1 When is the procedure assigned?

FGS is assigned to identify diseases of the upper gastrointestinal tract. It is performed if the patient has the following complaints:

1. Regular pain in the upper abdomen, indicating the development of erosion of the mucosa or ulcer.
2. Constant heartburn, which is accompanied by an acidic eructation.
3. Frequent feeling of nausea, lasting for a long time.
4. Decreased or no appetite.
5. After eating, there is a belching of air, which can be with developing atrophic gastritis.
6. Violation of the swallowing function, occurs when the problem of the cardinal sphincter.
7. Low hemoglobin, in this case, the FGS is prescribed if there are no other causes of the disease.
8. Weight reduction with proper and balanced nutrition, to exclude the development of cancer.
9. Verification of the efficacy of treatment of ulcer or erosion of the mucosa.
10. Inflammatory process of the duodenum.
11. Condition of esophagus. All kinds of gastritis.

If a specialist has suspicions of a gastrointestinal disease, he prescribes fibrogastroscopy of the stomach. Also, together with this procedure, material can be taken on a biopsy to obtain a complete clinical picture of the condition.

2 Existing contraindications to

Although fibrogastroscopy is a safe method of research, there are still some contraindications to its conduct:

• myocardial infarction in acute form;
• high pressure;
• disorders with blood coagulability, in which minimal damage to the mucous membrane can lead to severe bleeding;
• stroke in acute period;
• if the patient has bronchial asthma, as when entering the probe, an attack of asthma may occur;
• people with mental disorders do not go through this procedure, because when the device is inserted, uncontrolled motor excitation can occur, resulting in injury to the mucosa;
• cirrhosis of the liver, with the introduction of an endoscope may be triggered by bleeding.

In other cases when complaints of pain in the abdomen, fibrogastroscopy is prescribed by a specialist.

3 Preparatory stage

To obtain the most accurate results, it is necessary to prepare for the procedure.

To do this:

1. A few days before the manipulation, it is necessary to cancel all medicines that contain iron and activated carbon, these substances can interfere with visibility when examining the mucous membrane.
2. Before the procedure, you can not smoke and use chewing gums, they can provoke an increase in mucosal secretion.
3. Check for allergic reactions to drugs such as Novocain and Lidocaine if the person has not previously been exposed to them.
4. For people with sensitive nervous system, it is necessary to drink sedative preparations several days before the examination.
5. A few days before the procedure, you must give up hard-to-digest food, which includes meat, legumes and fish. Their residues can not be completely digested, thereby creating interference with the procedure.

Fibrogastroscopy can be administered both in the morning and in the evening.

The morning FGS should be prepared as follows:

• is prohibited from eating after 19 pm, and dinner should not be dense, so that all food has time to be digested;
• from liquids is allowed to use only water, tea and coffee is prohibited;
• the day before the procedure, you can not take any medications.

In the appointment of fibrogastroscopy in the evening, preparation is as follows:

• is prohibited from eating food 8 hours before the study;
• water should be drunk in small sips, at a time you can make no more than three;
• for 3 hours before the procedure it is worth to give up cigarettes.

12 hours before FGS you can not eat chocolate and chocolate products, nuts, all kinds of seeds and fresh vegetables.

Subject to all recommendations for the preparation of the procedure, the study will give the most accurate results.

4 Technique for carrying out

Carrying out fibrogastroscopy of the stomach does not take much time. Most often, the expert is not more than 15 minutes. Fibrogastroscopy is performed strictly on an empty stomach.

First of all, the doctor processes the oral cavity with a special anesthetic in the form of an aerosol. This allows you to prevent a vomitive reflex and reduce unpleasant moments during the study for the patient.

After mouth treatment, a special mouthpiece is inserted, very often this stage is accompanied by uncontrolled eructations, it occurs because the stomach cavity is blown with air.

During the study, a person breathes calmly and freely. If a pathological change is noticed, the specialist will take the material for further analysis by inserting small tweezers.

The procedure allows you to remove polyps and stop bleeding. After the FGS is completed, the endoscope is removed from the body.

It is not necessary to panic if at the time of fibrogastroscopy the doctor took the material for a biopsy. This procedure is completely painless, besides it allows you to make an accurate diagnosis, and then proceed to effective treatment.

After carrying out the endoscopic method, there may appear a perspiration or slight pain in the throat, this is due to the fact that the mucosa was irritated by a mechanical device.

5 Decoding of results

For a healthy person the following results are recorded:

• esophagus is passable, the mucosa has a light pink tint;
• cardium is closed;
• there is a gastric dilatation with the introduction of air;
• in the lumen of the stomach there is mucus;
• record of the saved peristalsis;
• organ has longitudinal folds;
• the gatekeeper closes.

If a specialist has detected pathological changes in the area under investigation, then in the interpretation of the results a complete description of the problem is given. To more accurately determine the violation, the doctor carefully examines the stomach, in some cases, taking a little longer. To this patient must be treated with understanding and be patient.

6 Subsequent period

The procedure for examining the area of ​​the gastrointestinal tract takes a short time, but after a period of several hours the patient may feel uncomfortable.

To reduce discomfort, it is necessary to drink clean drinking water in small sips, from time to time rinse the mouth.

On the day of the implementation of fibrogastroscopy of the stomach, it is better to stop using fatty and heavy food. This will avoid the occurrence of indigestion and severity in it.