Transnasal videogastroscopy

Please remember that a doctor should always qualify you for the examination, take an interview and provide detailed information.

• You should not eat for 8 hours before the examination.
• You should not drink water 4 hours before the test.
• You should not chew gum two hours before the examination.
• It is recommended to refrain from smoking on the day of the examination.
• You should not take any medications before the examination, as the dissolved tablets make it difficult to accurately assess the mucous membrane; alternatively, you can only take solid medications that are absolutely necessary.
• The test should not be performed during antibiotic therapy - antibiotics may distort the test results, the patient can perform the test at least 5 days after discontinuing antibiotics.
• Painkillers and sedatives may be administered during the examination, so it is necessary to bring a companion with you. The patient must not drive for 12 hours after receiving the medication
• During the examination, the doctor may decide to take samples for histopathological evaluation and possible further immunohistochemical diagnosis (histopathological and immunohistochemical analysis is subject to an additional fee).
• It is recommended to present your previous test results to your doctor.

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

• The need for an examination under general anesthesia with an anesthesiologist should be reported at the time of registration for the examination!
• Anesthesia with an anesthesiologist is an additional fee .
• You should not eat for 8 hours before the examination.
• You should refrain from drinking and chewing gum for 4 hours before the examination.
• It is recommended to refrain from smoking on the day of the examination.
• You should not take any medications before the examination, as the dissolved tablets make it difficult to accurately assess the mucous membrane; alternatively, you can only take solid medications that are absolutely necessary.
• The test should not be performed during antibiotic therapy - antibiotics may distort the test results, the patient can perform the test at least 5 days after discontinuing antibiotics.
• Before the examination under anesthesia, no need to remove nail polish or hybrid/gel nails.
• Patients should arrive for the examination approximately 30 minutes before their scheduled appointment time.
  Before the examination, a health questionnaire is completed, and the anesthesiologist decides whether anesthesia may be administered.
• After the examination, the patient remains at the Luxmed Medical Center for approximately one hour.
• Administration of anesthesia requires arrival at the facility with an accompanying person who will wait for the patient immediately after the examination.
• At home, you should also have adult supervision until the next morning.
• You cannot drive a motor vehicle for 24 hours after anesthesia.

Transnasal videogastroscopy involves viewing the inside of the esophagus, stomach and duodenum using an endoscope with a camera inserted through the nose.
Nasal gastroscopy is primarily intended for patients who have a very strong gag reflex or a feeling of fear that prevents the examination from being performed using the traditional method.
The HD video gastroscope is the most modern device on the market, guaranteeing high accuracy and highly detailed diagnosis. Due to its ultra-thin design, it is the most comfortable and least invasive diagnostic method for the upper gastrointestinal tract.

Advantages of transnasal gastroscopy:

• the transnasal gastroscope is only 6 mm thick, which is almost half the thickness of a classic gastroscope without compromising imaging quality,
• during the examination through the nose, the gastroscope does not touch the tongue, so it does not cause a gag reflex, which is the worst tolerated during a classic gastroscopy,
• the patient can speak freely throughout the examination,
• can ask the doctor questions and keep him informed about any symptoms that worry him, which increases the safety of the examination,
• proper local anesthesia of the nose allows for almost painless insertion of the gastroscope,
• approximately 90 percent of patients to whom a doctor offers both examination methods choose transnasal gastroscopy.

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

• taking antibiotics, as they may distort the examination results, the patient can perform the examination at least 5 days after stopping antibiotics,
• recent heart attack,
• acute coronary insufficiency,
• respiratory and circulatory failure, severe arrhythmias,
• clinical picture of "acute abdomen",
• aortic aneurysm and the early period after abdominal surgery.

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