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Somali Medical Forums > Medical Student Forums > Clinical Rotations (Moderator: Dr.Ciise) > Upper GI Endoscopy
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Author Topic: Upper GI Endoscopy  (Read 110 times)
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Diagnostic
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Location: Uganda
Field: Medicine
Posts: 171


Professional Diagnosis
« on: November 04, 2007, 04:40:03 AM »
Indication:
  • Dyspepsia (especially ages over 55 years)
  • Upper abdominal pain
  • Atypical chest pain
  • Dysphagia
  • Vomiting, weight loss
  • Acute or chronic GI bleeding
  • Duodenal biopsy in the investigation of malabsorption

Contraindications
  • Atlantoaxial subluxation as in rheumatoid arthritis
  • Severe shock
  • Recent myocardial infarction, unstable angina, cardian arrhythmia
  • Severe repiratory disease

Complications
  • Aspiration pneumonia
  • Perforation
  • Bleeding

Procedure
  • Explain to the patient the nature of procedure
  • Get written consent
  • Tell the patient that pain due to air inflation may occur and therefore IV sedation may be given
  • Fasting for at least 4 hours
  • Throat is sprayed with lignocaine (Xylocaine)
  • IV sedation for very anxious patient
  • The instrument (endoscope) is passed into the pharynx under direct vision, the down the esophagus into the stomach and duodenum.
  • NPO for 90 minu after procedure

"Summerized from Short Textbook of Medical Diagnosis and Management"
Diagnostic
Logged
In diagnosis think of the easy first.
Martin H. Fischer
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