Last Updated on Dec 12, 2019

How is Gastroscopy Performed?

A thin, flexible fiber-optic instrument is passed through the patient’s mouth during the gastroscopy procedure.


Procedure of gastroscopy

Gastroscopy is performed only by an experienced gastroenterologist in a properly equipped endoscopy suite. At times, it may be necessary to carry out this procedure in an emergency room or ICU bed.

Following sedation, the patient is asked to lie down on his side (although successful intubation is possible in other positions).

A hollow mouthpiece is inserted to protect the patient's teeth and facilitate instrument passage. The endoscope is slowly advanced orally and is "swallowed" by the patient.

Once past the throat region, the instrument is guided only under direct visualization. An important landmark is the Z-line at the gastro-esophageal junction, approximately 40 cm from the teeth. The tip is then advanced into the stomach, with gentle insufflation of air.

The various portions of the stomach are inspected. Following this, the tip is then passed through the stomach outlet, into the duodenum or the first part of the small intestine. Mucosal surfaces are reinspected as the instrument is withdrawn. The images obtained are magnified many times and viewed on a video screen. Procedures like biopsies, cytologic brushings, polypectomy, cauterization of bleeding lesions, etc, are performed as indicated.(5)

References:

  1. Gastroscopy - Overview - (https://www.nhs.uk/conditions/gastroscopy/)
  2. Gastroscopy (Endoscopy) - (https://healthywa.wa.gov.au/Articles/F_I/Gastroscopy-endoscopy)
  3. Esophagogastroduodenoscopy - (https://www.ncbi.nlm.nih.gov/books/NBK532268/)
  4. Indications and Contraindications for Upper Gastrointestinal Endoscopy - (https://www.ncbi.nlm.nih.gov/pubmed/8069470)
  5. What Happens During a Gastroscopy? - (https://www.ncbi.nlm.nih.gov/books/NBK310264/)
  6. Gastroscopy Upper Scope Test - (https://www.permiangi.com/gastroscopy-upper-scope-test.html)

Comments

candide Monday, September 30, 2013

Can a gastroscopy endanger an earlier AAA Repair?

wesg1999 Thursday, January 13, 2011

what site do i need to visit concerning rubber band placed oround blood vessells inthe esophagus

SMitchem22 Friday, March 27, 2009

No freakin way! Im not getting that done, it sounds painful!

guest Thursday, November 26, 2009

Well i jst found out i have to go for one on the 18th Dec 2009. I am realy dreading it. Will let you know how it went :[

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