Endoscopy of esophagus, stomach, duodenum combined with biopsy at Vinmec

The article is professionally consulted by Master, Doctor Dang Xuan Cuong - Emergency Resuscitation Department - Vinmec Hai Phong International General Hospital.

Upper gastrointestinal endoscopy is a technique used to directly view and examine the upper digestive tract of a patient with a small camera mounted at the end of the endoscope. This procedure is done to diagnose and sometimes, treat conditions that affect the esophagus, stomach, and first part of the small intestine (also called the duodenum).

An upper endoscopy is used to diagnose and sometimes to treat diseases of the upper part of the digestive system, including the esophagus, stomach, and duodenum. Depending on the location to be examined, there are different names such as esophagoscopy, gastroscopy. The doctor may prescribe gastrointestinal endoscopy to:
Find out the cause of the signs and symptoms that the patient is experiencing such as nausea, vomiting, abdominal pain, difficulty swallowing and gastrointestinal bleeding. During the endoscopy, the doctor may combine with the collection of cells of the digestive tract for biopsy in case the patient has symptoms such as anemia, bleeding, inflammation, diarrhea or cancer of the digestive system. . The doctor can insert special instruments through the endoscope to treat problems in the digestive system such as removing polyps or removing a foreign body. Endoscopy is sometimes combined with other procedures, like ultrasound. An ultrasound probe is attached to the top of the endoscope to go directly into the wall of the esophagus or stomach to perform an ultrasound. Endoscopic ultrasound helps doctors capture high-quality ultrasound images of organs in the abdomen, especially hard-to-reach organs, like the pancreas.

Endoscopy is a very safe technique and complications are rare. Rare complications include:
Bleeding. The risk of this complication can be seen after endoscopy and this risk increases when the patient has a combination of endoscopy and biopsy or the doctor has to treat the digestive system through endoscopy. Infection. Most endoscopy including examinations and biopsies carry a low risk of infection. However, the risk of infection is increased when endoscopy is done in combination with other treatment techniques. Most infections are mild and can be treated with antibiotics. Your doctor may give you a prophylactic antibiotic before the procedure if you are at high risk of infection. Gastrointestinal damage. A tear or scratch in the esophagus or other parts of the upper digestive system can lead to hospitalization and sometimes surgery to treat this complication. The risk of this complication is very low, but is increased if the patient has additional techniques such as endoscopic esophageal varices to prevent re-bleeding from esophageal varices. in patients with cirrhosis. Reaction to sedatives. Before the upper endoscopy, the patient may be sedated to reduce discomfort when the endoscope enters the upper digestive system. There are many different types of sedation and patients can react to them, but this is very rare. You can reduce your risk of complications by following your doctor's advice and instructions on how to prepare for your colonoscopy, such as fasting and stopping certain medications. However, the equipment and equipment for the endoscopy and the qualifications of doctors and technicians performing upper gastrointestinal endoscopy also play a very important role in limiting complications and if any, handled in the safest and most effective manner. For this reason, Vinmec Hai Phong International General Hospital has implemented the endoscopic technique with narrow light frequency band (English name is Narrow Banding Imaging and abbreviated as NBI) which has made a breakthrough in the field of medicine. screening and diagnosis of early and very early gastric cancer, as well as other lesions.

The narrow band endoscopic technique allows the physician to see the tissues in detail by using lights with a certain color range to create the best contrast of tissue and mucosa images. From there, it is possible to reproduce in the most detail the abnormal changes in the structure of the mucosal surface and the vascular network located in the mucosa. With this advantage, NBI endoscopes have great strength in the ability to monitor and detect gastrointestinal cancers at an early stage based on the smallest changes of mucosa, tissue structure and blood vessels.
Besides, endoscopic technique with narrow light frequency band is also performed to help diagnose diseases in the stomach, including ulcers, metaplasia, dysplasia, and early cancer. In the esophagus, this technique is used to monitor and diagnose Barrett's esophagus due to reflux, which is one of the causes of esophageal cancer.
Endoscopy technique with narrow band of light is the best method to screen for esophageal and gastric cancer. Currently, this technique is being applied routinely at Vinmec Hai Phong International General Hospital. With a team of highly experienced and experienced gastroenterologists, we have fully mastered the modern diagnostic endoscopy system, including the endoscopy system with a narrow light frequency band to bring comfort to the patient. , satisfied and assured about the perfect service quality for diagnosis and treatment of diseases in the upper digestive system.
Master. Doctor Dang Xuan Cuong received intensive training in the field of emergency resuscitation and poison control at Hanoi Medical University and Bach Mai Hospital. With 14 years of experience in the field of emergency resuscitation and poison control, Dr. Cuong Nguyen is the Head of Functional Exploration Department, Deputy Head of Emergency Resuscitation Department, .. at Hai Duong Provincial General Hospital and participates in lectures. Clinical teaching at Hai Duong University of Medical Technology. Currently, Dr. Cuong is an Emergency Resuscitation doctor at Vinmec Hai Phong International General Hospital
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