Transnasal videogastroscopy

It is important to remember that a doctor should always qualify for the test, take a history and provide detailed information.

• Do not eat 8 hours before the test.
• Up to two hours before the test, you can drink water.
• Two hours before the test, do not chew gum.
• On the day of the test, it is recommended to refrain from smoking.
• You should not take medications before the test, as dissolved pills make it difficult to accurately assess the mucosa, or alternatively, you can only take solid medications, which are absolutely indicated.
• The test should not be performed during antibiotic therapy - antibiotics can interfere with the image of the test, the patient can perform the test at least 5 days after stopping antibiotics.
• Painkillers and sedatives may be administered during the examination, so it is necessary to attend the examination with a companion. The patient must not drive for 12 hours after the administration of medication!
• During the examination, the doctor may decide that sections need to be taken for histopathological evaluation and possible further immunohistochemical diagnosis (histopathological and immunohistochemical analysis is charged extra).

If the test will be performed under general anesthesia with an anesthesiologist:

• Demand for examination under general anesthesia with anesthesiologist should be reported at the time of enrollment for the examination!
• Anesthesia with an anesthesiologist is an extra charge option.
• Do not eat 8 hours before the test.
• Refrain from drinking for 4 hours before the test.
• Two hours before the test, do not chew gum.
• On the day of the test, it is recommended to refrain from smoking.
• You should not take medications before the test, as dissolved pills make it difficult to accurately assess the mucosa, or alternatively, you can only take solid medications, which are absolutely indicated.
• The test should not be performed during antibiotic therapy - antibiotics can interfere with the image of the test, the patient can perform the test at least 5 days after stopping antibiotics.
• It is advisable to remove nail polish from the nails before the examination under anesthesia.
• The patient should report for the examination about 30 minutes before the scheduled examination time.
  Before the examination, a questionnaire about the patient's health is filled out and the anesthesiologist decides whether anesthesia can be administered.
• After the examination, the patient remains at CM Luxmed for about an hour.
• You should go to the examination with a companion or have the companion pick up the patient after the examination.
• At home, the patient should be cared for by an adult until the next morning.
• For 24 hours after anesthesia, you cannot drive motor vehicles.

Transnasal videogastroscopy involves viewing the esophagus, stomach and entrance to the duodenum from the inside using a camera-ended endoscope inserted through the nose.
Gastroscopy performed through the nose is primarily for patients who have a very strong vomiting reflex or a feeling of fear that prevents the examination by the traditional method.
Videogastroscope with HD image is the most modern camera on the market, so it guarantees high accuracy of evaluation and very detailed diagnosis. Because it is super thin, it is the most comfortable and least invasive diagnostic method of the upper gastrointestinal tract.

Advantages of transnasal gastroscopy:

• The transnasal gastroscope is only 6 mm thick, which is almost half the thickness of a conventional gastroscope without sacrificing imaging quality,
• During the examination through the nose, the gastroscope does not touch the tongue, so it does not trigger the vomiting reflex, which is the most poorly tolerated during a classic gastroscopy,
• The patient can speak freely throughout the examination,
• can ask questions of the doctor and keep him informed of symptoms that worry him, making the examination safer,
• Proper local anesthesia of the nose allows almost painless insertion of the gastroscope,
• About 90 percent of patients who are offered both methods of examination by their doctor choose transnasal gastroscopy.

• The presence of dyspeptic symptoms (abdominal pain, belching, bloating, heartburn),
• suspected gastric or duodenal ulcer disease,
• suspicion of cancer based on the general symptoms present,
• In dysphagia (difficulty swallowing),
• The suspicion or presence of gastrointestinal bleeding,
• suspected drug-induced damage to the mucosa of the upper gastrointestinal tract,
• As a follow-up examination to assess advanced disease, such as in esophageal varices, gastric and duodenal ulcers.

• Taking antibiotics, as they can interfere with the image of the test, the patient can perform the test at least 5 days after stopping antibiotics,
• fresh heart attack,
• acute coronary insufficiency,
• Respiratory and circulatory failure, severe arrhythmias,
• The clinical picture of "acute abdomen."
• Aortic aneurysm and the early period after abdominal surgery.

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