An endoscopy is a procedure where organs inside your body are looked at using an instrument called an endoscope. Here, we visualize the mucosal surfaces of the esophagus, stomach, and proximal duodenum. It allows both diagnostic and therapeutic functions.
Indications of Endoscopy
Various conditions such as
1. Recurrent gastritis/ acidity
2. Peptic Ulcer disease
3. Achlasia Cardia
4. GERD (Gastro Esophageal Reflux Disease)
5. Esophageal Variceal Ligation (Indicated in Bleeding varices or prophylactically in some cases)
6. Foreign body extraction (Eg. Coin, battery, meatloaf, etc.)
7. Resection of Gastric epithelial polyps
8. Taking biopsy from a suspicious lesion or ulcer, and
9. Endoscopic balloon for weight loss (Advanced procedure)
How to prepare for endoscopy/ What are the precautions before endoscopy?
1. Do not eat anything 6 hours before undergoing endoscopy.
2. Orally clear fluids (water) allowed uptil 4 hours before endoscopy.
3. Dress comfortably and wear loose clothes.
4. Come with an attendant to arrange for a ride back home.
5. If you have any co-morbidities (like hypertension, diabetes, heart condition or bleeding disorder, do inform doctor beforehand). If you are consuming any chronic medicines, then they need to be reviewed weather to continue or not before the endoscopy.
What happens during endoscopy/ What to expect during endoscopy?
1. Endoscopy is done by a thin tube with an inbuilt camera at the tip of tube. It transmits images to a video monitor in the examination room.
2. You may receive either a throat spray with a numbing solution or sedation, and pain alleviating medications through a vein.
3. A mouthpiece will be placed in your mouth first. It does not interfere with your breathing.
4. You will lie on your side during the procedure.
5. Your doctor will pass a thin tube with camera on the tip, will visualize the whole of esophagus (food pipe), stomach and first part of the small intestine. The endoscope also does not interfere with your breathing, which needs to be done slowly at that time.
6. Gentle air pressure may be fed into your esophagus to inflate your digestive tract to distend it for clear vision. You may feel a little discomfort at this time, which will fade off gradually.
7. Most procedures take 5 to 6 minutes. If required, a small piece of tissue, called biopsy may be taken.
Also, there are some special surgical tools which can pass through the endoscope to collect a tissue sample or remove a polyp or clip a bleeding vessel. Hence, such procedures can also be done accurately using endoscopy.
IMPORTANT Frequently Asked Questions
Q. Can I eat or drink anything before endoscopy?
A. Do not eat or drink anything for at least six hours before the procedure.
Q. Will I be able to drive my way back after endoscopy?
A. No. You will need to bring a responsible adult with you to take you home after the endoscopy. This is because of the sedation received.
Q. What can I expect after undergoing endoscopy?
A. You can expect temporary soreness in your throat. Lozenges may help. However, this discomfort is pretty minor.
The doctor who has performed the endoscopy may discuss initial findings with you and prescribe treatment accordingly. However, if any biopsy was taken, the histopathology reports will be available after a week or so.
Occasionally, you may experience a mild sour throat after endoscopy. This will respond well to saline gargles. You may also have a feeling of distention from the air that was used during the procedure which will be short lasted and self-limiting.
Q. Warning About Upper Endoscopy.
A. If you have severe or worsening abdominal or throat pain , or have any chest pain, continuous cough, fever, chills, or vomiting after an upper endoscopy, get emergency medical help right away..
Q. What can I eat after endoscopy?
A. You can start with liquids after an hour of endoscopy and resume to full normal diet within next 3-4 hours. Once you go home, you can have a normal breakfast or lunch. Eat whatever you feel like. Just go slow at first.
Usually, there is no diet restriction post endoscopy. However, if therapeutic endoscopy has been done like banding or clipping or biopsy, you may need to reconsult with your doctor before starting any meals.
Q. Should I hold my Aspirin and anticoagulants prior to my procedure?
A. Aspirin and drugs like ibuprofen can inhibit blood clotting and make the risk of bleeding higher, especially if you are likely to have biopsy taken or polyp removed. Hence, it needs to be stopped If you are on daily at least 1-3 days before your test to get it out of your system. NOTE: If you are taking a daily aspirin to prevent a stroke or heart attack, inform your physician. They might need you to
Some anticoagulants, such as Coumadin, need to be stopped 3-5 days before your procedure, however inform your physician and follow their advice accordingly. Some high risk patients might need to be placed on an alternate anti-coagulant .
Q. Is Endoscopy painful?
A. No, endoscopy is not a painful procedure. Usually, a numbing solution or spray is used. If you are apprehensive regarding endoscopy, discuss pre-med sedation beforehand.
Q. How will I feel after my test?
A. You might have a dry mouth and feel drowsy, gassy, and hungry. However, drowsiness and sedation will improve in 30- 60 minutes.
Q. When will the results be available/ How long do I have to wait for the results of my test?
A. The results of a scope test are immediate. Your physician will discuss the results with you and prescribe medications. Biopsy if taken, results will be available in a week or so.
Q. What is Endoscopy test price?
Endoscopy test price varies anywhere between 3,000 to 5,000 rupees. Endoscopy test price in Ludhiana will also depend if the test is done in local or general anaesthesia, if any biopsy is taken or banding procedure is done.
Q. Is it better to get endoscopy test near me or my home?
Endoscopy is an out-patient procedure and usually done under local analgesia and anaesthesia. One can opt for endoscopy test near or in Proximity to their home.