Endoscopy is a special therapy to treat digestive problems, both diagnostic and therapeutic, which is supported by a trusted Gastroentero Hepatology (KGEH) Consultant who is an expert in his field. Endoscopy is a sophisticated service technique to visually examine the gastrointestinal tract by looking directly at the monitor screen to detect various disorders of the upper gastrointestinal tract (mouth, esophagus, stomach, small intestine 12 fingers) and lower gastrointestinal tract (anus, colon, and large intestine ).
With this tool, direct actions can also be done such as tissue removal or biopsy on the affected part (tumor, polyps, or suspected abnormalities) so that needed treatment can be faster. At present, Primaya Hospital uses endoscopic services that can support services to produce sophisticated, easy and fast diagnostics.
Upper Gastrointestinal Endoscopy
Endoscopy of the upper gastrointestinal tract is also called esophagogastric duodenoscopy. Endoscopic examination is performed on patients who have complaints:
- Pale (anemia)
- Prolonged bloating, nausea, heartburn, and belching (dyspepsia)
- Vomiting without continuing causes
- Difficulty swallowing
- Vomiting blood or defecating black
- Swallowed by foreign objects
- Alleged tumor in the gastrointestinal tract from bleeding from X-Ray examination
On examination of esophagogastric duodenoscopy, the throat will be sprayed with a local anesthetic. The throat then receives medicine through the veins to help more relax during the examination. The patient will be laid to the side in a comfortable condition when the endoscope is gently inserted through the mouth.
After this procedure, the patient must rest for at least 15 to 30 minutes and may resume normal eating after 1 hour. Patients must be accompanied by family or friends who can be responsible and patients are prohibited from driving or operating machinery or drinking alcohol for 24 hours. The patient may feel discomfort in the throat for 1 to 2 days after the endoscopy.
Lower Gastrointestinal Endoscopy
Patients who require lower gastrointestinal endoscopy or colonoscopy are patients who have the following symptoms:
- Diarrhea that lasts more than 2 weeks
- Blood from the anus or rectum
- Ascertain abnormalities found on X-Ray examination
- Abdominal pain or discomfort accompanied by changes in bowel movements
In the Colonoscopy procedure, the doctor will give medication through a vein to help the patient become relaxed. The patient will lie on his side or forward (supine) when the Colonoscope is inserted up through the large intestine. This procedure usually takes about 15 to 45 minutes.
After the colonoscopy is done, the patient needs to rest for 1 to 2 hours. If sedatives are used, the patient should be accompanied by family. The doctor will tell the patient what was seen during the procedure. If a biopsy is performed, the results will be completed in 3 to 5 working days.
Preparation of Endoscopic Procedures
- Patients need to provide information to the doctor or nurse if they have medical conditions such as diabetes, diabetes, hypertension, or are taking drugs or have allergies
- Patients must fast (not allowed to eat and drink) for 6 to 8 hours before the action
- Low-residual diet supplemented with laxatives to clean the large intestine on Colonoscopy examination so that the inner intestinal wall is clearly visible
- Remove dentures, glasses, jewelry, and metal objects
- Accompanied by the family if sedatives are used in endoscopy