Have you ever swallow a light bulb for the stomach? What is this procedure called, how to prepare for it, is it really as scary as it hurts and are there any complications? If you are faced with such a diagnosis, then in this article, based on personal experience, you will find all the answers.
We understand in terms: the names are different - the essence is the same
One of the most unloved procedures among patients is the study of the gastrointestinal tract using a fiber-optic probe with a camera at the end. People say about it "swallow the lamp for the stomach." And what is the name of this procedure in the language of doctors?
The term “gastroscopy” is most commonly used. The full name is "fibrogastroduodenoscopy" (FGDS). It comes from the following words: "fiber" - because fiber-optic optics are involved, "gastro" - stomach, "duodeno" - intestine, "scopia" - to look. If you put it all together, you get "using fiber-optic optics, look at the stomach and intestine."
Sometimes the term “esophagogastroduodenoscopy” (EGDS) can be heard from doctors. If you dare to finish reading this word to the end, then the question will arise: AEDs and FGDS - are there any differences? If they do FGDs, then they look at the stomach and duodenum. During the endoscopy, the esophagus is also examined. Sometimes another abbreviation is used - FGS, and it stands for "fibrogastroscopy". The surveyed area in this case is limited only to the stomach.
Is there any difference for the patient? Not really. It does not matter what will be written in the direction - FGS, EGD or EGD. If during the examination the endoscopist considers it necessary to examine not only the stomach, but also the esophagus, and the 12-duodenal ulcer, he will do it without the knowledge of the patient. It cannot be said that any of these procedures is tolerated more easily, and the other is more painful. There is no difference, everything will happen according to the same scenario, the main point of which is swallowing the hose.
Sight from the inside: why do you need FGDs and to whom is it prescribed?
Today at the disposal of doctors there are painless diagnostic technologies. But if you need to get a complete picture of the state and work of the digestive organs, you still have to "swallow the gut." Gastroscopy is a procedure in which an ocular or video endoscope is inserted into the stomach cavity through the mouth and esophagus. It's just a thick hose (its diameter is about 1 cm), inside which wires run, and a mini-camera is attached at the end. Through her, the doctor will see everything inside you.
Usually the direction is given by a therapist or a gastroenterologist. Fibrogastroduodenoscopy has not only a diagnostic value: during such an examination can be treated (remove the polyp) and take material for analysis (biopsy).
A patient may be sent for FGDS if he has:
- stomach ache, and can not figure out the reason;
- discomfort is present in the esophagus;
- he swallowed a foreign object;
- long time tormented by heartburn;
- bouts of nausea;
- vomiting occurs constantly;
- problems with bowel movement;
- difficulty swallowing;
- sudden weight loss during normal diet;
- aversion to food;
- anemia of unknown etiology;
- cases of ulcer or stomach cancer were recorded in the family;
- it is prepared for abdominal surgery;
- he had a polyp removed;
- treated ulcer, gastritis, and you need to see the results of therapy;
- There is a suspicion of oncology.
To whom Do not do FGDs?
It is forbidden to conduct this study if the patient is in serious condition, has just suffered a hypertensive crisis, stroke, heart attack, suffers from a bleeding disorder, and also if he has exacerbated bronchial asthma.
The examination is not carried out in patients with impaired psyche. Pregnant women perform it in exceptional cases, as there is a danger that the uterus will come in an increased tone.
how prepare for the examination?
The patient must take a referral, outpatient card, towel (diaper), sterile gloves, shoe covers. Those who take heart and anti-asthma medications should take them with them.
How to behave on the eve of eggs? Preparation for the study is as follows: 2 days before the procedure, nuts, seeds, alcohol, chocolate and spicy dishes should be removed from the menu. 12 hours before the "rush hour" completely stop eating. Dinner on the eve of EGD should not include meat, raw vegetables, salads, baked goods, sweets, jam. If it is scheduled for the afternoon, then breakfast is canceled. Allowed to drink water without gas or weak sweet tea.
Before the procedure it is forbidden to smoke even one cigarette, as this will increase the formation of gastric juice and the gag reflex.
In the morning you should brush your teeth.
Diagnostics patient's eyes: how will the procedure be?
EGD is held in a special room. The subject signs consent to conduct it. Before starting the manipulation, you must remove the glasses, remove the removable dentures, unbutton the collar and remove the tie.
5 minutes before the gastroscopy, the doctor will provide anesthesia - splash lidocaine into the throat. Then put the patient on a high table (on the left side) and give him a plastic ring. His teeth should be clamped. A towel is placed on the pillow (under the head) so that saliva flows down onto it. The doctor will insert an endoscope into the mouth of the mouthpiece. Next, the patient should make a swallowing movement, and the diagnostician at this time will advance the probe through the esophagus. This is exactly the moment when a person has the most discomfort.
When the hose is in the stomach, the compressor will pump air into it, and the electric pump will extract fluid from its cavity. The doctor will examine the walls of the stomach, and the hose will get. The whole procedure takes from 5 to 7 minutes, maximum 20.
The patient does not feel pain, but he has a desire to vomit, tears and saliva flow, there is a feeling of lack of air.
There are Are there complications?
This happens very rarely. There is a risk of injury to the esophagus or stomach, bleeding. May cause infection. If, after FGDS, the temperature rises, begins to ache in the stomach, there is vomiting (with blood), the feces become black, then an urgent need to contact the health facility.
Gastroscopy is the most unpleasant procedure. But, if it is necessary, we must agree. After all, hundreds of people die from ulcers and stomach cancer every year, but there is no complete alternative to such an examination. This is the most informative method.