The article is consulted professionally by Specialist I Dong Xuan Ha – Consultant Specialist in Endoscopy – Medical and Internal Medicine Department – Share99 Ha Long International Health Hub.
Gastroscopy will help doctors observe gastric endoscopic images clearly and in detail while accurately assessing the extent of the disease to the potential for treatment.
1. What is gastritis?
Gastritis is a condition of lesions that cause inflammation and ulcers on the gastric mucosa. The cause of these lesions is that the last protective mucous layer of the stomach is severely eroded, causing the lower tissue layer to be exposed, causing inflammation that leads to stomach ulcers. The disease can cause gastrointestinal bleeding if ulcerative inflammation is large and bleeding. If the patient does not detect complications of digestive hemorrhage for timely treatment, he/she may die from blood loss.
The main causes of gastritis are:
- HP bacteria: HP is a bacteria that after penetration will develop in the mucous layer of the gastric mucosa. They secrete toxins that lose their ability to fight the acidity of the mucous membranes, causing chronic gastritis to progress to ulcers or stomach cancer.
- Excessive use of analgesic and anti-inflammatory drugs: Analgesic and anti-inflammatory drugs for long-term use will have side effects that increase acid secretion, inhibit the protective substances of the gastric mucosa causing pain and lead to gastritis and stomach ulcers.
- Excessive stress: Stress, fear, or irritity can cause gastric juices to increase secreted, causing the mucous membranes protecting the stomach to be severely damaged, leading to gastritis.
- In mode mode of eating and living: Eating and living in mode of eating too late, sleeping too late, getting up too early,… leading to the contraction activity of the affected stomach causing gastric juice to increase secretion, so the protective layer of the mucous membranes is seriously damaged, which will gradually lead to gastritis and cause stomach ulcers.
- Some other causes of gastritis such as: Auto-immune diseases, chemical, frequent drinking, smoking,…
Symptoms of gastritis include:
- A chronic abdominal pain: This is the main sign of the disease. This symptom will appear at night or at night. The pain persists smolderingly or persists with a burning sensation in the endoperm.
- Frequent belching: People with gastritis frequently belch, belch, belch, nausea, vomiting and have an unpleasant sensation in the stomach.
- Gastrointestinal disorders: Patients with abdominal distension, delay in diarrhea, or may be constipated due to unstable digestion.
2. Gastroscopy for the diagnosis of gastritis
The gastroscopy will help the doctor to observe the gastroscopy image clearly and in detail while accurately assessing the extent of the disease to the potential for treatment.
2.1. What is a gastroscopy?
Gastroscopy is a method of using a soft otoscope to observe the ileum, duodenum, duodenum and stomach. This method is relatively safe. Possible complications such as mucosal scratching, infection, bleeding, tearing are caused by unsoliced patients. Subjects with the following symptoms should have a gastroscopy:
- Indgestion, heartburn, belching, belching.
- Taste pain, nausea or vomiting, abdominal distension, retest of pepper.
- Go beyond black stools.
- People who treat diseases related to the digestive system.
- Some special cases such as entanglement, choking, prolonged cough can not find the cause, weight loss, anemia …
2.2. Methods of endoscopy of gastritis
- Oral gastroscopy: This method of endoscopy is commonly used today, because it is easy to perform and has high accuracy. However, this method easily makes the patient nauseous, uncomfortable, causing a feeling of fear during laparoscopy.
- Nasal gastroscopy: This method puts the gastric ileum through the nasal path into the entary and then down to the stomach, duodenum and duodenum for the purpose of diagnosing the diseases through gastroscopy imaging. This method is easy to perform, high accuracy, small diameter otoscopes are less likely to cause nausea, the person is less uncomfortable. However, this method is not possible if the patient has nasal pathology, nasal stenosis.
- Gastroscopy with anesthesia – painless:
- This method is carried out in cases where the patient has a fear mentality or requires pain relief during laparoscopy, the doctor can perform anesthetic gastroscopy.
- Anesthetic gastroscopy means inserting a gastric bypass tube into the entaroscopy and then down to the stomach, duodenum and duodenum when the patient is in an anesthesia.
- Because of anesthesia, the patient will not feel discomfort, nausea when screening; short duration of anesthesia, low amount of anesthesia; However, the cost is higher than regular endoscopy, the endoscopy is complex and may have to do some additional tests.
- The greatest benefit of anesthesia is that the patient is still during the laparoscopy, the doctor can meticulously observe, find out but small lesions suspect early cancer, accurate biopsy and safe procedure.
2.3. Endoscopic images of the stomach
Normal gastroscopy imaging is diagnosed when:
When conducting an endoscopy, diagnose a normal gastroscopy image when the mucous membranes are soft, smooth, evenly pink; mucous membranes of the large curved shore run vertically, horizontally <5mm, biến mất khi bơm hơi căng; có thể quan sát thấy mạch máu vùng phình vị.
Signs of gastritis endoscopy are diagnosed when:
- Edema: Gastric mucosa up, slightly pale, white, may be accompanied by secretion.
- Con impulse: The mucous region has black or red blood.
- Increased secreted appearance: This condition is common in acute gastritis; there is a lot of mucus.
- Open mucous membranes: Open mucous membranes; hemorrhagic dots appear on a slight collision.
- Flat and convex: There is a layer of support in the mucous layer (usually in the burrow or body); gastroscopy sees a false bottom, the shore has blood impulses; at the same time there are high bulges.
- Mucosal atrophy: Thin mucous region, atrophied mucous membranes.
- Intestinal malformation: Nod nodulous protruding lesions, which may also have small plaques. Mostly met in the cave.
Signs of gastroenteritis endoscopy are also diagnosed when hemorrhages are seen in the wall, blood vessels are clearly visible with granuloma,…
Share99 International Health Hub with a team of leading experts and modern equipment investment is ready to meet the needs of gastroscopy and colonoscopy with anesthesia of patients. Coming to Share99, patients will be technically conducted in absolutely aseptic conditions, the modern endoscopic system Olympus CV 190, staining, exaggerating allows detecting very small lesions (only a few millimeters) and accurately identifying the location of lesions for biopics to find cancer cells , polyp treatment, HP bacterial screening. The whole process will be undertaken by a team of experienced doctors in the field of endoscopy and treatment of digestive diseases, all patients' needs will be consulted and cared for attentively.
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