What Are the Possible Endoscopy Complications?

With the development of modern medical technology, endoscope, as an extension of the doctor's eyes and hands, has reached the "pervasive" state. Endoscopy can diagnose the following diseases: inflammation, ulcers, benign and malignant tumors occurring in the digestive tract (including the esophagus, stomach, duodenum, small intestine and large intestine); liver, gallbladder, and pancreas ducts Systemic benign and malignant lesions; benign and malignant lesions of abdominal organs.

Basic Information

nickname

Endoscopy

English name

endoscopy

Visiting department

Internal medicine

Common locations

Digestive tract

Benefits of endoscopy

Compared with other imaging methods (such as gastrointestinal angiography, abdominal ultrasound, CT, MR, nuclear medicine, etc.), endoscopic diagnosis has the obvious advantage of being able to obtain specimens for further pathological examination.

Endoscopy type

The types of endoscopes of the digestive system currently include: an electronic gastroscope that can complete the examination and treatment of the throat, esophagus, stomach and duodenum; an electronic colonoscope that can complete the examination and treatment of the entire large intestine and the 20 cm terminal ileum; Choledochoscope and duodenal retrograde pancreas and bile duct angiography (ERCP) for the examination and treatment of duodenal papilla and bile duct and pancreatic duct diseases; Capsule endoscopy and enteroscopy for diagnosis of small bowel diseases; Small probe ultrasound endoscopy for measuring the depth of lesions and endoscopic ultrasound that integrates examination and treatment of diseases of the gastrointestinal tract itself and nearby organs such as the pancreas; Laparoscopy that can perform direct inspection and surgical treatment of abdominal organs; Pigmented endoscopy, magnifying endoscopy, confocal endoscopy, narrow-band imaging technology and magnifying endoscopy for the early diagnosis of digestive tract tumors.

Indications for endoscopy

There are many organs of the digestive system, and there are many types of diseases. So, what are the uncomfortable manifestations of endoscopy? First of all, it should be said that people who have no contraindications to endoscopy can do endoscopy. If digestive symptoms such as decreased appetite, difficulty swallowing, chest pain during swallowing, belching, acid reflux, heartburn, nausea, vomiting, vomiting, Abdominal pain, bloating, diarrhea, black stools, constipation, stool deformation, bloody stools, dry stools and thin stools alternate, difficulty in defecation, weight loss, and abdominal masses, etc., should be checked accordingly.

Endoscopic contraindications

1. Patients with critical illness or end-of-life;

2. Patients with severe heart, brain, and lung diseases who cannot tolerate the test;

3. Acute phase of gastrointestinal perforation;

4. There is severe narrowness in the path of entering the mirror to prevent entering the mirror;

5. Mental disorders who cannot cooperate.

Necessity of endoscopy

It is particularly emphasized that early gastrointestinal tumors are often easily ignored due to the lack of obvious specific symptoms and signs. Endoscopic examination is necessary to make a clear diagnosis and early treatment of the tumor at an early stage.

People at high risk for gastrointestinal cancer include: over 40 years of age with one of the following conditions: loss of appetite, loss of interest in what they liked to eat in the past; weight loss for which no other cause can be found; abdomen discomfort and dullness Pain; worsening of the complexion; changes in bowel habits, mucus in the stool, thinning of the stool, and darkening of the stool; vomiting blood or stools often have a history of bright red or dark red blood and mucus; after the rush, they always feel that the stool has not been excreted; Prone to diarrhea and no other reason can be found; unexplained positive stool occult blood; patients with gastrointestinal cancer in the family, especially those with immediate relatives; living or derived from high incidence areas of gastric cancer. In China, the Liaodong Peninsula area, Qixia County in Shandong, Changle County in Fujian, and Wuwei County in Gansu are high incidence areas of gastric cancer; there are precancerous changes (such as chronic atrophic gastritis, gastrointestinal polyposis, postoperative gastric Stomach remnants, pernicious anemia, and giant gastric fold disease (Menetrer disease); mass is felt in the abdomen; persistent or recurrent obstructive jaundice, the cause and nature of which can not be determined by general examination, generally speaking, the high-risk population must be Attention should be paid to regular gastroscopy and follow-up observation. The inspection cycle generally depends on the results of the last inspection, most of which are performed once a year.

Endoscopic examination is also necessary in two other cases: gastrointestinal tumors have been diagnosed. In order to understand the type of tumor, the depth and extent of the lesion, in order to determine the surgical plan. Regular review is needed after gastric surgery in order to observe changes in the condition.