What if I refuse to have the gastroscopy or colonoscopy? Patient Pictures – Gastroenterology, Oxford Health Press, 1997. The patient pictures are reproduced with the permission of Health Press Limited from Neild P, Gazzard B. The tube allows the colon to be viewed directly and for pictures of the lining and samples of the tissues to be taken. This is an examination of the large bowel using a long, flexible tube called a Colonoscope. Pictures from the tube are shown on a television monitor and a clear view of your gullet, stomach and duodenum can be seen. Upper GI EndoscopyĪ slim flexible tube with a light on the end is gently passed from your mouth into your stomach. The upper GI Endoscopy will commonly be the first procedure undertaken but there is no set rule and the order may depend on the order the endoscopist considers is best for you. The colonoscopy is an examination of the large bowel (colon). Other names used for an upper GI endoscopy you may hear are OGD and Gastroscopy. An upper GI Endoscopy is a test that allows the endoscopist to look directly at the lining of the gullet (oesophagus), stomach, and first part of the small intestine (duodenum). These combined procedures may help to find the cause of your symptoms. What is a combined Upper GI endoscopy and colonoscopy? This can usually be done at only one visit. A colonoscopy also enables the removal of polyps without the need (in the vast majority of cases) for an operation. The tissue is removed painlessly with a tiny pair of forceps and taken for analysis in the laboratory. The benefits of these examinations include the ability to take biopsies to analyse small parts of tissue which may be abnormal. In this way the whole of the lining of your gullet (oesophagus), stomach, the first part of your small intestine and the large bowel is seen at one visit. Your doctor or your specialist feel that these examinations are the best way to investigate your symptoms. Your doctor has arranged for you to be seen by a specialist (or representative) in a clinic. You will have seen your doctor about some symptoms that have been troubling you. Endoscopy Department contact numbers: Hull Royal Infirmary (01482) 674790 (direct line) Castle Hill Hospital (01482) 622069 (direct line) PLEASE DETACH THE INFORMATION CHECKLIST AND BRING IT WITH YOU Why have these procedures been arranged for you? If after reading it you have any concerns or require further explanation, please discuss this with a member of the healthcare team. It is not intended to replace the discussion between you and the healthcare team, but may act as a starting point for discussion. Most of your questions should have been answered by this leaflet. This leaflet has been produced to give you general information about your procedures. Need some help choosing a language? Please refer to Browsealoud Supported Voices and Languages. They noted that “most events were not captured by standard reporting”, and suggested that new ways of automatically relating relevant adverse events back to recent GI procedures should be developed.You can translate this page by using the headphones button (bottom left) and then select the globe to change the language of the page. “Although the overall rate of severe complications, including perforation, myocardial infarction and death remained low, the true range of adverse events is much greater than typically appreciated,” they added, remarking that an “overall rate of one in 127 patients visiting the hospital due to an outpatient endoscopic procedure is a cause for concern, especially in the setting of screening and surveillance when otherwise healthy individuals are subjected to procedural risks”. The researchers concluded that, based on their new system of searching the electronic medical records, they observed “a 1% incidence of related hospital visits within 14 days of outpatient endoscopy, 2- to 3-fold higher than recent estimates”. This compared to only 31 complications recorded by standard physician reporting (P.134 (32%) of the ED vistis and 76 (26%) of the hospitalizations were related to the prior recent GI procedure.Among the procedures they evaluated, 419 ED visits and 266 hospitalizations occurred within 14 days of the procedure.Altogether, they evaluated 18 015 GI procedures comprising “6383 esophagogastroduodenoscopies (EGDs) and 11 632 colonoscopies (7392 for screening and surveillance)”.
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