Who needs regular gastroscopy?

2022-09-09

Gastroscope is an important tool for us to find out the stomach. When it comes to gastroscope, many people will subconsciously refuse. This may be your misunderstanding of gastroscope.

https://cdn.coolban.com/ehow/timg/220905/1S5563b5-0.jpg

To do a gastroscope, there is really no need to be "fear of the mirror"

Some people feel a little uncomfortable when doing gastroscopy. This is because the endoscope needs to pass through the throat when entering the digestive tract. When it passes through the throat, it will cause a throat reaction, making the examiner feel nausea and vomiting.

There are more than one million new gastric cancer patients in the world every year, and 60% are in the three East Asian countries. The difference is that when the 5-year survival rate of gastric cancer in other countries is only 10% to 25%, Japan has as high as 60%, even surpassing the United States. . This is due to the large-scale gastroscopy screening program started in Japan in 1994.

So who needs to be screened for gastroscopy?

The first is the over-45 crowd. For people over 45 years old, even if they are healthy people without high-risk factors, it is best to have a gastroscopy examination, and judge according to the results of the first gastroscopy examination.

Check for no problem or superficial gastritis. If the first gastroscopy shows that the examiner has no problems with the stomach and esophagus, or only has superficial gastritis, it is recommended to have a gastroscopy every 3 to 5 years.

Check out the crowd in question. If there is mild dysplasia or inflammation of the esophagus as a result of gastroscopy, atrophic gastritis in the stomach, or some other problems, it is recommended to have a gastroscopy every year, and some even require it every six months.

https://cdn.coolban.com/ehow/timg/220909/2051522448-1.jpg

Do gastroscopy, normal or painless?

Ordinary gastroscopy does not require much preparation. Under normal circumstances, it can be done without food in the morning. Because it does not require anesthesia, the risk is relatively small. It is suitable for most people. There are other problems. However, during the examination, the examiner may experience fear, nausea, etc., which is uncomfortable. If the fear and nausea are severe, and the examiner's cooperation is not high, it is easy to not observe properly, and it is easy to damage the mucous membrane, which may cause damage and bleeding.

Because painless gastroscopy requires anesthesia, the examiner will be asleep during the whole process, and there will be no nausea and discomfort. The possibility of causing damage is relatively small, and the doctor can observe it carefully. However, due to the need for anesthesia, it is relatively troublesome and the risk is relatively high. It needs to be accompanied by family members. Fasting for 6 hours before the examination, and water for the first 2 hours, there will be dizziness after the examination, and you need to concentrate on not being able to drive. The price is also higher than that of ordinary gastroscopy.

The choice of normal gastroscopy or painless gastroscopy varies from person to person.

https://cdn.coolban.com/ehow/timg/220909/2051525018-2.jpg

Regarding gastroscopy, these two misunderstandings should be avoided as much as possible

1. Gastroscopy can be done if you want to do it

Many people think that if they want to do gastroscopy, they can do it. In fact, in some cases, gastroscope cannot be performed. People with serious heart and lung diseases, such as severe arrhythmia, heart failure, severe respiratory failure, etc., are in critical condition such as coma and shock. State, mental disorder, confusion, acute viral hepatitis or digestive tract infection in the acute stage of esophagus, stomach, duodenal perforation, aortic aneurysm, severe throat disease, erosive esophagitis and other diseases , The above groups are not allowed to do gastroscopy. If you want to do gastroscopy, you must first inform the doctor about your situation and follow the doctor's advice.

https://image.39.net/auth/ww/20180409/20432.jpg

2. Gastroscopy can be replaced by other imaging methods

People often ask, can other imaging methods such as CT be used instead of gastroscopy? The answer is no, gastroscopy can clearly and intuitively observe the esophagus and gastric mucosa, and find superficial lesions of the mucosa. The "gold standard" for pre-lesion, etc. The manifestations of early gastric cancer are very insidious. At the beginning, there may be only a small change in the gastric mucosa. Currently, it is difficult to detect with imaging techniques such as CT. Therefore, gastroscope cannot be completely replaced.