Stomachoscopy procedure and things to prepare. Gastroscopy is the only way to determine the most accurate diagnosis of gastric ulcer. It will help to know the condition of the stomach for the most appropriate treatment. This article will give you some information to help you understand the gastric endoscopic procedures that need to be prepared before colonoscopy.
1. Specify
- Emergency case:
The purpose of detecting the location, causes bleeding for treatment in patients with gastrointestinal hemorrhage.
- Specify for the diagnosis:
Indications in cases of suspected gastrointestinal disease: swallowing, swallowing, swallowing, belching, heartburn, indigestion, epigastric pain, bloating, gastrointestinal bleeding, anemia ...
- Treatment case:
Take blood through the endoscope.
Removal of foreign body through endoscopy
Cut polyps through endoscopy.
Esophageal stricture: Esophageal esophagus esophagus, put esophageal stent.
Open the stomach through the skin through the endoscope.
K early stage.
Soida1
2. Absolute contraindications:
An awake adult refuses a scan. (When explaining the purpose, procedure and reassurance, the patient resolutely refuses the scan). Patients do not cooperate due to mental disorder.
Digestive digestion even suspected.
Chemical esophageal esophagus and esophagus esophagus.
In shock
Aortic dilatation.
Heart failure.
Respiratory failure.
New heart attack.
Difficulty breathing for any reason.
Large ascites, abdominal distension slightly more.
Cough a lot.
Scoliosis.
3. Contraindicated relative
Hypertension
Unstable blood transfusion
Myocardial infarction is unstable.
Arrhythmia
The patient is very old and weak.
Mental patients are not coordinated.
Bleeding diarrhea in many duodenal arteries.
Within 10 days after ingestion.
The large Zenker bag can stray into excess bag causing puncturing.
Patient is pregnant.
Note: 1 patient may be contraindicated but one must consider several factors that can be determined for each situation (benefits received during the procedure, possibility of complications, progression if we do not see).
4. Prepare gastroscopy
Prepare the patient.
Have a thorough examination.
Endoscopic anesthesia examination must be performed
Must have written commitment of the patient or patient's family before the examination. The most common gastroscopy is anesthesia.
Patients must be thoroughly explained about the benefits and complications of the procedure.
Patients must fast for at least 6 hours before enema.
If the patient has a stenosis, wash the stomach before the procedure.
Change clothes for the patient.
Remove false teeth if available.
Explain the procedure to the patient
Preparing medicine.
Take simethicone before the procedure to avoid gastric lavage
Cause 2% xylocain throat or lidocaine 10%
Anti-shock drug adrenaline, intubation set, infusion of sodium chloride 0.9%.
Buscopan injection or seduxen may be given prior to screening.
10% formaldehyde fixed drugs.
HP test reagents (if applicable)
Oxygen system.
Prepare a scanner and an endoscope.
Checking the scanner: light, image, steam pump channel, biopsy channel, left, right, up and down controls.
Check for machine leaks,
Examination of instruments: biopsy pliers, hemostatic needles, strangers, vacuum.
Carry out the colonoscopy
Prepare
Check to see if the patient is right.
Review medical records (if any).
Posture and patient preparation
Place the patient's head on a thin pillow.
Spray xylocain or lidocaine into the throat area to numb the spot.
Place the patient on the left side.
Place the patient's mouthpiece,
Bend the patient's head down.
Guide the patient to a comfortable position, instruct the patient to breathe in the abdomen.
5. Procedure Tricks
Principle in gastroscopy: Do not push the scanner when the line is not visible, if the aspirate is withdrawn.
Note: do not prolong the examination> 10 minutes, avoid the excess should not repeat.
To relieve the patient's discomfort: enough airflow, suction when withdrawing, no longer unnecessary examination.
After washing the machine, disinfect the machine.
6. Complications during endoscopy
Gastric perforation:
50% occur in the pharynx, upper esophagus, sinus, favorable factors: noncooperative patients, esophageal dysfunction or blindness; Management, K esophagus, neck spine. Treatment usually requires surgery.
Two thirds of the esophagus: usually due to inflammatory esophagitis or K, cut K through endoscopy, the procedure for treatment of oesophageal esophagus.
Stomach stomach: usually a few centimeters from the heart. Treatment if puncture need only gastric aspiration and antibiotic therapy, surgery immediately if punctured by the scanner or forcep penetration.
Complications of Heart:
Most of the patients have mild transient feeling including types of arrhythmia: sinus rhythm, extra heart systole, atrial fibrillation. Some factors increase the possibility of arrhythmia: myocardial ischemia, chronic lung disease, older age.
Complications of lung:
Reduced blood oxygenation
Complications pneumonia often occurs when the stomach is more fluid, most food is sedated patients or in the coma.
Infection:
Deficiency: No cases of progression to sepsis except for patients with reflex.
7. Observation during implementation.
While scans: spO2, pulse, blood pressure.
After the soi: general condition, neck pain, epigastric, pneumothorax.
