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Gastroscopy at the Gastroenterology Centre of Panoráma Polyclinic

During a gastroscopic examination, also known as upper endoscopy, the doctor uses a special instrument equipped with a camera to view the upper parts of the digestive system: the oesophagus (gullet), the stomach and the first section of the duodenum (the first part of the small intestine). The examination helps diagnose many digestive problems, such as stomach ulcers, oesophageal varices, oesophageal, gastric, and duodenal tumours, and can also be used for minor interventions.

The examination will take place in the modern premises of the Gastroenterology Centre of Panoráma Polyclinic, at 10 Derkovits Street, Buda. Gastroscopy is uncomfortable, so it is carried out under general anaesthesia at our institute.

Preparations

The stomach must be empty for the examination. After having been informed of the patient’s general condition and the medication he/she is regularly taking, the gastroenterologist will give precise instructions related to food and drink consumption and a few hours of fasting. If the procedure is performed under general anaesthesia, an anaesthesiology consultation is also required beforehand to ensure the patient’s safety.

The course of the examination

A mouthpiece is inserted into the patient’s mouth, the pharyngeal arch is anaesthetised with lidocaine spray, and the thin, flexible instrument is then carefully guided into the oesophagus. A controlled amount of a gas mixture is injected into the alimentary tract to expand the visually inspected sites – this causes a slight tightening feeling. During the examination, we can take moving and still images of the oesophagus, stomach, duodenum, and we can also resect small polyps and take tissue samples (biopsies). The examination ends with a gentle retraction of the endoscope; the procedure of the intervention, which is performed under local anaesthesia, usually takes 10-20 minutes.

After examination

After the examination, the patient needs a short rest. Because of the sedatives and anaesthetics used, it is not advisable to drive or drink alcohol in the hours after the procedure.

What is gastroscopy good for?

The digestive system is located inside the body, which is why gastroscopy, along with colonoscopy, is the most important diagnostic tool for the gastroenterologist. It can be used to detect problems such as oesophagitis, oesophageal varices, Barrett’s syndrome, tumours of the oesophagus, stomach or duodenum, gastric ulcers, as well as various inflammatory conditions and anatomical abnormalities.

Upper endoscopy can also be used to perform interventions. Smaller tumours (polyps) can be removed during the procedure and samples taken are sent to a pathologist to rule out malignant growths. Gastroscopy is also appropriate for identifying and treating bleeding in the digestive tract.

Gastroscopy can also be used to confirm gluten intolerance (celiac disease), as the reaction to gluten consumption causes characteristic abnormalities in the mucous membrane of the duodenum.

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Gastroscopy at the Gastroenterology Centre of Panoráma Polyclinic

During a gastroscopic examination, also known as upper endoscopy, the doctor uses a special instrument equipped with a camera to view the upper parts of the digestive system: the oesophagus (gullet), the stomach and the first section of the duodenum (the first part of the small intestine). The examination helps diagnose many digestive problems, such […]

Next