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Gastroscopy (with or without enteroscopy)

Gastroscopy is a visual examination of the gullet, stomach and first part of the small bowel beyond the stomach (duodenum). For enteroscopy, a longer instrument is used to examine the upper part of the small bowel.

The doctor steers a thin flexible tube containing a miniature TV camera through your mouth to perform either examination. The procedure takes up to thirty minutes, depending on what is found. You can choose to have either sedation or throat spray to numb the back of the throat, though most endoscopies require   sedation.

Biopsy samples can be painlessly taken for laboratory analysis. Treatments can also be performed through the endoscope. These include stretching narrowed areas, removing polyps and swallowed objects as well as treatment for bleeding by application of diathermy or heat probes, or injections in the bleeding  areas.

About the procedure

The doctor steers a thin flexible tube containing a miniature TV camera through your mouth to perform either examination.

The procedure takes up to 30 minutes, depending on what is found. You can choose to have either sedation or throat spray to numb the back of the throat, though most endoscopies require sedation.

Biopsy samples can be painlessly taken for laboratory analysis. Treatments can also be performed through the endoscope. These include stretching narrowed areas, removing polyps and swallowed objects as well as treatment for bleeding by application of diathermy or heat probes, or injections in the bleeding  areas.

RISKS

Before you agree to any procedure you should be aware of the reasons for which it is being proposed, the alternatives and the problems that can occur. No procedure or treatment is totally risk free.

As this is an invasive test, you may experience some discomfort during the procedure. The endoscopist will discuss with you beforehand whether you would like painkillers and/or sedation to help manage this. 

This will ensure discomfort is kept to an absolute minimum level. You have been recommended to have a gastroscopy or enteroscopy because the associated risks are less than those of the alternatives, and the benefits are felt to outweigh the risks.

The main risks of endoscopic procedures are perforation and bleeding; which are more common when the procedure involves treatment, such as dilation or removal of a polyp.

If bleeding occurs, you must contact your doctor immediately. In serious cases, hospital admission may be required. Perforation, or bleeding which does not stop are rare, but may reqmre surgery.

 INFORMED CONSENT

The staff caring for you will ask your permission to perform the procedure; it will be your decision whether or not you wish to proceed.

It is important that you understand that you may experience some discomfort during the procedure. The endoscopist will discuss with you beforehand whether you would like painkillers and/or sedation to help manage this. This will ensure discomfort is kept to an absolute minimal level.

 If you choose to have sedation, it will be given by injection through a cannula in a vein in the hand or arm. This will make you sleepy and relaxed. While in a comfortable position on your left-hand side, the doctor will pass the endoscope.

 If you have sedation, you will need to rest in the department for up to 45 minutes after the procedure. If you do not have sedation, you can leave immediately and eat and drink when you wish.

AFTER  YOUR  GASTROSCOPY OR ENTEROSCOPY

If you have had sedation, a competent adult must be available to go home with you even if you think you will not need them. 

We suggest that you stay at home for the rest of the day. You should not drive a car, operate machinery or make important decisions for 24 hours because sedation interferes with your attention, memory and judgement.

 You can normally eat and drink around 30 minutes after your procedure. You can usually return to normal activities after 24 hours.

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Treatment enquiries: +44 (0) 207 616 7693Consultant appointments: +44 (0) 207 616 7693 Prices for self funding patients: +44 (0) 203 219 3315Physiotherapy appointments: +44 (0) 207 616 7651X-ray and scan appointments: +44 (0) 207 616 7653Invoice and payment enquiries: +44 (0) 207 616 7708

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