When it comes to gastroscopy, what comes to mind? It is probably the more painful feelings of nausea, discomfort, and suffering. As we all know, gastroscopy is an intuitive way to check. Doctors can clearly observe the state of the gastric mucosa through gastroscopy and detect suspicious lesions.
However, due to people's lack of awareness of the importance of gastroscopy, the intubation gastroscopy "talk about mirror discoloration", and even some people go to the door of the endoscopy room because of tension and escape, so the popularity of gastroscopy is still very low.
Today, Komatsu invited Xu Kai, deputy chief physician of the Department of Gastroenterology of Shanghai First People's Hospital, to talk about the topic of "gastroscopy≠ 'fear' mirror".
What parts can a gastroscopy examine?
Gastroscopy is through the throat, the gastroscopy device is inserted into the esophagus, stomach and duodenum, in an intuitive state, to observe the mucosal lesions in these areas. At the same time, if a local lesion is found, it can be further confirmed by tissue biopsy.
Do you do a gastroscopy as long as you want?
It is generally believed that as long as you want to do gastroscopy, you can do it, this concept is actually wrong. Gastroscopy is also contraindicated, the public should combine their own conditions, listen to the advice of professional doctors, and choose correctly.
People with the following problems cannot do gastroscopy:
1. Suffering from serious cardiopulmonary diseases, such as severe arrhythmias, heart failure, acute stage of myocardial infarction, severe respiratory failure and bronchial asthma attack.
2. Patients in critical states such as shock and coma.
3. People who are delirious and mentally disturbed and cannot cooperate with those who continue to do gastroscopy.
4. Patients in the acute stage of esophageal, gastric and duodenal perforation.
5. Severe throat disease, corrosive esophagitis and gastritis, huge esophageal diverticulum, aortic aneurysm and severe cervicothoracic spinal deformity.
6. Patients with acute viral hepatitis or gastrointestinal infectious diseases.
What do I need to pay attention to before and after gastroscopy?
Before gastroscopy:
1. Fasting is required when doing gastroscopy. Fasting and water should be done for at least 6 hours.
2. If the gastroscopy is scheduled in the morning, you need to eat lightly for dinner the day before and stop eating after 8 pm.
3. If the gastroscopy is scheduled in the afternoon, before 6 o'clock, eat light soup or porridge and other liquid food or less residue food (avoid foods containing more fiber, such as celery, coarse grains or foods that are too hard), and fast for lunch.
4. Do gastroscopy to smoke. Stop smoking the day before the test so that coughing cannibalism is not affected by the test.
5. Truthfully inform the doctor of personal medical history, the name and category of the drug taken, if there is a history of drug allergies, the history of oropharyngeal, neck and facial surgery, thoracic spine or spine deformation and other medical history should be informed to the doctor. If you have a previous gastroscopy report or related test results, you should also carry it with you and inform your doctor.
After gastroscopy:
1. Do not eat immediately. Just after the gastroscopy, because the function of the throat area has not been fully restored, pharyngeal anesthetics are still in action, in order to avoid food, water into the trachea and cause cough, aspiration or cause aspiration pneumonia, to eat or drink two hours after the examination.
2. If you feel uncomfortable after the examination, you don't have to be anxious.
3. Do not eat irritating or hard food, and prohibit smoking, drinking, drinking strong tea or drinking strong coffee to avoid irritating wound bleeding. In addition, observe the color of the stool, and if there is a tar-like or asphalt-like color of the stool, seek medical attention in time.
4. After painless gastroscopy, family members should be accompanied. Avoid alcohol consumption and engage in hazardous work and activities such as cycling, driving, working at height, etc. for 24 hours after the inspection.
In life, how to effectively prevent stomach cancer?
1. Develop the habit of chopsticks and spoons to avoid cross-infection with Helicobacter pylori.
2. Eat more vegetables and fruits.
3. Avoid high-salt foods, smoked barbecue foods and processed meats. Daily recommended light and healthy diet, cooking to steam, white burning, boiling, boiling, baking, avoid frying, frying, grilling, smoked food.
4. Consume more natural foods to prevent stomach cancer and reduce the intake of red meat.
5. Avoid tobacco and alcohol.
6. Maintain a healthy weight and exercise regularly. It is best to exercise for 60 minutes a day, 3-5 days a week, walking, dancing, cycling, climbing stairs and other sports.
7. Regular early screening of stomach cancer.
Text: Liu Huyu
Image: Liu Huyu, network diagram
Editor: Lu Jia