{"id":76618,"date":"2019-05-31T08:53:09","date_gmt":"2019-05-31T05:53:09","guid":{"rendered":"https:\/\/nmc.lt\/news\/endoskopiniai-tyrimai-kodel-nereikia-ju-bijoti\/"},"modified":"2019-07-26T10:14:23","modified_gmt":"2019-07-26T07:14:23","slug":"reasons-why-there-is-no-need-to-be-scared-of-endoscopy","status":"publish","type":"post","link":"https:\/\/nmc.lt\/en\/about-health\/disease-prevention-and-diagnostics\/reasons-why-there-is-no-need-to-be-scared-of-endoscopy\/","title":{"rendered":"Reasons why there is no need to be scared of endoscopy"},"content":{"rendered":"\n

What are\nthe most common examinations performed when diagnosing disorders in digestive\norgans?<\/strong><\/p>\n\n\n\n

Before\nplanning any examinations and tests, it is important to talk to the patient,\nfind out about current symptoms and his medical case history. Based on that, a\npatient will receive an individualised plan of laboratory and instrumental\ntests. The main instrumental examinations applied for diagnostics of intestinal\ndisorders include pelvic ultrasound, upper gastrointestinal endoscopy, and\nendoscopic examination of the large bowel (also known as colonoscopy).<\/strong><\/p>\n\n\n\n

What is\nan endoscopic examination of the large bowel and colonoscopy?<\/strong><\/p>\n\n\n\n

The upper\ngastrointestinal examination is a procedure performed using a special endoscope\nto examine the oesophagus, stomach, and the upper small bowel called duodenum.\nMeanwhile, a colonoscopy is a procedure that enables an examiner to evaluate\nthe inside of the colon (large bowel) with an endoscope (a special flexible\ntube).<\/p>\n\n\n\n

Why is a\ncolonoscopy performed?<\/strong><\/p>\n\n\n\n

The upper\ngastrointestinal endoscopic examination must be done if you have pain or any\ntype of discomfort in the upper part of the stomach. In case previous treatments\nbring no results. Or in case of any “dangerous” symptoms, such as, newly\noccurred symptoms in people of 50-55 years or older; if any of your relatives\nhad stomach or oesophagus cancer; weight loss, bleeding, difficulties with\nswallowing or painful swallowing, iron-deficiency anemia of unknown origin,\nchronic vomiting, palpated mass in the stomach or enlarged lymph nodes,\njaundice. This type of examination is also recommended when a patient\nexperiences difficulty in swallowing or endures painful swallowing, has\nrecurring or long-term gastroesophageal reflux disease, vomiting of unknown\norigin, an iron deficit, or abnormal tissues diagnosed by other radiological\nexaminations. The examination can also be performed as part of a treatment.<\/p>\n\n\n\n

A\ncolonoscopy can be performed as part of a routine screening (Programme for\nEarly Detection of Large Bowel Cancer), as a follow-up examination for patients\nwith inflammatory bowel diseases, after resected polyps and large bowel cancer,\nor for the assessment of expansion of inflammatory bowel diseases.  This examination can also be useful in\npatients with active or chronic bleeding (unknown reason of iron-deficit\nanaemia), chronic complaints of pelvic pain for unknown reasons (for example,\nchronic diarrhoea), sudden changes in the nature of defecation (constipation\nalong with other dangerous signals like weight loss, anaemia, blood in faeces)\nor abnormal tissues diagnosed by other radiological examinations.<\/p>\n\n\n\n

The upper\ngastrointestinal endoscopic examination and a colonoscopy can be performed as\npart of a treatment.<\/p>\n\n\n\n

What is\nthe course of these examinations and how to prepare for them?<\/strong><\/p>\n\n\n\n

Before\nperforming any examinations, each patient receives information on the course of\nthe procedure, about the possible discomfort she can feel and the actions that\ncan be taken to reduce discomfort. The patient’s confidence in his doctor and the\nexamination technique to be performed by a qualified specialist are very\nimportant for the success of the procedure. This is a very specific\nexamination, which requires an experienced doctor. The more accurately the\nexamination is performed, the better the evaluation of pathological tissues.\nWhen a patient is being prepared for these examinations, he receives all the information\nabout possible complications and signs a consent form.  If a patient refuses the examination, it is\nnot performed.<\/p>\n\n\n\n

You must\nnot eat at least 6 hours before your procedure. For people with prolonged bowel\nevacuation it is recommended to avoid eating for even longer periods. In the\nmorning, you can take your medications (to reduce blood pressure, for example)\nwith a little water. If a patient has diabetes, an examination should be\nperformed in the morning. Otherwise, you will need to adjust the time of the drugs\nprescription. If a patient takes medicines affecting the blood\u00b4s clotting\nability (aspirin or clopidogrel), it is necessary to evaluate the risks of\nthrombosis. It is recommended to avoid taking these drugs for at least 5 days\nbefore a colonoscopy.<\/p>\n\n\n\n

The preparation\nof your bowel for a colonoscopy plays an important role. Usually, the preparation\nbegins a day before the procedure. You will need to drink special liquids to clean\nyour colon. If a colonoscopy is scheduled in the afternoon, it is recommended\nto drink half of the liquid in the evening, while the other half early in the\nmorning (the day of the exam).<\/p>\n\n\n\n

Many\npatients dread endoscopic examinations because of discomfort. Are there any\nways to avoid it?<\/strong><\/p>\n\n\n\n

Although\nendoscopic examinations may seem unpleasant, they are necessary to diagnose the\ndisease in early stages and apply successful treatment. Also, the discomfort\nexperienced during the procedure can nowadays be suppressed with the help of\nmedicines.<\/p>\n\n\n\n

Regecting\na foreign body is a natural human reflex. The degree of sensitiveness varies\namong people, as does the pain threshold. \nAnyway, a patient receives a local spray anaesthetic\n(lidocaine) into the throat before the upper GI endoscopic exam. Some\npatients unreasonably dread these exams, but endure them quite easily. While\nother patients aren’t afraid of the exam at all, follow the instructions, but\ntheir vomiting reflex is so strong that it makes the procedure more difficult\nto perform. Such patients receive a short-term intravenous anaesthesia. This\ngeneral anaesthesia lasts only a few minutes. Doctors use special medicines\nthat have a short-term effect with no adverse reactions.<\/p>\n\n\n\n

The pain\nthreshold to a colonoscopy depends on the patient bowel’s anatomy. The bowels\nmay be bent or twisted thus it could be difficult to access them. The movement\nof the endoscope through the bowels become complicated due to clots formed\nafter pelvic surgeries. At Northway Medical and Surgical Centre, this\nexamination in all cases is performed under a general intervenous anaesthesia,\nso the patient feels nothing.<\/p>\n\n\n\n

What kind\nof abnormalities can be detected during these examinations?<\/strong><\/p>\n\n\n\n

The upper\ngastrointestinal endoscopic exam can help diagnose both malignant and\nnon-malignant diseases or make sure no pathology is present. Non-malignant\ndiseases include oesophageal erosions, stomach erosions, duodenal erosions,\nulcers, and inflammatory changes of various origins in the stomach\u00b4s mucose\nmembrane. It also helps to diagnose malignant, i.e. cancerous diseases. <\/p>\n\n\n\n

Usually,\na colonoscopy helps to diagnose polyps. More rarely, diverticulum, large bowel\ncancer, and inflammatory bowel diseases. Apart from the visual examination, the\ndoctor may take a sample to be sent to a pathologist for a biopsy. <\/p>\n\n\n\n

What kind\nof endoscopic treatment can be applied?<\/strong><\/p>\n\n\n\n

These\nexaminations can be applied during various treatments. It mostly depends on the\nhealthcare specialist’s qualification and equipment capabilities. The most\ncommon endoscopic treatment methods include resection of polyps in the large\nbowel, resection of stomach polyps, pre-cancerous tissues and early stomach\ncancer, expansion of narrowed lumina, stent placement, bleeding control, and removal\nof foreign bodies from the oesophagus.<\/strong><\/p>\n\n\n\n

Are these\nexaminations safe?<\/strong>\n\nYes, these examinations are\nsafe, especially when carried out as part of prevention. The risk of\ncomplications is very low.\nThe frequency of the appearance of complications\nduring the endoscopy of the upper GI is 0.1%, while during a colonoscopy it is\n0.3%. \nThe frequency of complications when using endoscopies for\ntreatment is higher and depends on the nature of the treatment method.\n\n\n\n<\/p>\n","protected":false},"excerpt":{"rendered":"

What are the most common examinations performed when diagnosing disorders in digestive organs? Before planning any examinations and tests, it is important to talk to the patient, find out about current symptoms and his medical case history. Based on that, a patient will receive an individualised plan of laboratory and instrumental tests. The main instrumental […]<\/p>\n","protected":false},"author":28,"featured_media":76619,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[293],"tags":[],"class_list":["post-76618","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-disease-prevention-and-diagnostics"],"acf":[],"yoast_head":"\nReasons why there is no need to be scared of endoscopy - NORTHWAY<\/title>\n<meta name=\"description\" content=\"What are the most common examinations performed when diagnosing disorders in digestive organs? 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