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Indications for Gastroscopy

Last Updated on Dec 12, 2019
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Indications for Gastroscopy

Gastroscopy is indicated in patients with abdominal pain, internal bleeding, or for the dilatation of esophageal strictures.

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Indications for doing gastroscopy include -

  • Acute upper gastrointestinal bleeding, to establish the exact location of bleed prior to endoscopic cautery, surgery, etc.
  • Dysphagia or difficulty with swallowing, especially if esophageal strictures or ulcerations are seen on a previous upper gastro intestinal series.
  • Dyspepsia (indigestion) or heartburn, if refractory to standard medications. It is also indicated whenever a surgical procedure is planned in the upper digestive tract.
  • Odynophagia or difficulty swallowing, when inflammation or infection is clinically suspected, especially if infection of the food pipe from candida, cytomegalovirus, or herpes simplex virus is likely.
  • Surveillance endoscopy for known pre-malignant conditions affecting the upper digestive tract, such as Barrett's esophagus, lye-induced strictures (tight areas brought about by ingestion of a certain detergent) or Plummer-Vinson syndrome.
  • Abnormalities seen on with other tests which require visual confirmation and tissue biopsy (eg: polyps, gastric ulcers, redundant gastric folds, strictures).
  • Suspected obstruction at the end of the stomach.

Other indications of gastroscopy include -

Indications for Doing Gastroscopy

Treatments that can be done during the gastroscopy procedure include -

  • Sclerotherapy of bleeding esophageal varices (open blood vessels at the base of the food pipe)
  • Management of upper GI bleeding using electrocautery, photocoagulation, etc
  • Laser ablation of esophageal cancer
  • Endoscopic placement of esophageal stents to correct any narrowing
  • Placement of permanent feeding tubes under endoscopic guidance (PEG tubes)
  • Dilatation of esophageal strictures
  • Polypectomy or removal of benign growths called polyps
  • Dissolution of bezoars A bezoar is a mass of indigestible material present in the digestive tract

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)

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Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.

Comments

candide

Can a gastroscopy endanger an earlier AAA Repair?

wesg1999

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

SMitchem22

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

guest

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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