Endoscopy (Gastroscopy )
What is a Gastroscopy?
A gastroscopy, also called an upper GI endoscopy, is a procedure that allows the doctor to examine oesophagus (food pipe) , stomach, and the initial part of the small intestine internally.
This procedure uses a thin, flexible tube with a camera on its end, known as an endoscope, which is inserted through the mouth and carefully guided into the stomach. During a gastroscopy, small biopsies (tissue samples) can be taken, and the procedure is typically performed under throat spray anaesthetic or sedation.
Key Facts
A gastroscopy is a procedure to examine the inside of the oesophagus (food pipe), stomach, and first part of the small intestine.
Small biopsies (tissue samples) can be taken during a gastroscopy.
Dr Sherif will talk with you about how to prepare for the procedure and what happens afterwards.
When is a Gastroscopy Required?
Dr Sherif may suggest a gastroscopy to investigate symptoms such as:
- Indigestion
- Nausea
- Vomiting
- Abdominal pain
- Difficulty swallowing
A gastroscopy can identify issues such as inflammation, bleeding, ulcers, or growth in the upper digestive tract. It is also used to diagnose conditions like coeliac disease. In some cases, a gastroscopy can treat specific conditions, such as:
- Treating a bleeding stomach ulcer
- Widening a narrowed oesophagus (known as dilatation)
- Removing a swallowed object, like a button battery
Preparing for a Gastroscopy
It is essential to plan carefully for a successful gastroscopy. Dr Sherif will review your medical history and check for any allergies or existing medical conditions. General guidelines for preparation include:
- Medications: Discuss with your doctor whether to take your regular medications before the procedure.
- Fasting: You will need to have an empty stomach. Do not eat six hours before or drink for at least two hours before the procedure.
- Local Anesthetic: You may receive a local anaesthetic spray to numb your throat.
- Mouthguard: A special mouthguard may be used to protect your teeth, and dentures (false teeth) should be removed.
What Happens During a Gastroscopy?
The gastroscopy procedure typically takes about 5 to 10 minutes. Here’s what to expect:
- Throat spray or Sedation: Most patients have throat spray to numb the throat or reduce discomfort. Some choose sedated to ensure comfort during the procedure.
- Endoscope Insertion: Dr Sherif will gently guide the endoscope through your mouth, down your oesophagus, into your stomach, and the first part of your small intestine.
- Monitoring: The endoscope transmits images to a video monitor, allowing the doctor to examine your digestive tract.
- Biopsies and Polyp Removal: Tissue samples may be taken for further examination, and polyps can be removed if necessary.
Post-Procedure Expectations
After the gastroscopy, you will be monitored in the recovery area for a short period. Common post-procedure experiences include:
- Drowsiness: Due to sedation, you may feel drowsy.
- Sore Throat: A mild sore throat is common.
- Bloating: Some patients feel slightly bloated.
Post-Procedure Care
You should have a friend or relative take you home and stay with you after the procedure. If you have sedation, for the first 24 hours following a gastroscopy, avoid:
- Driving
- Traveling alone on public transport
- Operating machinery
- Signing legal documents
- Drinking alcohol
You may need a follow-up appointment with Dr Sherif to discuss the results of your gastroscopy.
Potential Complications
While serious complications from a gastroscopy are rare (less than 1 in a 1000), they can include:
- Bleeding: This is more likely if a biopsy or polyp removal is performed.
- Tear in the Stomach or Bowel Lining: Though rare, this can occur during the procedure.
- Sedation Complications: Issues related to the sedative used.
- Chest Infection: A potential but uncommon complication.
Contact Dr Sherif or your hospital immediately if you experience any worrying symptoms after the procedure, such as:
- Fever
- Increasing pain in your throat, chest, or abdomen
- Difficulty swallowing
Why choose Dr Sherif for Your Gastroscopy?
Choosing Dr Sherif for your gastroscopy means entrusting your health to a highly skilled specialist in upper GI endoscopy procedures. Dr. Sherif’s extensive experience ensures accurate diagnosis and effective treatment of various upper digestive tract issues. Patients benefit from comprehensive care that starts with the initial consultation and continues through to post-procedure follow-up, guaranteeing a seamless and supportive medical journey.
The procedures are carried out in state-of-the-art facilities of the Royal Derby Hospital. The Royal Derby Hospital offers comprehensive endoscopy services, including private endoscopy options.
Dr Sherif’s patient-centred approach prioritises your comfort and safety, making sure that you feel at ease throughout the process of Gastroscopy. For more information or to schedule a consultation, contact Dr. Sherif’s office today.