Fibrogastroduodenoscopy (EGD) or gastroscopy - it is one of the varieties of endoscopic examination during which the doctor examines the upper gastrointestinal tract (esophagus, stomach and duodenum) using a special device - gastroscope. This device is a flexible tube having an inside fiber-optic system, a camera and a special channel for the tools with which to climb biopsy (research) pieces of stomach tissue.
Today EGD stomach - it is a safe procedure is through the use of sophisticated instruments in which complications can occur very rarely - about one percent of patients.
Possible complications - perforation (perforation of the wall of the body) and bleeding that occurs during manipulation (polypectomy, biopsy) because of damage to the walls of the body. Perforation requires surgery. In extremely rare cases, after EGD children a mental disorder.
Indications for EGD
EGD is assigned in cases where it is necessary to study in detail the mucosa of esophagus, stomach and duodenum. It is used for the diagnosis of gastric ulcer or duodenal ulcer, gastritis, esophagitis, duodenitis, as well as bleeding or suspected tumor in the stomach or duodenum. Also used to confirm the diagnosis of neurosis or allergies.
EGD stomach, duodenum and esophagus show all the people after 40 years to eliminate or early detection of diseases of oncological nature.
The methodology of the
EGD procedure carried endoscopist who have been specialized in gastroscopy. In preparation for EGD performed local anesthesia - os treated sprays containing lidocaine. In rare cases, to reduce the discomfort can be performed premedication (injection of drugs with sedative effects), local anesthesia of the tongue with a sprayer or general anesthesia with intravenous drugs. Then the patient squeezes nagubnik teeth through which the endoscopic tube and is introduced into the mouth and takes a sip, in which the doctor inserts a gastroscope into the esophagus. To reduce discomfort and gagging, the patient is recommended and breathe deeply.
The doctor examines the surface of the duodenum, stomach and esophagus. If necessary, is recording the image, photo or video. Image from a video camera or a gastroscope in modern endoscopes is clear and detailed. It is recorded in a computer or transmitted to the TV screen, and then, if necessary, can be printed using the printer. If there are indications, held transendoskopicheskaya pH meter or a biopsy, stop bleeding, administering medications or removal of polyps. Further gastroscope removed from the esophagus.
Lasts diagnostic EGD no longer than 5-10 minutes. If additional wiring necessary manipulations, the procedure may increase up to 20-30 minutes.
After EGD may experience an unpleasant sensation in the throat. As a rule, it automatically passes over one or two days.
Preparing to EGD
Before EGD for 8-10 hours is prohibited anything to eat or drink.
Before EGD patient must inform the doctor of its existing related diseases (diabetes, schizophrenia, epilepsy and other diseases) and receiving treatment. Also, be sure to tell your doctor if you are allergic to any drugs.