanced equipment for detection, no intubation, no blood sampling, just blow gently, you can clarify whether the infection, 13C urease breath test The 13C urease breath test is free of radiation hazards, easier, faster, more accurate, non-invasive and non-cross-infection.