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Sunday, May 8, 2011

How to See Peptic Ulcer in Endoscopy

Posted by Prahallad Panda on 9:51 AM Comments

Ulcers in the duodenum, stomach and oesophagus; also other tumours in the gastrointestinal tract can be visualized nicely through an endoscope. Thereby correct treatment can be instituted.
Patient should be made comfortable in a bed in am ambient temperature. He should be made to understand the procedure going to be performed on him/her. An informed consent should be taken. Lignocaine viscous is to be put to the mouth of the patient and allowed to be kept in throat for at least 5 minutes. By that time throat will get anesthetized. So that while negotiating the scope patient will not feel discomfort in throat.

Endoscope is to be set. The scope should be lubricated with lignocaine jelly. After the throat of the patient gets anesthetized, scope is to be put to the mouth; and gradually advanced under vision into the esophagus, then to stomach and duodenum in upper GI endoscopy..

                                                             It will then be gradually withdrawn from the duodenum and any pathology will be visualized while withdrawing the scope. Any fluid and/or mucous in should be washed and sucked out to see clear view of the mucosa of esophagus, stomach and duodenum. In this way the whole area from oesophagus to duodenum in upper GI endoscope can be thoroughly checked and a report prepared.
Tips & Warnings                                               
•    Anesthetize throat of patient fully.             
•    Lubricate scope nicely.
•    Forward the scope in gastrointestinal tract carefully.    
•    Do not blindly push the scope.                                                        
•    See while withdrawing the scope.
•    Keep the face of patient turned to one side, that will drain saliva outside if any and not choke the respiratory tract
•    Be careful not to perforate the gastrointestinal tract.
•    Too much of gas should not be left behind in the stomach, which may give rise to discomfort/bloating sensation in abdomen.
•    Be careful not to put scope into the respiratory tract.
•    Do not flush the scope near the larynx

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