تعريف
This is a test that uses a fiberoptic scope to examine the esophagus (throat), stomach, and upper part of the small intestines.
أسباب الاختبار
Upper GI endoscopy may be recommended if you have:
- ألم في البطن
- Severe heartburn
- Persistent nausea and vomiting
- صعوبة في البلع
- Blood in stool or vomit
- Abnormal x-ray or other examinations of the gastrointestinal tract
Conditions that can be diagnosed with upper GI endoscopy include:
- القرحة
- الأورام
- Polyps
- Abnormal narrowing
- Inflammation
المضاعفات المحتملة
Complications are rare, but no procedure is completely free of risk. If you are planning to have upper GI endoscopy, your سيقوم الطبيب بمراجعة القائمة من المضاعفات المحتملة، والتي قد تشمل:
- نزيف
- Damage to the esophagus, stomach, or intestine
- العدوى
- Respiratory depression (reduced breathing rate and/or depth)
- Reaction to sedatives or anesthesia
بعض العوامل التي قد تزيد من خطر المضاعفات تشمل:
- العمر: 60 سنة أو أكثر
- حمل
- السمنة
- Smoking, alcoholism, or drug use
- سوء التغذية
- Recent illness
- مرض السكري
- مشاكل في القلب أو الرئة
- اضطرابات النزيف
- استخدام بعض الأدوية
تأكد من مناقشة هذه المخاطر مع طبيبك قبل الاختبار.
ما يمكن توقعه
Prior to test
Leading up to the test:
- Your doctor may instruct you to take antibiotics.
- Arrange for a ride home after the test. Also, arrange for help at home.
- The night before, eat a light meal. Do not eat or drink anything for 6-10 hours before the test.
- Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, such as:
- Anti-inflammatory drugs (such as aspirin)
- سيولة الدم, مثل كلوبيدوجريل (بلافيكس) أو الوارفارين (الكومادين)
وصف الاختبار
To numb your throat, you may be given an anesthetic solution to gargle. Or, your throat may be sprayed with a numbing medicine. You may be given a sedative through an IV. This is to help you relax during the test.
You may be asked to lie on your left side. You will have monitors tracking your breathing, heart rate, and blood oxygen levels. If sedation is used, you will be given supplemental oxygen to breathe through your nose.
A mouthpiece will be positioned to help keep your mouth open. During the test, a small suction tube will be used to clear saliva and fluids from your mouth. The endoscope will be lubricated and placed in your mouth. You will be asked to try to swallow it. Then, it will be carefully and slowly advanced down your throat. It will be passed through your esophagus and into your stomach and intestine.
While the endoscope is being advanced, your doctor will view the images on the screen. Air may be passed through the endoscope into your digestive tract. This will be done to smooth the normal folds in the tissues, allowing your doctor to view the tissue more easily. Tiny tools may be passed through the endoscope in order to takebiopsies or do other tests.
بعد الاختبار
After the test, you will be observed for an hour. Then, you will be allowed to go home.
عندما انت العودة إلى المنزل after the test, do the following to help ensure a smooth recovery:
- Rest when you get home.
- Ask your doctor if you can resume your normal diet. In most cases, you will be able to.
- Sedatives can slow your reaction time. Do not drive or use machinery for the rest of the day.
- Avoid alcohol for the rest of the day.
- تأكد من اتباع تعليمات طبيبك.
كم من الوقت سيستغرق ؟
حوالي 10-15 دقيقة
هل سيكون هناك ألم؟
Yes, you will have discomfort during the test. Your throat will be sore. Also, you may feel bloated after the test.
نتائج
This test gives your doctor information about the health of your digestive system. The results can help to explain your symptoms. You and your doctor will talk about the results and your treatment plan.
استدعاء الطبيب
بعد الاختبار ، اتصل بطبيبك في حالة حدوث أي مما يلي:
- علامات الإصابة, بما في ذلك حمى وقشعريرة
- ألم شديد في البطن
- Hard, swollen abdomen
- Difficulty swallowing or breathing
- Any change or increase in your original symptoms
- Bloody or black tarry colored stools
- الغثيان و/أو القيء
- السعال، ضيق التنفس، أو ألم في الصدر
- نزيف
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.