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Indications and contraindications to endoscopy of the stomach
Last reviewed: 23.04.2024
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Indications for endoscopy of the stomach
Diagnostic indications for endoscopy of the stomach: clarification of the localization of the process; visual examination of pathological changes revealed during examination, clarification of their prevalence; control over the effectiveness of treatment (both conservative and surgical); differential diagnosis of diseases of the stomach and duodenum; determination of the nature of pyloroduodenal stenosis (organic or functional); biopsy of affected areas (gastric ulcers, filling defects, neoplasms); Identification of changes in the stomach, which can affect the choice of a rational method of surgical treatment.
Therapeutic indications for endoscopy of the stomach: removal of foreign bodies, small tumors of the stomach; stop bleeding.
Contraindications to endoscopy of the stomach
Absolute contraindications to endoscopy of the stomach: shock, acute disorders of cerebral and coronary circulation, epileptic seizures, asthma attack, atlantoaxial subluxation, esophageal diseases, in which it is impossible to hold an endoscope in the stomach or there is an increased risk of perforation (esophagus burn, scar stricture, ).
Relative contraindications to endoscopy of the stomach should be taken into account depending on the expected positive results; among such contraindications is the patient's reluctance to endoscopy, coma (unless the patient is intubated), coagulopathy, Center diverticulum, coronary heart disease, thoracic aortic aneurysm, hypertensive crisis, acute inflammatory diseases of the oropharynx, respiratory system, general severe condition of the patient in connection with the presence of concomitant diseases.
It should be noted that if the patient has a disease that poses a direct threat to life, the endoscopy is absolutely justified. Thus, gastroduodenoscopy should be carried out even in patients with myocardial infarction or acute impairment of cerebral circulation when he develops gastrointestinal bleeding, both to identify the cause and extent of bleeding, and to stop it.
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