Digestive problems worry most people around the globe. When conducting studies for diagnostic purposes, inflammation of the gastrointestinal tract is detected very often. In this regard, modern medicine is equipped with many technologies that quickly and accurately detect pathological changes. There are a sufficient number of instrumental studies that are used to assess the condition of the digestive tract. Among them, fractional sounding, pH-metry, X-ray contrast methods, biopsy and even laparoscopy are distinguished. The gold standard today is - FEGDS (fibroesophagogastroduodenoscopy).
Benefits of FEGDS
Fibroesophagogastroduodenoscopy, or simply gastroscopy, is prescribed to identify pathologies of the esophagus, stomach, and also the duodenum. Using this method, you can evaluate the changes that occur in the wall of the digestive tract. FEGDS allows you to identify the stage of the inflammatory process, as well as take targeted biopsy from suspicious foci. Thanks to this, it is possible to diagnose background and precancerous conditions in the early stages, thereby preventing tumor changes in the digestive tract. At the mention of PHEGDS, most patients begin to worry, since this method is associated with swallowing the hose and unpleasant sensations at the same time. At present, gastroscopy under anesthesia has become available, in which discomfort from this procedure can be avoided.
Indications for gastroscopy
FEGDS is used as a diagnosis of diseases of the gastrointestinal tract, in order to control the treatment of ulcerative defects, as well as for minimally invasive procedures. In addition, gastroscopy with targeted biopsy refers to screening methods designed to diagnose malignant processes. Diseases that can be seen during FEGDS:
- Acute and chronic esophagitis.
- Gastritis.
- Duodenitis.
- Stenosis of organs, which can be either congenital or acquired after injuries and burns.
- Hernia of the esophagus .
- Gastric and duodenal ulcers.
- Polyps.
- Diverticulum of the esophagus.
When conducting medical treatment of peptic ulcer, FEGDS allows you to assess the stage of the process (high, healing). Gastroscopy under anesthesia is a more gentle method, since the patient does not experience unpleasant sensations during its conduct. Nevertheless, it has the same indications and high efficiency. Gastroscopy for children under general anesthesia is performed according to the same indications as adults.
Colonoscopy: goals of using the method
A method for examining the colon using an endoscopic technique is called colonoscopy. This procedure has been used in medicine for a long time, as it is highly informative and allows for targeted biopsy. Colonoscopy helps to identify background and precancerous conditions, to assess patency, structure, the presence of pathological formations throughout the large intestine. Some patients refuse this method, since it is painful and unpleasant in a psychological aspect. Nevertheless, the study is necessary in the diagnosis of many diseases. Gastroscopy and colonoscopy under general anesthesia are currently available. Therefore, the fear of these procedures is gradually becoming a thing of the past.
Gastroscopy under anesthesia: technique
Before starting the procedure, it is necessary to prepare the patient, as well as obtain his consent. First, the patient needs to talk about the purpose and advantages of this diagnostic method, then - about the technique. If gastroscopy is prescribed under anesthesia, it is necessary to inform the patient in advance that the procedure is performed on an empty stomach, that is, he should not eat in front of her for about 10-12 hours. As for smoking, it is contraindicated before FEGDS for 2-3 hours. Before the introduction of an endoscopic probe, the area of the root of the tongue and pharynx is treated with a solution of lidocaine, in order to reduce vomiting, this is a
local anesthetic and is performed for all patients. At their request or for special indications, some patients undergo general anesthesia, that is, intravenously, or sedatives ("Diprivan", "Propofol") in order to achieve a shallow
drug sleep.Indications for the introduction of general anesthesia
Anyone can do gastroscopy under anesthesia. Nevertheless, there are special indications in which anesthesia is simply necessary. These include:
- Increased vomiting reflex - when the patient can not restrain the contents of the digestive tract.
- Excessive psychological excitability, which occurred during the previous FEGDS.
- If any manipulations are planned during gastroscopy, this may be the removal of polyps, a small diverticulum. Normally, the procedure takes about 10-15 minutes. With medical manipulations, this time increases.
Gastroscopy under anesthesia: patient reviews
Patients have a positive opinion about FEGDS in a dream, since they do not feel unpleasant sensations from the procedure, and also do not observe pathological changes in their organs visually, which is important for some of them. As for reviews of colonoscopy under anesthesia, this method is most acceptable for all patients. This is not only related to the fear and pain of the procedure, but also relieves patients from a sense of constraint in front of medical personnel.