What are the misunderstandings about gastrointestinal endoscopy? How to choose routine gastrointestinal endoscopy and anesthesia gastrointestinal endoscopy? What are the taboos before and after the operation? How to treat gastrointestinal endoscopy report? I will give you an analysis today.
Over 70%
At the same time, choose gastrointestinal endoscopy.
It is one of the misunderstandings of many people not to do gastrointestinal endoscopy without symptoms.
Asymptomatic is a major feature of early digestive tract cancer. Once there is an obvious clinical reaction, the tumor often has developed to the middle and late stage. In this regard, doctors suggest that gastroscopy should be done regularly after 40 years old, and colonoscopy should be done regularly after 45 years old.
If the examination results are normal and there is no family history of digestive tract tumors, they will be reexamined after 3~5 years;
The examination results show that patients with atrophic gastritis need to be reviewed every year;
Patients with benign polyps found and removed have no abnormal results in the second year, and gastrointestinal endoscopy can be performed after 2~3 years.
Early gastrointestinal tumors with a diameter less than 2 cm can generally be directly removed by endoscopic surgery after being evaluated by the surgeon during examination, so as to achieve the goal of radical cure.
Should gastroscopy and colonoscopy be done at the same time?
If the patient only has upper gastrointestinal symptoms, such as upper abdominal pain, acid regurgitation, heartburn, burping, etc. , you can choose to do gastroscopy; If you have lower gastrointestinal symptoms such as lower abdominal pain, diarrhea, constipation and bloody stool for a long time, you can do colonoscopy. If the symptoms of upper and lower digestive tract appear at the same time, you can consider combining gastrointestinal endoscopy.
Whether to do gastrointestinal endoscopy at the same time, doctors will generally respect the wishes of patients. Clinically, more than 70% patients will choose combined gastrointestinal endoscopy.
The centenarian
You can also have an anesthesia check.
Do you need anesthesia for gastrointestinal endoscopy? Will there be side effects after playing anesthetic? This question may be very tangled by many people. But in fact, "Gastroenteroscopy with anesthetics can make people stupid" is a complete misunderstanding. Anesthetic drugs will be completely metabolized in human body after 24 hours, and will not affect health.
Age is not an obstacle to gastroscopy under anesthesia. The Endoscopy Center of Run Run Run Shaw Hospital once gave an old man 109 an anesthetic gastrointestinal examination. Before anesthesia, the doctor will systematically evaluate the patient's cardiopulmonary function, and as long as conditions permit, an anesthetic gastroscopy can be performed.
Ordinary gastrointestinal endoscopy has low comfort, but its overall use is simple, fast, economical and short, and it is not limited by anesthesia contraindications, so most people can do it. Anesthetic gastrointestinal endoscopy has the advantages of painless, less injury, convenient observation by doctors during operation and high completion.
Insufficient preoperative preparation
Will have an impact on the results.
Some people may have had this experience, but after the final examination, they were told that the gastrointestinal endoscopy was done for nothing. Why is this happening? This is mainly because the patient's preoperative preparation is not in place.
1
Preparation before gastrointestinal endoscopy
Gastroenteroscopy requires fasting in advance and cleaning the stomach. The digestive tract function of the elderly is relatively weak. It is recommended to eat semi-liquid foods, such as noodles, porridge and steamed eggs. Don't eat foods with high fiber content such as bamboo shoots, sweet potatoes and celery from 3 days before the inspection. Don't eat after 7: 00 pm the day before the examination, and take laxatives according to the doctor's advice before the colonoscopy.
If anesthesia gastroscope is selected, preoperative preparation is more detailed. It is suggested that the elderly should go to a specialist for health assessment before making an appointment for anesthesia gastrointestinal endoscopy. Take antiplatelet, anticoagulant and other drugs, you need to stop taking them for 7 days. As for whether your own situation allows you to stop taking medicine, you need a specialist to judge.
2
Matters needing attention after gastrointestinal endoscopy
If there is no special abnormality after gastrointestinal endoscopy, you can eat it. At first, it was mainly liquid food and soft food. If there is no discomfort, you can resume your normal diet. If the patient has a pathological biopsy, he can only drink a small amount of warm water two hours after the examination. If there is no discomfort, he can eat semi-liquid food within three days and avoid eating raw, hard, spicy and hot food, which is beneficial to wound healing.
The choice of anesthesia gastroscope must be accompanied by family members. Within 1 hour after operation, you may feel dizzy and weak. After the inspection, don't drive cars or electric cars that day to prevent accidents. Generally, you can eat 2 hours after gastrointestinal endoscopy under general anesthesia, which has the risks of eating too early and aspiration.
It is recommended to bring two reports.
Consult a doctor
On the day of the end of the examination, the patient will get the gastroscopy report first, and generally it will take 5 working days to get the pathological report.
1. The gastroscopy report is mainly divided into three parts: pictures, findings and conclusions. The patient's most concerned examination conclusion is the diagnosis result given by the doctor according to what he saw under the gastroscope. Common diagnoses include chronic atrophic gastritis, reflux esophagitis, gastric ulcer and duodenal ulcer. If it is gastric cancer, it can be found in time.
2. Pathological reports are divided into non-neoplastic pathological reports and neoplastic pathological reports.
Take the pathological report of gastroscope as an example:
The main contents of the pathological report of non-neoplastic gastroscope include: the site of examination, the nature and degree of inflammation, whether there is activity, whether there is intestinal metaplasia, whether there is Helicobacter pylori infection, etc. If there are symptoms such as erosion, atypical hyperplasia, lymphatic follicles and smooth muscle hyperplasia of lamina propria at the examination site, they will also be reflected in the report.
Endoscopic pathological reports of tumors mainly include intraepithelial neoplasia, cancer or other malignant lesions. If the report directly shows cancer, it needs timely and correct clinical treatment. As for the specific grading and staging of cancer, it is generally necessary to wait for surgical resection before passing pathological examination to clarify the infiltration depth, differentiation degree and lymph node metastasis of cancer tissue.
It should be noted that the pathological report of gastrointestinal endoscopy is often ignored. After the examination, it is recommended to bring two reports to consult a specialist.