EGD and FCC (fibrocolonoscopy) under anesthesia at the same time

 

Endoscopic methods of examination of gastrointestinal tract are widely used to detect diseases of the internal organs, due to their high diagnostic value and low risk of side effects. In the presence of diseases such as stomach and bowel, EGD (fibrogastroduodenoscopy) and FCC (fibrocolonoscopy) can be carried out simultaneously. Many people are worried about this is a combination of two diagnostic procedures, but their fear is unfounded. EGD and colonoscopy under anesthesia can be performed quickly and without harm to human health.

General description of the procedures

Endoscopic examination based on the application of the special flexible endoscopes, which is a tube of small diameter with a camera and a light at the end. Such a device allows the doctor to assess the condition of the mucous membrane of the organs directly with his vision, which significantly raises the quality and level of diagnosis.

Indications and contraindications

FGS under anesthesia simultaneously with colonoscopy is carried out only according to strict indications and contraindications. The indications include:

  • suspected multiple tumor lesion of the digestive system in humans, including upper and lower GI tract;
  • the simultaneous presence of diseases of the esophagus, stomach, and lesions of the large intestine. Then the procedure allows you to immediately examine the two major bodies, which is much more informative than the two separate procedures.

However, there are certain contraindications that restrict the use of two methods of examination. Absolute contraindications is not, as these methods are, in General, well tolerated by most patients. To the relative include:

  • decompensated diseases of the internal organs, primarily the cardiovascular and respiratory systems;
  • intolerance or Allergy to medications used for General anesthesia that is used during colonoscopy.
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If the patient has contraindications data from endoscopic examinations with General anesthesia and refuse to choose or separately EGD and colonoscopy, or use any other diagnostic procedures.

Both methods have their indications and contraindications that need to be carefully evaluated by the attending physician before conducting the inspection.

Holding EGD and colonoscopy under anesthesia

The choice of simultaneous gastroscopy and colonoscopy is performed for the above indications and contraindications. After proper preparation of the patient, which is detailed in other articles, proceed to the sedation needed for General anesthesia. To do this, using sedatives to achieve a relaxed state with reduced reactivity of the consciousness of the patient. Usually, premedication does not affect the patient badly. Then used intravenously or endotracheal General anesthesia.

Procedures are carried out consistently, however, the patient is usually under anesthesia, and not out of it until all studies. After the inspection is completed, the endoscope is removed, and the patient is taken to a medical ward for 24 hours. At this time you must continue medical supervision in connection with the possible development of complications, often associated with the use of General anesthesia.

Conducting FGS and a colonoscopy under anesthesia, at the same time has great advantages than the separate conduct of these procedures.

Which is worse: to carry out EGD and colonoscopy at the same time, or run them separately? In the medical community believe that if there are indications for both procedures, perform them all at once under General anesthesia safer for the patient and profitable for it and healthcare companies on financial and time losses. In this regard, such a combined examination has become increasingly common.

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