stomach examination

In addition to direct microscopic observation of the surface of the gastric mucosa, gastroscopy can also be used as a biopsy of gastric mucosa to confirm the correctness of the disease. Use the nasal cavity for a smooth breath during the examination, and avoid breathing. When inserting the gastroscope, try to cooperate with the doctor and swallow the gastroscope. Only 1 to 2 hours after the test, you can eat a warm liquid or semi-liquid diet, and return to normal diet the next day. Basic Information Specialist classification: Digestive examination classification: endoscope Applicable gender: whether men and women apply fasting: fasting Tips: Fasting for 8 to 10 hours before inspection. Normal value The throat pain caused by the examination and the small amount of bleeding after taking the gastric mucosa specimens are mostly self-healing, and there is no need to worry. If black stools appear after the examination, you should go to the emergency room for medical treatment. Clinical significance Abnormal results: 1, through the gastroscope to look directly at the stomach disease to determine the location and nature of the lesion. Take biopsy to help diagnose gastric malignant tumors, chronic stomach, duodenal diseases and unexplained upper gastrointestinal bleeding , pyloric obstruction and other diseases. 2, X-ray digestive tract barium meal examination and barium enema can understand the gastrointestinal tract movement function, wall lesions and stenosis. People who need to be examined: Anyone suspected of esophageal, stomach and duodenal diseases who has not been diagnosed after a thorough examination (including X-ray examination). Precautions Precautions before and after gastroscopy: 1. Precautions before inspection 1. Explain to the patient the purpose and general process of the examination: to relieve the patient's concerns and fears and to obtain patient cooperation. 2. Fasting before examination: The patient fasted six hours before surgery, banned water, and smoked for one day to reduce gastric secretion and facilitate observation. 3. Stomach retention: gastric lavage before examination, in order to check. 4. Understand the medical history: Please take the patient with the medical record and X-ray film, so that the doctor can understand the condition and the general situation of the upper digestive tract. 2. Precautions after inspection 1. 1-2 days after the examination: the patient may have a short throat pain, and the posterior pharyngeal wall may have a foreign body sensation due to local anesthesia. There is often a reflex of cough secretion. Advise the patient not to stubbornly cough up. In order to avoid damage to the mucous membrane, at the same time, some disinfection mouthwash or lozenge can be used to relieve symptoms and facilitate recovery. 2. After the check diet: After the test, you can drink warm and cool semi-liquid or soft rotten food for a day, so as not to rub the rough skin on the gastric mucosal wound, causing bleeding. X-ray digestive tract barium meal examination and barium enema: Contraindications before the examination: Usually the patient is fasted 8-12 hours before the examination, and the drinking water is forbidden 4 hours before the examination. Requirements for inspection: cooperate with the doctor. Inspection process Use the nasal cavity for a smooth breath during the examination, and avoid breathing. When inserting the gastroscope, try to cooperate with the doctor and swallow the gastroscope. Only 1 to 2 hours after the test, you can eat a warm liquid or semi-liquid diet, and return to normal diet the next day. There are two main methods for examining the stomach, each with its own characteristics. gastroscopy: 1. Accurate diagnosis: look at the stomach disease through fiber gastroscope to determine the location and nature of the lesion. Take biopsy to assist in the diagnosis of gastric malignant tumors, chronic stomach, duodenal diseases and unexplained upper gastrointestinal bleeding , pyloric obstruction and other diseases. 2. Observation of curative effect: Follow-up or observation of the confirmed gastric and duodenal diseases. 3. Treatment: At the same time as the examination, stop bleeding under the microscope, clamp foreign body, electrocoagulate polyps and other speculum treatment. X-ray digestive tract barium meal examination and barium enema: it is also an important examination method for digestive tract diseases, especially to understand the function of gastrointestinal tract emptying, wall lesions and stenosis, but it can not show small lesions. Patients who cannot undergo endoscopy can choose X-ray examination, and the two complement each other. Not suitable for the crowd Inappropriate population: severe coronary heart disease and myocardial damage with severe cardiac insufficiency. Contraindications for gastroscopy I. Absolute contraindications 1. Severe coronary heart disease and myocardial damage with severe cardiac insufficiency. 2. Esophageal stricture or obstruction of the cardia. 3. Aortic aneurysm. 4. Hemorrhagic shock. 5. Acute pharyngitis and tonsillitis. 6. Pneumonia or other infections are accompanied by high fever. 7. Asthmatic dyspnea. 8. Severe pulmonary dysfunction. 9. The body is extremely weak. 10. Patients who do not cooperate or are not mentally normal. 2. Relative contraindications Acute attack of acute disease or chronic disease, recoverable after treatment, such as acute tonsillitis, pharyngitis, esophagitis, bronchial asthma attack, etc. X-ray digestive tract barium meal examination and barium enema inappropriate population: people who responded to barium meal. Adverse reactions and risks 1-2 days after the examination, the patient may have a short throat pain, and the posterior pharyngeal wall may have a foreign body sensation due to local anesthesia. There is often a reflex of cough secretions. Advise the patient not to stubbornly cough up the secretions. In order to avoid damage to the mucous membrane, at the same time, some disinfection mouthwash or lozenge can be used to relieve symptoms and facilitate recovery.