Preparation for EGD (esophagogastroduodenoscopy)
Endoscopic examination of stomach and duodenum – the «gold standard» in the diagnosis of diseases of internal organs. Esophagogastroduodenoscopy (EGD) allows the doctor to view the condition of the mucous membrane, to perform some simple manipulation, in particular, to take a piece of tissue for further morphological studies. Despite the high security of endoscopy, it is very important that the patient know how to prepare for the examination using endoscopy.
General information about the procedure
Conduct of FGDS (esophagogastroduodenoscopy) is carried out in a specially equipped endoscopy room. The main tool to conduct the procedure, the gastroscope. It is a long flexible probe, having at its end a video camera and a light bulb. The resulting image is displayed on the display next to the doctor conducting the study, and can also be recorded on any media.
In preparation for the examination using endoscopy should be comprehensive and carried out completely in all patients. Proper preparation includes:
- A mandatory interview with the patient, which the treating physician or the endoscopist should explain the features of the upcoming survey, possible risks and the rules of preparation for endoscopy. This interview plays an important role in psychological adaptation to endoscopy, which greatly reduces stress and allows you to facilitate the study and the period after its completion. If the patient is experiencing increased anxiety the day before endoscopy can be used for mild sedative drugs.
- Every patient must undergo a clinical medical examination and to pass a number of tests: General blood analysis, General urine analysis, blood tests for hepatitis b, C and HIV infection. Such measures allow to reveal diseases that can cause complications during or after the endoscopy, or to pose a threat to medical personnel.
- Important point to diet, to accelerate gastric emptying of food. In this regard, for 1-2 days before the procedure from the diet is to remove all «heavy» products. These include: vegetables and fruit, fat and confectionery products, etc. Also during this period should not eat spicy, hot food with lots of herbs and spices. These products can cause temporary redness of the mucous membranes, which can be mistaken for gastritis.
- Patients should abstain from taking alcoholic beverages and tobacco. Alcohol also has damaging effects on the inner layer of the esophagus and stomach, and nicotine stimulates excessive formation of mucus, making it difficult for inspection bodies.
- 7-8 hours before endoscopy, the patient should stop eating. This time is enough for evacuation of the stomach and duodenum, which is necessary for the raising of an informativity of endoscopic method.
- If the patient takes any medications, including for the treatment of diseases of the gastrointestinal tract, it needs to tell your doctor about it.
- If you are using local or General anesthesia, the patient should alert the treating physician that you may have a allergic reactions to medicines.
Following these guidelines can significantly increase the safety of endoscopic examination and enhance its medical information content.
To familiarize the patient with the recommendations in preparation for gastroscopy is the duty of the attending physician.
What to do after the procedure?
After the procedure is over, you must continue to follow certain guidelines, which include:
- Limit eating and drinking for 30-60 minutes after endoscopy.
- If you had a biopsy, then the patient should not eat hot, oily and other «aggressive» meals for one or two days.
- When using General anesthesia, the person is placed in a medical institution for 24 hours for ongoing medical monitoring.
- If applied local anaesthesia, in one hour the patient should not drive vehicles, to make serious decisions, etc.
- When any symptoms or unusual sensations of the patient should immediately contact your doctor.
Proper preparation for endoscopy includes a range of psychological, household and medical measures that must be taken by patient before endoscopy. Following them allows you to increase the efficiency of the survey, the information content of the received data and reduce the risks of developing unwanted effects.