Uncovering the mystery of appetiscopy screening Jilin Rural Radio "Hui Health and Health" has received strong support from Jilin Science and Technology Association Wei Li Juan Jilin Science and Technology Help Rural Revitalization Expert Service Team Member Jilin Medical Associat

2025/05/1301:01:36 regimen 1599

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Uncovering the mystery of appetiscopy screening Jilin Rural Radio

Wei Li Juan

Jilin Province Science and Technology Help Rural Revitalization

Expert Service Group Member

Jilin Medical Association Gastroenterology Branch Member

Jilin University Second Hospital

and Deputy Director of the Center for Gastroenterology

and Digestive Endoscopy Center

01 Who needs to do gastroscopy ?

People with the following conditions need to consider gastroscopy: 1. Repeated upper abdominal pain or bloating, accompanied by symptoms of acid reflux and heartburn, long-term use of gastric drugs, poor treatment effect;

2. Long-term chronic stomach discomfort;

3. Acute upper abdominal pain, accompanied by vomiting of blood and black stool;

4. Unexplained . Lack of , body weight;

5. Unexplained anemia;

6. Helicobacter pylori infection ;

7. Family history of gastric tumors;

8. After gastric polyps resection;

9. After gastric resection;

10. Health examination for over 45 years old.

02 What should be paid attention to before gastroscopy ?

1. Stay fasting: fast for water 6 hours before undergoing gastroscopy.

2. Eliminate tension: Excessive mental tension will increase spastic contraction of the smooth muscles of the stomach, affecting the examination effect.

3. Inform medical and medical history, allergies, past medical history and existing discomfort symptoms in advance.

4. Those with a history of cardiovascular and cerebrovascular diseases need to improve relevant examinations, such as electrocardiogram, blood pressure, head CT, nuclear magnetic field, etc. After a comprehensive evaluation, it can only be performed if gastroscopy is suitable.

5. If you take antiplatelet and anticoagulant drugs such as aspirin for a long time, you need to stop the medication for more than a week, otherwise you will not be able to take pathology and treatment.

03 What should be paid attention to during gastroscopy?

eliminates tension and performs some coordinated actions such as swallowing and holding breath as directed by the surgeon.

04 What should I pay attention to after gastroscopy?

1. Follow the instructions of gastroscopy to perform the fasting time. You can eat half an hour after routine examination. You can eat liquid or semi-liquid food;

2. Do not eat raw, cold, hard, spicy, greasy and irritating food within 3 days after gastroscopy and treatment, and do not drink strong tea, coffee, or ice drinks;

3. Severe exercise is prohibited after gastroscopy and treatment, and it is recommended to rest more flat;

4. Do not take gastric mucosa damage drugs after gastroscopy and treatment.

1. How long does it take to check gastroscopy?

Answer: If there are no symptoms in normal times, it is generally recommended to have a test every 3-5 years. If there are obvious symptoms, such as upper abdominal pain or gastroscopy, there is erosion, or mild congestion and edema, it is recommended to have a test every 1-2 years. If it is chronic atrophic gastritis, gastroscopy should be checked once every 1-2 years. If there is gastric polyps, , gastroscopy should be performed once a year. If the polyps are found to be enlarged, it is recommended to remove it.

05 What should I pay attention to before and after polyp removal?

Fastening water before gastric polyps are removed. Prepare for intestinal polyps should be done fully before intestinal polyps are removed ( mannitol cannot be used to clean the intestine). It is necessary to clarify whether there are contraindications for polyps resection, such as coagulation dysfunction, poor cardiopulmonary function and other factors; patients who take oral anticoagulant and antiplatelet drugs for a long time must be discontinued before resection.

1. Pay attention to defecation, whether stools are caused by blood stools , black stools, etc.;

2. Pay attention to changes in abdominal pain and abdominal distension;

3. After gastric polyps resection, proton pump inhibitors, mucosal protective agents, etc. are required to promote wound healing;

4. Gradually transition to diet and pay attention to rest.

06 How long does it take to review after cutting the polyps?

Will the polyp grow again after cutting it?

needs to be formulated according to the pathological type of polyposis. Generally, if it is an inflammatory polyps, it is recommended to have a one-year re-examination; if it is an adenomatous polyps, it is recommended to have a half year to one year of examination; if it is atypical hyperplasia, it is recommended to have a 3-6 month re-examination;

polyps may grow again after removal, and if the digestive tract is in an inflammatory state for a long time, or the gastrointestinal environment cannot be changed, there is still a possibility of recurrence.It is necessary to actively improve your lifestyle, actively treat it, and regularly review gastroenteroscopes.

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