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Diagnosis and Treatment of Gastrointestinal Conditions with Gastroscopy

Consistent heartburn, abdominal or chest pain and bleeding can be alarming signs of disorders of the oesophagus, stomach and beginning part of the small intestine. Do not ignore them and visit MEDSTAR for the accurate diagnosis of upper gastrointestinal tract disorders with a gastroscopy procedure by our experienced doctors.

What is Gastroscopy?

● Gastroscopy is the diagnostic procedure used for the examination of the oesophagus, stomach and first part of the small intestines (duodenum). In this procedure, an endoscope is used to see inside the oesophagus, stomach and duodenum.

● An endoscope is a thin and flexible tube fitted with a tiny camera and light on the tip of it. This camera is attached to a monitor for viewing the inside images. It is also known as a gastroscope.

● It is used to check the symptoms presented by the patient or confirm the diagnosis or treatment of the upper gastrointestinal tract. That’s why it is also known as an upper endoscopy.

Why is Gastroscopy used?

Gastroscopy is used for:

● Investigate problems of the oesophagus, Stomach and duodenum like:

○ Difficulty in swallowing

○ Abdominal pain

○ Acid reflux

○ Nausea

○ Epigastric pain

○ Indigestion and bloating

○ Blood in stools

○ Heartburn or burning in the Oesophagus and stomach

○ Dark colour stool

○ Blood in vomit

○ Anaemia

○ Weight loss

● Confirm the diagnosis based on symptoms like:

○ Ulcers

○ GERD- gastroesophageal reflux disease

○ Stomach or oesophagus cancer

○ Coeliac disease- allergy to gluten

○ Barrett's oesophagus- abnormal cell lining of oesophagus

○ Portal hypertension due to enlarged liver blood vessels.

● To treat conditions like:

○ Ulcers

○ Bleeding in stomach

○ Abnormal tissue growth like polyps or small cancerous growths

○ Blockage of oesophagus

○ To remove a foreign body

● It is also used for collecting tissue of the upper gastrointestinal tract for biopsy.

Are You Eligible for Gastroscopy?

● The patient is advised for gastroscopy in the cases of upper gastrointestinal symptoms like:

○ Chest pain

○ Heartburn, indigestion and abdominal pain

○ Difficulty in swallowing

○ To confirm the diagnosis of ulcers, polyps or cancer

○ To treat the conditions like stomach bleeding, removal of polyps or small cancerous growths

○ To collect the tissue of the lining for biopsy

● Gastroscopy is contraindicated in patients:

○ Having a recent history of heart attack

○ With uncontrolled high blood pressure

○ Pregnant women

○ Low blood pressure

○ Severe gastrointestinal bleeding

○ Unstable and uncooperative patient

● Visit our general surgery department for the proper guidance on the endoscopic examination procedure. Clear your confusion about gastroscopy with the help of our experienced doctors.

Why choose MEDSTAR for Gastroscopy? The MEDSTAR Advantage

At Medstar, we work for improving the lives of our patients. Our doctors are highly experienced and they have performed more than 26000 surgeries and diagnostic procedures. Their vast knowledge and our latest infrastructure help our patients to identify the underlying exact cause of their symptoms. We provide the service of gastroscopy for the safe examination of the oesophagus, stomach and beginning part of the small intestine, which further helps in treating the cause and relieving the related symptoms of the patient.

What is the procedure of Gastroscopy?

● Gastroscopy procedure is performed under sedation as per the convenience of the patient. In this procedure, the numbing spray is used to numb the throat to avoid gaging and a mouth guard is placed to protect teeth. After numbing a thin flexible tube called a gastroscope or endoscope is inserted into the mouth and guided into the oesophagus, stomach and duodenum part of the small intestine for the examination. Air is blown into the stomach to inflate it for better vision.

● The endoscope/ gastroscope contains a light and video camera that transmits images to a monitor for examination by the doctor.

● After examination, the gastroscope is pulled out slowly. This whole procedure takes 15-45 minutes.

● If needed gastroscopy is also used for:

○ Removing polyps or small growths of cancer

○ Stopping gastric bleeding

○ Placement of stents and dilation of the narrow oesophagus

○ Placement of feeding tubes in the stomach

○ Dissolution or removal of indigestible material in the stomach

What are the various options for treatment at MEDSTAR?

Diagnostic gastroscopy

● Diagnostic gastroscopy is used for:

○ Checking the cause of the symptoms presented by the patient like abdominal pain, difficulty in swallowing or acid reflux.

○ Confirming the diagnosis like stomach ulcers and gastro-oesophageal reflux disease (GORD)

● Diagnostic gastroscopy is usually completed in 15 minutes.

Therapeutic gastroscopy

● When gastroscopy is used for treating, it is called therapeutic gastroscopy. It is used for:

○ Removing a tissue for biopsy in case of suspected cancerous growths

○ Removal of small growths like polyps

○ Sealing the bleeding veins by the use of chemicals or bands

○ Treating bleeding stomach ulcers

○ Widening of oesophagus

○ Laser treatment of oesophageal cancer

○ Dissolution of indigestible material in the digestive tract

○ Placement of feeding tubes in the stomach

● Therapeutic gastroscopy takes more than 15 minutes depending upon the treatment. It is usually completed in 15-45 minutes.

  • Pre-examination instructions are required for emptying the stomach and avoid complications. The patient will be advised to:
    • To stop or adjust ongoing medications at least a week before the procedure 
    • Do not eat 6 to 8 hours, and stop drinking 2 to 3 hours before the procedure
    • Arrange someone to take the patient back home 
    • Do not smoke as tobacco can change the colour of the stomach lining
  • Post-examination, the patient will be instructed:
    • To follow the diet as instructed by the doctor
    • To take prescribed medications only
    • To take rest until sedation effects wear off or for next 24 hours
    • Arrange someone to stay with the patient for 24 hours
  • In case of any confusion, call or visit the clinic. Visit the doctor in case of severe chest or abdominal pain, fever, dark tar-like stools, shortness of breath or president vomiting with or without blood.

After the gastroscopy procedure patient will experience bloating and throat pain temporarily for a couple of hours. Gastroscopy is a safe procedure for the examination of the upper gastrointestinal tract. The patient can notice the improvement in symptoms in case of treatment done during the gastroscopy procedure. The patient will get the results of gastroscopy the same day but in the case of biopsy results might take a week.

What is upper endoscopy?

Gastroscopy is also known as upper endoscopy, is used for the examination of the lining of the oesophagus, stomach and beginning of the small intestine (duodenum). In this diagnostic procedure, a gastroscope attached with a light and a camera is inserted through the mouth of the patient to examine the upper gastrointestinal tract.

What are the complications associated with gastroscopy?

Gastroscopy is a safe diagnostic procedure. The patient will experience bloating and sore throat for a couple of hours after the examination. Other rare complications of gastroscopy are:

● Perforation of the lining of the oesophagus, stomach and duodenum.

● Bleeding

● Abdominal and chest pain

● Difficulty in swallowing

● Infection

● Reaction to sedation

Will I vomit during the procedure?

Inserting gastroscope through the mouth can cause gagging and vomiting. The numbing spray is used to numb the throat and sedation is used to relax the patient for a comfortable experience. Numbing and sedation reduce gagging and vomiting during the procedure. So there is minimal to zero chances of vomit during the procedure.

Can gastroscopy detect cancer?

Yes, gastroscopy is used for both diagnosing and confirming the diagnosis of cancer of the upper gastrointestinal tract. It is also used for collecting tissue from the abnormal growth on the inner lining of the oesophagus, stomach and duodenum. It is also used for removing polyps that can turn into cancerous growth.

How to prepare for a gastroscopy examination?

Special instructions are given to the patient before gastroscopy examination for a clear view of the stomach during the procedure and to prevent unwanted complications. Before the examination patient is advised to:

● To stop or adjust ongoing medications at least a week before the procedure

● Do not eat 6 to 8 hours, and stop drinking 2 to 3 hours before the procedure

● Arrange someone to take the patient back home

● Do not smoke as tobacco can change the colour of the stomach lining

How much time is needed for recovery?

Gastroscopy is performed under sedation, so after the examination patient has to wait at the clinic till the effect of sedation wears off. The patient is instructed to arrange for someone to drive back home and stay with them for the next 24 hours. The patient will also experience bloating and sore throat for a couple of hours.




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