EFGDS means esophagogastrofibroduodenoscopy, and it is easier - fibrogastroscopy .The full name of this procedure combines the Latin name for the esophagus, stomach, duodenum, their fibers and the examination process.
Fibrogastroscopy is an examination of these organs of the intestinal tract with the help of a special probe, a gastroscope.
With the help of a gastroscopy it is possible to remove the detected polyps, the application of a ulcerative defect, the urease test for the determination of gastric infection of Helicobacter pylori, the taking of a piece of mucosa to oncoanalysis.
- 1 Indications
- 2 Contraindications
- 3 Fibrogastroscopy of the stomach - preparation
- 4 Oncology
Fibrogastroscopy is the "gold standard" for the detection of diseases of the esophagus, stomach and duodenum. Indication for the purpose of this study is suspicion of peptic ulcer, gastritis, erosion, polyps, oncology with simultaneous biopsy( by taking a piece of the mucous membrane for histological examination).
Fibrogastroscopy is mandatory for anemia with elevated ESR( erythrocyte sedimentation rate), unless other causes of the disease or a sharp decrease in weight are identified.
Fibrogastroscopy is not prescribed immediately after acute myocardial infarction, with hypertensive crisis, bleeding disorders - hemophilia( minimal mucosal damage can lead to massive bleeding), with acute damage to cerebral hemorrhage, bronchial asthma( insertion of the probe can provoke an attack of suffocation),mental disorder( motor arousal can occur with further traumatization of the mucous membrane).
Very carefully it is necessary to approach the need for the appointment of fibrogastroscopy in cirrhosis, when there is portal hypertension with venous esophagus dilatation. Invasive examination can be the cause of acute bleeding.
Fibrogastroscopy of the stomach - preparation of
It is very important to follow the doctor's advice on the preparation for fibrogastroscopy. If you do not comply with the necessary rules, the quality of the examination will be significantly reduced and a correct diagnosis will not be made.
- The night before, the patient takes a light dinner( fat and fried food is excluded), so as not to overload the organs of the digestive tract. The study is performed on an empty stomach, but it is possible to take vital medicines, except for iron and activated carbon, which dissolve already in the stomach and make it difficult to examine the mucous membrane. Smoking and chewing gums that can lead to increased secretion in the cavity of the stomach, as well as prevent a complete examination of the structure of the mucosa, are eliminated.
- Allergic tests for novocaine or lidocaine used for local anesthesia are carried out before fibrogastroscopy. If the patient has never been exposed to these drugs before.
- After the examination, it is necessary to refuse to take food for another 2-3 hours to avoid the occurrence of a vomiting reflex. After a biopsy, the food should not be hot and spicy, as it can irritate the site of traumatization of the mucosa.
Fibrogastroscopy is always prescribed at the slightest suspicion of stomach cancer. This examination not only completely exposes or excludes oncological disease, but also provides.