Should I be afraid to swallow the “hose” of the endoscope and what is the alternative – explains the gastroenterologist

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FGDS (fibrogastroduodenoscopy) is an endoscopic method for examining the upper gastrointestinal tract (esophagus, stomach and duodenum), which allows you to see the pathology of these organs even at an early stage and, if necessary, perform a tissue biopsy. The procedure takes from 2-10 minutes, up to a maximum of 30 minutes, depending on the complexity of the case and diagnostic tasks. It is painless and quite effective. However, during the procedure, unpleasant sensations in the form of urge to vomit, aggravated by fear, may be observed. In this connection, attitude, trust and clear execution of the commands of a doctor or nurse are required. The procedure is possible with the use of sedation (medicated sleep), then all unpleasant sensations are excluded, but this possibility should be discussed with the doctor.

Why exactly do gastroscopy

This important examination will not harm your health. It can be repeated up to 3 times a year to monitor the effectiveness of treatment or for diagnostic purposes in doubtful cases.

After the procedure, there are no unpleasant sensations, only in rare cases, discomfort in the throat is possible.

The need for EFGDS arises in the presence of individual recurring complaints or their combination, namely frequent heartburn, discomfort when swallowing, pain after eating or on an empty stomach, anemia, loss of appetite, nausea or recurrent vomiting, weight loss with adequate nutrition, before some operations. It is also advisable to carry it out at the age of over 40 years in the absence of complaints as a preventive examination for the purpose of early detection of oncopathology, especially with a aggravated family history (presence of gastric cancer in close relatives).

EFGDS is able to detect pathologies such as gastric and duodenal ulcers; erosion in the same organs and the esophagus, gastritis, duodenitis, esophagitis, reflux, benign and malignant formations.

During the procedure, the patient in a horizontal position lies on his left side, bending his knees, with calm extended breathing, without swallowing, following the commands, a plastic mouthpiece is inserted and the endoscope tube is carefully inserted through it. To reduce the gag reflex, the oropharyngeal mucosa is pre-irrigated with lidocaine in the absence of allergies to it, you can breathe through the nose and mouth. Air is supplied through the endoscope to straighten the folds in the stomach and view everything qualitatively, which may cause a feeling of a slight bursting in the stomach area and belching with air.

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