PROCEDURES Gastroscopy
An endoscope is a flexible, thin tube-like instrument fitted with a camera and light at the end. When inserted into the mouth and down the oesophagus (food pipe), stomach and the first part of the small intestine (duodenum), it is known as a gastroscopy or upper endoscopy. By placing this endoscope into the upper gastrointestinal tract, Dr Kruger can view the internal structures, make a more accurate diagnosis and treat various issues minimally invasively. A gastroscopy may be done for the following reasons:
- To determine the cause for swallowing difficulties or persistent stomach pain
- To diagnose conditions such as stomach ulcers, gastritis or gastro-oesophageal reflux disease (GORD)
When necessary, during the gastroscopy, a number of small procedures can also be done minimally invasively. These include:
What does a gastroscopy involve?
To ensure your stomach is empty you will need to stop eating and drinking 6 hours prior to the gastroscopy. A gastroscopy is done on an outpatient basis so no hospitalisation is needed. You may be given a sedative to calm you and an anaesthetist may be present to monitor you during your endoscopy.
Once you are lying on your side Dr Kruger will insert the endoscope into your mouth. Once swallowed it can move down your oesophagus into the stomach. Dr Kruger will then inflate your stomach with gas for better visualisation of the surrounding tissues. As the endoscope moves down the gastrointestinal tract into the small intestine, he will be able to view the condition of the surrounding tissues so that an accurate diagnosis can be made. If any strictures or bleeding ulcers are found, they can be treated, and polyps or small tumours can be biopsied at that time.
What can I expect for recovery?
Since a gastroscopy is a day procedure, there will be no hospitalisation and no need to stay overnight. Once the procedure is complete you will be allowed to go home. You will however need someone to drive you as the sedation may take some time to wear off. Even if you feel very alert, the sedative can remain in your blood for 24 hours, and you may experience further episodes of drowsiness. Mild stomach cramps and gas are normal after a gastroscopy but be sure to contact Dr Kruger should you experience any severe have abdominal pain or fever following your endoscopy.
