Diagnostic GI Endoscopy
GI Endoscopy is a non-surgical Diagnostic procedure to examine digestive tract. A flexible tube with a light & camera can assist the Specialist Doctor view images of your digestive tract on an attached monitor.
Doctor performs GI Endoscopy to examine the lining of your esophagus, stomach and duodenum.
Doctor recommends GI Endoscopy if you have any of the certain symptoms:
Severe, Chronic heartburn
Blood in Vomit
Pain in your Upper Abdomen
Anaemia with No underlying cause
Persistent Nausea or Vomiting
Unexplained weight loss
Painful or difficulty in swallowing
Your doctor also uses this test to see the efficacy of the treatment or diagnose complications if you have underlying conditions:
Swollen Veins in lower Esophagus
You are not allowed to eat anything for 6-12 hours before the test.
Your doctor will advise you to stop or adjust the dose of medications such as Aspirin or other Blood-thinning agents for few days before the test.
Therapeutic GI Endoscopy
Upper GI Endoscopy aids in evaluating esophagus, upper intestinal tract while the scope is inserted through the mouth. It is performed as an outpatient procedure.
Doctor performs an upper GI Endoscopy to rule out several conditions like peptic ulcers, structural abnormalities i.e. blockage in the esophagus, Hiatal Hernia or to confirm GERD (gastroesophageal reflux disease).
It is important to prepare for an upper GI endoscopy to ensure the procedure is conducted smoothly. Doctor will give you specific instructions like not to eat atleast upto 6 hours prior to the test.
Therapeutic Upper GI Endoscopy can be conducted in combination with various techniques, which could aid in relieving several GI disorders,
Upper GI Endoscopy - Glue Tissue Glue, a watery solution which hardens within 20 seconds while in contact with blood, is used with GI Endoscopy as an optimal initial treatment for bleeding gastric varices.
Upper GI Endoscopic Banding Esophageal varices are treated by Ligation of Band. Banding permits clamping of bleeding vessels and these bands dislodge and pass through the GI tract within 3 weeks. Banding is also done for prevention of future variceal bleeds. The prognosis of the procedure is effectively good with least complications.
Upper GI Endoscopic Sclerotherapy It is one of the widely accepted treatments for both acute & definitive management of bleeding esophageal varices. An endoscopic injection of Sodium Tetradecyl Sulfate helps to manage bleeding varices and outcome is more effective with fewer complications.
Upper GI Endoscopic Dilatation It is a therapeutic GI Endoscopic procedure that enlarges the Lumen of Esophagus. It is Safe & Effective Procedure. This procedural treatment assists in treating medical conditions that result in narrowing of the esophageal lumen, Peptic Structure, Schatzki Rings, Achalasia, Scleroderma Esophagus and Esophageal Cancer.
Upper GI Endoscopy CRE Dilatation CRE (Wireguided) Endoscopy Dilatation provides consistent performance for Endoscopy because of its optimal control and efficacy. It is normally used in the removal of difficult Biliary Stones.
Upper GI Endoscopic Argon plasma Coagulation APC is a type of Endoscopic procedure which is used to control bleeding from Gastrointestinal tract lesions (Majorly called as debulk tumors which doesn’t require surgery). APC involves the use of an argon gas jet which is directed through a probe passed through the endoscope.
Upper GI Endoscopy - Gold Probe Cauterization Gold probe Catheter is used for Endoscopic Electrohemostasis (cauterization of tissue to coagulate blood) at actual/potential bleeding sites in the GI tract. It can be used in the treatment for Peptic Ulcers, Mallory-Weiss Tears, Bleeding Polyp Stalks, Arteriovenous Malformations and others.
Upper GI Endoscopy - Foreign Body Removal Foreign bodies in the lower Esophagus, Stomach and Duodenum are usually removed by Endoscopic Techniques. It involves grasping foreign bodies, manipulating/removing them while protecting the outlying organs. Commonly swallowed things include coins, buttons, batteries and so on.
Upper GI Endoscopy - PEG Tube Insertion Percutaneous Endoscopic Gastrostomy is a technique of tube placement into the stomach percutaneously with the help of Endoscopy. PEG tube placement is most commonly performed Endoscopic Procedures at present. It is normally used in the case if obstruction in the esophagus.
Upper GI Endoscopy - N J Insertion Before tube feeding can be started, tube has to be placed. Nasogastric or Nasojejunal (NJ) tubes do not require surgery and more commonly used for short term feeding requirements. NJ insertion is done via nose.
Upper GI Endoscopy - Ovesco Clip Over the Scope Clip system represents advances in Endoscopic Clips providing more strength delivered through the flexible endoscope. It shows superior efficacy as compared to conventional clips. It is generally recommended for Acute Bleeding and full thickness wall closure.
Upper GI Endoscopy - Metal Stent Endoscopy can also aid the insertion of stents and play an important role in treatment modalities. Stents are usually positioned to overcome structuring associated with malignant tumors. They are either used in continuation to surgery, for relief of obstructive symptoms or in case of incurable GI cancer. It is one of the lucrative options to surgery.
Lower Gastrointestinal Endoscopy allows your doctor to examine the lower GI tract. GI Endoscopy with examines entire colon and rectum is Colonoscopy while the one which analyzes the rectum and sigmoid colon is Sigmoidoscopy.
It is a procedure which allows the visual inspection of inside of the colon – large intestine or larger bowel. It permits the doctor to take tissue samples for biopsy and also help in removal of abnormal tissue such as polyps. There could be various procedures conducted by your doctor along with Colonoscopy with relief you from your symptoms:
Colonoscopy - Dilatation Colonoscopy with Dilatation is a safe and efficacious procedure to enlarge the stricture.
Colonoscopy - Polypectomy Most Colon Cancers began as small growth or polyps; Colonoscopy helps doctor find and remove any polyps in large intestine, usually called as Polypectomy. Removal of polyps is essential as it prevents cancer from developing further.
Colonoscopy - Metal Stent Metal stent placement during Colonoscopy is a minimally invasive procedure to get acute colonic decompression in obstructive colorectal cancer. Colon/Colorectal stent provides non-surgical, immediate and efficient colon decompression and is a pre-surgery preparation procedure.
Colon screening can help your doctor:
Look out for cancer signs and other problems
Understand the cause of unexplained changes in bowel habits
Evaluate symptoms of pain or bleeding in abdomen
Know the reason for weight loss, chronic constipation or diarrhea
In cases of follow-up of colorectal cancer
For Evaluation & Removal of Polyps
Management of Inflammatory bowel disease
Identify & treat acute bleeding sites
To decompress the colon
Your doctor will provide instructions for bowel preparation so as to get clear view of the colon during the test. There are several ways to empty the colon which you will be suggested by your doctor:
By Diet A day prior to Colonoscopy, you can have only clear liquids without any artificial colouring agents. Clear liquids like broths, clear juices and others.
By use of PEG – Polyethelene Glycol solution This solution has to be consumed in large amounts (approximately 4 ltrs) the night before the procedure. PEG solutions push fluids through the intestine to force out all the waste.
By use of OSP – Oral Sodium Phosphate solution Small doses of OSP solution are taken 10-12 hours apart. Each dose must be followed by more of liquids. You need to get enough liquids during the preparation and after the procedure.
By use of Oral Sodium Phosphate tablets This tablets are to be taken an evening before the colonoscopy with lot of clear liquids every 15 minutes.
By use of Laxatives Laxatives have to be used with 2 litres of PEG along with a restricted diet.
Do tell your doctor about any other medications you are taking. If any medications affect colonoscopy, your doctor might tell you to stop taking them.
When the sigmoid colon requires close inspection, then a Sigmoidoscopy is recommended. It helps to look inside your sigmoid colon using a flexible tube along with a light. It aids to check for ulcers, polyps, or cancer.