With the improvement of people's living standards, everyone's health awareness has also improved, and more and more people have begun to pay attention to regular physical examinations of the body. At present, most physical examinations seem to be comprehensive, but digestive endoscopy is often overlooked.
Digestive endoscopy has unique advantages for the diagnosis and early cancer of the digestive tract, which cannot be replaced by other examinations.
Today, we're going to talk about digestive endoscopy. Digestive endoscopy.
1. Why is digestive endoscopy irreplaceable by other examinations?
Because the stomach and intestine are hollow organs, usually indirect imaging examinations, including CT and B-ultrasound, can not be like gastroscopy and colonoscopy, the gastric mucosa and intestinal mucosa can be intuitively examined, and if abnormal mucosa is found, biopsy can be directly taken under endoscopy and sent for pathological examination, and cases are usually the gold standard for diagnosing tumors, polyps, inflammation, and inflammatory bowel disease. Therefore, there is no other examination that can replace gastroscopy and colonoscopy.
2. Indications for digestive endoscopy:
Indications for gastroscopy include:
1.There are gastrointestinal symptoms such as epigastric discomfort, which is suspected to be an upper gastrointestinal pathology;
2.If the cause of blood loss is unknown, particularly upper GI bleeding, emergency gastroscopy may be done
3.Those who cannot be diagnosed by X-ray barium swallow examination or are suspected of having lesions;4.Lesions that require follow-up observation and follow-up examination, such as ulcers, atrophic gastritis, precancerous lesions of the stomach and esophagus;
5.Physical examination of the general population over 40 years of age;
6.People with a family history of gastrointestinal cancers;
7.Those who need to undergo gastroscopy**, including foreign body removal, hemostasis, endoscopic resection of lesions, etc.
Indications for colonoscopy include:
1.Lower gastrointestinal bleeding, in order to find**, and can do hemostasis**;
2.Chronic diarrhea, constipation, abdominal pain, bloating and other symptoms are clearly diagnosed
3.Masses of the colon or terminal ileum cannot be excluded;
4.Unexplained low intestinal obstruction;
5.Some inflammatory bowel diseases require differentiation and determination of extent and extent of involvement;
6.Certain benign lesions of the colon, in order to rule out malignant changes;
7.The diagnosis of colon polyps and carcinoma is confirmed, in order to rule out the presence or absence of concomitant lesions in other sites;
8.Colonoscopy**;
9.Follow-up of medications for certain diseases of the colon**;
10.After colon cancer surgery, colon polyps were followed up and re-examined
11.Physical examination of the general population over 45 years of age;
12.People with a family history of gastrointestinal cancers;
3. Contraindications to digestive endoscopy:
1: Contraindications to gastroscopy: patients with acute perforation of esophagus, stomach and duodenum. Patients with heart, lung, kidney, and brain insufficiency, and multi-organ failure. Psychopaths and patients with significant impairment of consciousness who are unable to cooperate are not suitable for upper gastrointestinal endoscopy.
2: Contraindications to colonoscopy: If there is suspicion of large intestine perforation, peritonitis, serious heart, lung, kidney, liver and psychiatric diseases, multiple laparotomy or intestinal adhesions, patients should use colonoscopy with caution;Patients with high fever, weakness, abdominal pain, and low blood pressure should undergo colonoscopy after the condition is stabilized.
4. Precautions for digestive endoscopy: Prepare before ordinary colonoscopy and ordinary gastroscopy: four items before the microscope, 1 Dacronine gelatin. **Gastroscopy and **Colonoscopy need to be prepared: four items before the scope, 2 pieces of Dacronine gel, electrocardiogram, and blood routine.
Before gastroscopy and colonoscopy, the above examinations must be completed, and patients must bring all medical records and information on the day of the examination to cooperate with the preoperative assessment.
In order to prevent bleeding during biopsy, patients who have been taking anticoagulants (such as aspirin, Plavix, etc.), traditional Chinese medicines that promote blood circulation and eliminate blood stasis, and antidepressants need to stop taking the drugs for at least 7-10 days (please consult the relevant specialist doctor for whether other specialist drugs can be stopped).
It is recommended not to do colonoscopy during the menstrual period of female patients, because colonoscopy during the menstrual period is easy to cause retrograde infection. Patients can undergo colonoscopy 3 to 5 days after the menstrual period.
Preoperative preparation: Gastroscopy must be fasted and watered for more than 8 hours;1 day before colonoscopy, take a light and semi-liquid food without residue, and take colon cleansing medicine for bowel preparation.
*Because sedation will be applied during the examination***It should be noted that at least one family member should accompany you on the day of the examinationDo not drive;Do not apply nail polish;Valuables and jewelry should be handed over to family members for safekeeping in advance.
In addition, during the examination, because the digestive tract is a hollow viscera, in order to better observe and diagnose, it is necessary to inject a certain amount of gas through the stomach and colonoscopy to open the gastric cavity and intestinal cavity to a suitable extent, so some patients will have bloating and stomach discomfort, you don't have to worry, the discomfort can be relieved after exhausting.
5. After the end of the examination, after the gastroscopy, the anesthesia disappears in 2 hours, and there is no numbness in the throat, you can eat a warm and cool liquid or semi-liquid diet, if there is no discomfort, the next meal can resume normal diet;If a tissue biopsy is performed during the procedure, warm and cool fluids can be eaten 2 hours after the procedure, and semi-liquid foods can be eaten 4 hours later.
Eating can be done after colonoscopy;On the same day, the biopsy patient can eat a warm and semi-liquid diet, arrange life and rest reasonably, and avoid strenuous activities.
After reading this article, I believe you have a general understanding of digestive endoscopy. For the sake of your own health and that of your family, it is recommended that you pay more attention to digestive endoscopy
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