National Health Fund gastroscopy

Reservation: Required

Referral: Required

Age Range: Depends on the doctor - please check the doctor's card for details

Waiting time for results: Results available immediately after the test. Histopathological analysis results available within 21 business days.

Important

Minors should bring their parent or legal guardian with them for the test. It's important that a doctor determines eligibility after conducting an interview and providing all necessary information about the test.

Preparation

  • You must fast for 8 hours before the test.
  •  You should not drink water 4 hours before the test.
  • You cannot chew gum for 2 hours before the examination.
  • Smoking is not recommended on the day of the examination.
  • Avoid taking medications before the examination, as they dissolve and make it difficult to accurately assess the mucosa. The exceptions are medications that are strictly indicated and cannot be discontinued by the patient.
  • The test should not be performed during antibiotic treatment. A minimum of 5 days should be allowed after the treatment is completed.
  • During the examination, pain-relieving and sedative medications may be administered. It is necessary to bring a companion to ensure a safe return home. Patients are not permitted to drive for 12 hours after medication administration.
  • The doctor may determine the need to collect samples for further histopathological and possibly immunohistochemical analysis.

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!
  • A few days before the examination, you are required to report in person for an anesthesiological consultation.
  • 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 stopping antibiotics
  • Before the examination under anesthesia, there is 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.

Description of the study

Gastroscopy involves a detailed examination of the upper gastrointestinal tract, including the esophagus, stomach, and initial section of the duodenum, using a flexible endoscope with a camera through the oral cavity. During the examination, local anesthesia of the throat is administered using a lignocaine spray. This diagnostic technique is safe and painless; the examination takes only a few to several minutes and poses little burden to the patient. During the examination, samples can be collected for histopathological evaluation and for the presence of Helicobacter pylori bacteria (a urease test). The patient experiences no discomfort during the collection.

Indications

  • Symptoms of dyspepsia (abdominal pain, bloating, heartburn, etc.),
  • Suspected gastric or duodenal ulcers,
  • Suspected cancer,
  • Problems with swallowing,
  • Suspected gastrointestinal bleeding,
  • Suspected drug-induced damage to the mucosa of the upper gastrointestinal tract,
  • For the control of advanced diseases such as stomach ulcers, duodenal ulcers, esophageal varices.

Contraindications

  • Antibiotic treatment (you must wait 5 days after finishing it),
  • Recent heart attack,
  • Acute coronary insufficiency or respiratory and circulatory failure, severe cardiac arrhythmias,
  • Symptoms of "acute abdomen",
  • Aortic aneurysm,
  • The postoperative period shortly after abdominal surgery.