Endoscopy at K+31
K+31 employs endoscopists with extensive experience in performing both high-class diagnostics and a wide range of endoscopic medical procedures, including under sedation (in sleep).
The endoscopy department provides highly effective diagnostics and treatment of diseases: organs of the gastrointestinal tract (esophagus, stomach, small and large intestine), pancreatobiliary zone (ductal systems of the gallbladder and pancreas), tracheobronchial tree. The use of endoscopic inspection techniques with magnification, narrow spectrum light (NBI) and chromoscopy greatly expands the diagnostic capabilities, allowing you to see the slightest changes in the mucous membrane. Timely and high-quality endoscopy allows you to detect changes in the early stages, thereby preventing the development of an advanced stage of diseases, including cancer.
Modern equipment in K+31 allows you to perform high-quality research and create the most comfortable conditions for the patient, while minimizing the discomfort from the procedure. With increased sensitivity, fear, low pain threshold, we can conduct a study with anesthesia (sedation) under the control of a highly qualified team of anesthesiologists.
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endoscopes
endoscopic procedures
Video capsule endoscopy is a modern method for examining the intestines.
This diagnostic allows you to thoroughly examine the inside of the small (capsule enteroscopy) and large (capsule colonoscopy) intestines completely:
- painless;
- non-invasive;
- invisible to the patient;
- without interruption from everyday life.
In K+31, any endoscopic examination can be performed under the most comfortable conditions of sedation - a 10-minute drug sleep.
It is absolutely safe, because. modern drugs created specifically for this purpose do not belong to narcotic analgesics. Anesthesiologist K+31 carries out an individual selection of the drug and controls the procedure at all its stages.
The patient sleeps during the procedure without experiencing any discomfort. After waking up, discomfort is completely absent and after 30 minutes you can return to your usual activities.
Features of research in K+31
All endoscopic stands are equipped with the ability to perform video recording of examinations and capture images.
Each protocol includes photographic images of the main anatomical regions and changes identified during the study; the endoscopic base has a video archive, which is very convenient for constantly observed patients.
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Advanced endoscope reprocessing techniques, as well as disposable consumables used in K+31, help to avoid patient infection. Safety is also ensured by processing endoscopes in the company's automatic reprocessors using effective, safe means.
After processing, the endoscopes are placed in the system for drying and storage until the next use. Transportation of endoscopes to the office is carried out using special containers that provide aseptic conditions. These measures allow us to safely and without risk perform endoscopic procedures at a professional and infection-safe level!
Doctors of K+31 clinics perform therapeutic/surgical interventions through an endoscope using special instruments that are carried through the instrumental channel of the apparatus. Endoscopic operations are carried out by us on an outpatient basis and in a hospital. In some cases, treatment can avoid surgery.
- removal of foreign bodies from the stomach, small and large intestine, tracheobronchial tree;
- stop intraluminal bleeding using a wide range of endoscopic techniques (including their combinations);
- removal of neoplasms (polyps, etc.) using modern endoscopic techniques, including the tunneling method;
- oral endoscopic myotomy (POEM) for achalasia cardia;
- ERCP (endoscopic retrograde cholangiopancreaticography) for diseases of the bile ducts and the main pancreatic duct;
- installation of self-expanding stents for stenosing tumors and benign strictures of the gastrointestinal tract;
- balloon dilatation of benign strictures of the gastrointestinal tract;
- percutaneous endoscopic gastrostomy (PEG) overlay;
- endoscopic treatment of Zenker's diverticulum;
- esophagogastroduodenoscopy (EGDS);
- bronchoscopy;
- ligation of varicose veins of the esophagus;
- removal of gastrointestinal lesions by loop electroexcision and endoscopic mucosal resection;
- diagnostic and operative laparoscopy.
- Biopsies - taking part of the mucous membrane for laboratory (histological) examination. It is performed during endoscopy using thin flexible instruments that are passed through a special channel of the device. Performing a biopsy is painless, but may lengthen the procedure by several minutes.
- Chromoscopy is the staining of the mucous membrane of the examined organs with the help of dyes. This technique allows you to more clearly examine the surface and pitting pattern of the mucosa, emphasize the contours of flat formations and the smallest depressions, allowing you to detect neoplasms at an early stage.
- Laparoscopic surgery is a low-traumatic procedure performed through small openings, without large incisions.
- Express test for determining the presence of Helicobacter pylori infection using the "Helpil-test" - the technique allows you to determine the presence of Helicobacter pylori in the resulting biopsy, a bacterium that causes a number of diseases, within a few minutes.
In order for the test result to be as informative as possible, endoscopy should be performed on an empty stomach. You need to stop eating solid food 12 hours before the planned endoscopy. Also, 2 hours before you stop drinking any liquids - even plain water. This recommendation will allow endoscopy of the stomach or different parts of the intestine without pain. Diagnosis or treatment in the clinic will be comfortable.
Depending on the condition of the gastrointestinal tract and symptoms, before endoscopy, the doctor may prescribe bowel cleansing procedures. You may take a recommended laxative, or you may need to perform a cleansing enema. In order for the procedure to pass without pain, cleansing should be performed 5-6 hours after dinner. It is best to take an enema before bed. Such recommendations are given by the doctor if an endoscopy of the lower intestine is performed.
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Answers to popular questions
Are there any dietary restrictions the day before the procedure?
You need to prepare for any endoscopy, and gastroscopy is no exception. Before the study, you must limit your food intake. If gastroscopy is carried out in the morning, then the last meal is recommended in the evening, no later than 7 p.m., although fluid intake before bedtime is not limited. In the morning you need to be on an empty stomach. If you follow this recommendation, the stomach will be empty during the procedure, which will make it possible conduct informative research and obtain reliable results.
What about drinking?
If a person goes for a gastroscopy, it is better not to drink for several hours (at least 2 hours in advance), otherwise there will be too much liquid in the stomach, which will degrade visualization. In addition, during the study people can behave in different ways: accidentally burp, cough, or start pushing. Because of this, intra-abdominal pressure increases, and the contents of the stomach can pass from the esophagus through inhalation into the respiratory pathways, increasing the risk of complications.
Could the intestines “shrink with fear” and complicate the procedure?
Yes, it's possible. Under the influence of emotional factors, a spasm may occur. The intestine contracts. If this happens, we try to straighten it by introducing gas or water into the gap. We see this from the characteristic whitish mucous membrane of spasmodic folds of the intestine, which may complicate the examination. Getting worse visibility, a neoplasm or shallow ulceration may not be noticed behind the folds.
To prevent this from happening, it is worth premedicating or administering an antispasmodic, and even better, to avoid fear, a study should be conducted with intravenous anesthesia - during sleep.
How long does the procedure take?
Standard esophagogastroduodenoscopy takes 10-15 minutes.
What if you want to swallow during the procedure?
No need to worry about this. During the examination, the patient's head placed in such a way that saliva can passively flow through corner of the mouth. If a person swallows, he will feel the device and may reflexes arise. This is undesirable, but not scary. Procedure will continue when the patient calms down.
Can a painkiller pill taken per day affect the results of the study?
If the day before gastroscopy you had a headache and had to take a pill, this will not affect the study in any way.
The consequences of taking analgesics become visible if you take them regularly basis. In this case, during gastroscopy we often diagnose erosive and ulcerative changes in the gastric mucosa.
During a diagnostic study “in a dream” the patient is under the influence of an anesthetic, will it hurt afterwards?
If the intervention went smoothly and without complications, there should be no pain or discomfort.
But if there was increased intestinal tone, and the study was performed with the introduction air, the patient may wake up with a feeling of distension or bloating of the intestines. In our clinic we perform endoscopy using carbon dioxide (CO2), which quickly resolves, and discomfort after the study the patient does not feel it.
When can I eat after the procedure?
After gastroscopy without anesthesia, you can immediately drink and eat. If used lidocaine, it is recommended to wait 10-15 minutes until the local anesthesia.
