How to check the stomach and intestines: features of the most informative research methods. Features of gastroscopy of the stomach without swallowing the probe You can check the stomach without gastroscopy

Gastroscopy is a method of examining the mucous membrane of the gastrointestinal tract, in which you can examine in detail the state of the stomach, esophagus and duodenum in real time, put the correct diagnosis to the patient. There are also groups of people who are prohibited from research. These are patients with diseases of the heart, blood vessels, blood and musculoskeletal system. But how to determine the acidity of the stomach without gastroscopy or check for pathologies? You can replace the endoscopic method with a video capsule, x-ray, gastropanel, MRI. What's better? Let's take a closer look.

An alternative to the endoscopic method of research is acidotest. The amount of uropepsin - a dye that is formed due to the reactions of the ion exchange resin and of hydrochloric acid, increases significantly with ulcers and hyperacid gastritis.

Acidotest is rational to carry out to understand the general clinical picture GIT.

They may also order an analysis. gastric juice. The latter is taken out with a probe. But this is used in rare cases, since this method gives an incomplete assessment of the secretory activity of a hollow muscular organ.

With gastroscopy of the stomach, acidity is not determined, but an experienced gastroenterologist can draw an approximate conclusion about the deviation of the indicator up or down.

Videocapsule

A modern method of examining the stomach without painful gastroscopy is a video capsule, which is swallowed and wanders around the hollow organ for up to 8 hours, while recording information on a chip.

Examine the stomach in this way without prior preparation will not work. Two days before swallowing the video capsule, the patient is allowed only liquid food in the form of puree, products that cause gas formation are excluded.

On the day of the gastric examination, the patient swallows the capsule and drinks it with water, goes about his business and returns to the hospital 8 hours later to take a video reading.

The advantage of this method is painlessness and complete comfort, but it is unable to take a biopsy or report bleeding of the stomach, duodenum.

x-ray

A good x-ray can replace gastroscopy. On the one hand, the method is absolutely painless. On the other hand, the conclusion about the state of the patient's gastrointestinal tract does not have a complete picture. Pictures do not fix malignant and non-malignant tumors, ulcers and perforations (through holes) of the stomach and intestines.

X-ray well determines hernias, polyps, various deformities of the abdominal organs, large tumors and ulcers. Before the procedure, the patient should drink barium, which will help brighten the picture in the picture.

Contraindications to x-rays are pregnancy and intestinal obstruction.

If pathologies of the gastrointestinal tract are seen in the picture, then the diagnosis is confirmed only after gastroscopy.

Gastropanel

How can gastroscopy be replaced? Gastropanel is a comprehensive blood test, during which the doctor receives important indicators for him: the presence of antibodies Helicobacter pylori, the proenzyme Pepsinogen-1 and the hormone Gastrin-17.

The first indicator will help diagnose gastritis, erosion and ulcers. When the Helicobacter bacterium is present in the blood, the active production of antibodies begins, by the number of which it is possible to determine the pathology of the gastrointestinal tract.

The second is a protein produced cells responsible for the quality of hydrochloric acid in the stomach. The detection of its amount in the blood will inform about the functioning of the hollow muscular organ and, possibly, will help prevent the development of atrophic gastritis.

Gastrin-17 is a hormone that regulates the production of hydrochloric acid, promotes the restoration of the mucous membrane and affects the functioning of the digestive tract.

The patient examined by the gastropanel method must prepare for the test within a week venous blood: do not accept any medical preparations affecting secretory activity stomach. On the morning of the study, do not eat or drink and report to the laboratory one hour after waking up.

The disadvantage of the technique is its high cost and the impossibility of determining the location of the pathology.

Tomography

This is another answer to the question about how to check the stomach without the method of gastroscopy. It is carried out if the patient indicates several unrelated symptoms. To eliminate the suspicion of a particular disease, such as cancer, an MRI of the stomach is prescribed.

The advantages of this method are the speed of the procedure and painlessness.

Magnetic resonance imaging is not prescribed in such cases:

• The assumption that the pathology is caused by the bacterium Helicobacter pylori. A certain method cannot fix the lesions of the pathogen, which today is one of the main causes of ulcers and pancreatic pathologies.
• In the case of the necessary sampling of cells for biopsy. With the help of tomography, this cannot be done, therefore, the state of the gastrointestinal tract is determined with an endoscope and at the same time a part of living tissue is removed for analysis for oncological diseases.

Tomography is often prescribed to assess the condition of the abdominal aorta or adjacent organs.

So, is there an alternative to gastroscopy? Of course, it exists, and other methods are prescribed depending on the reaction to gastroscopy (vomiting, dizziness, spasms) and the primary diagnosis.

Gastroscopy of the stomach is most often performed using a special device - a probe that helps to examine the organ, as well as determine acidity, take material for a biopsy, and set a number of other parameters.

But for patients, this procedure is extremely unpleasant and they try their best to avoid it.

Gastroscopy of the stomach without swallowing the probe is possible and is already being actively introduced and is a salvation for people in whom the probe causes fear and goosebumps.

Does it hurt to swallow a probe?

People are very often afraid of gastroscopy by the fact that you need to swallow a special hose, but the tube looks very large and long. In fact, the procedure really has little pleasant, but it can be carried out by a larger circle of people.

More in the video:

Pain during swallowing the tube can indeed occur, but the patient is preliminarily irrigated with anesthetics in the mouth.

Thanks to this procedure, the hose passes painlessly into the esophagus through the root of the tongue, during which discomfort rather than pain occurs.

Alternative to sounding

Swallowing a camera capsule is a good alternative to a tube. And yet it performs fewer functions.

Patients often prefer any other examination than swallowing a tube. In most cases, this procedure has no alternative, as it is more informative and allows not only to examine the stomach, but also to conduct the necessary studies using a probe.

But still, patients often ask what can replace gastroscopy.

There are some alternatives:

The camera in the intestine illuminates and periodically takes pictures.

Such procedures are purely diagnostic and do not allow you to check the stomach for acidity, as well as take material for a biopsy.

Therefore, if the doctor reveals a suspicion of a tumor, then conduct a gastric or duodenal sounding you still have to, so your expenses will only increase.

Plus, these methods are not always reliable, since they do not allow you to see the beginning of changes in the mucosa, as well as small stomach ulcers and neoplasms on initial stage development.

Pros and cons of capsule diagnostics

A painless replacement for probing has already been developed by scientists and is being actively introduced into modern medicine. This method It has certain advantages and disadvantages, which we now consider in more detail.

Advantages of capsule diagnostics	Disadvantages of capsule diagnostics
The examination is painless.	The test takes about eight hours until the capsule passes the entire gastrointestinal tract
Does not require special patient preparation	Only easily accessible sections of the intestines and stomach are checked (bends are sometimes hidden from the camera)
The capsule is easy to swallow, it is like a vitamin	The test is carried out by attaching special electrodes to the patient's abdomen, which allow the camera to give a signal
The capsule comes out naturally with faeces and does not cause problems	It is extremely rare for a camera to get stuck in the intestines, but this happens sometimes and only with intestinal obstruction
The examination can be carried out in a hospital in a hospital, or after receiving the capsule, go about your business at home	Capsular gastroscopy is expensive and not everyone can afford it.
With the help of a capsule, you can see small intestine, since it is not available for probes	Pregnant women, children under 12, and people with high blood pressure and those with pacemakers, the procedure is prohibited
The capsule gastroscopy examination does not require the patient to fast or

Survey methodology

Gastroscopy with and without a probe, as well as transnasal gastroscopy, have their own characteristics and are very different from each other. Patients should consider many factors in order to choose the alternative and most appropriate method for examining the stomach and intestines, as well as the esophagus.

Capsule content

	Gastroscopy with a probe	Capsular gastroscopy	Transnasal gastroscopy
Time spending	5-7 minutes.	Eight hours or more.	About ten minutes.
Insertion device	Round-ended endoscope with a camera and light bulb at one end and a doctor's eyepiece at the other.	Capsule chamber.	The endoscope is the same as in the first case, but thinner.
Instrument dimensions	Tube diameter 13 mm, length 30-100 cm.	1 cm by 2.5 cm, weighing 4 grams.	Diameter less than 10 mm, length up to a meter.
Through which the device is inserted	The probe is inserted through the mouth.	The capsule is swallowed and washed down with water.	FGDS is carried out through the nose.
Procedure price	From two to ten thousand rubles, depending on additional research.	From 20 to 50 thousand rubles.	About four thousand rubles.
Possibility of additional examinations	You can measure the acidity, take a biopsy material, make a wash from the mucosa.	Absent, some kinds of robot capsules can measure the temperature and set the acidity of the stomach.	Missing.

General scheme classic probing looks like this:

1. The patient is placed on the left side.
2. The oral cavity is irrigated with an anesthetic and a mouthpiece is inserted.
3. The endoscope is inserted and the patient is asked to swallow.
4. The examination lasts for some time, then the probe is pulled out, and the doctor is ready to announce the results.

Transnasal examination carried out in the same way, only the probe is inserted through the nose and the patient does not need to swallow.

Capsule diagnostics involves swallowing a capsule of water, attaching a sensor to the abdomen, which is removed after the camera exits naturally. Then the camera is given to the doctor and he deciphers the results.

Video:

people with strong nervous disorders when probing, they can prescribe sedatives, or conduct a gastroscopy examination under anesthesia.

Gastroscopy during pregnancy

Capsular gastroscopy is prohibited for pregnant women, due to frequent squeezing of the intestine by an enlarged uterus, which can provoke stagnation of feces and, accordingly, the chamber.

Conventional sounding and transnasal is allowed for pregnant women only until the third trimester.

Where to do a gastroscopy

Gastroscopy can be performed in the hospital and in special diagnostic centers. A list of similar establishments for various cities is shown in the table.

City	The outside	Clinic name	Price
Moscow	Spartakovsky lane, 2	Best Clinic	79900 rub
St. Petersburg	Sea passage, 3	Consultative and diagnostic center with a polyclinic	30000 rub
Krasnodar	st. Novitskogo, 2/4	OOO "Marimed"	50000-70000 rub
Kyiv	st. Families Idzikovsky, 3	Medical and diagnostic center "Dobrobut"	12800 UAH
Dnepropetrovsk	Capsule diagnostics cannot be performed, only conventional

Prices

Prices by country will vary depending on the type of study and its completeness (in the case of classical sounding). Average prices can be seen in the table.

City	Price
Moscow	40000- 110000 rub
St. Petersburg	25000-40000 rub
Kyiv	11000-22000 UAH
Odessa	11000-13000 UAH

The most reliable research method for examining the stomach is gastroscopy. It allows you to examine the entire mucosa of the organ in different projections, take tissue for analysis, and even carry out therapeutic manipulations. But what about those who medical indications Is it forbidden to conduct a classic version of the survey? For this, there is gastroscopy of the stomach without swallowing the probe, which will be discussed in this material.

One of the types of such an examination can be attributed to transnasal fibrogastroscopy, when the probe is inserted through the nasal passage. It is used for particularly sensitive patients, when there is a risk against the background of the classical introduction of the development of a hypertensive crisis or a nervous breakdown.

The main type of gastroscopy without the introduction of any devices at all is capsule endoscopy. A person only needs to swallow a capsule with a built-in video camera and a video signal transmitter. The patient is given equipment that transmits a signal, through which the specialist will take readings. The swallowed capsule is excreted from the body in a natural way, taking all the necessary data along the way of its passage into the gastrointestinal tract.

With such a procedure, the patient will not be able to undergo an MRI, and be near X-rays or strong electromagnetic fields, as they can disable all electronics. These restrictions last only a day until the capsule is in the human body.

How is capsule endoscopy performed?

The size of the device for swallowing is 11*26 mm and weighs 4 g, the material of which is biologically inactive.

The algorithm for the procedure is as follows:

• electrodes are attached to the human body, similar to those used for ECG;
• the device is swallowed, after which the patient can go about his business.

The information is read out for 8 hours after that, during which it is impossible to give the body physical activity and move sharply. At the appointed time, you need to come to the doctor to take camera readings, conduct diagnostics and make a diagnosis with the appointment of further treatment recommendations.

Preliminary preparation for the study

How to prepare for FGDS? The main preparation lies in the peculiarities of nutrition. 3 days before the procedure, you can not eat legumes, white cabbage and other foods that cause increased gas formation. The ban also applies to fried, fatty foods, confectionery, sausages, smoked meats, canned food and others that are difficult to digest by the digestive system.

Alcoholic beverages will also have to be excluded during this period, and the number of cigarettes smoked per day will be reduced. This is explained by the fact that such habits provoke the release of bile and gastric juice, which will not allow you to get reliable results.

Important: the effectiveness of the examination completely depends on the responsibility of the patient, how carefully he completed all the preparatory measures.

Approximately a day before, you need to drink funds to reduce flatulence, and in the evening before the procedure, from 16.00 to 20.00, take Fortrans, diluting 1 sachet in a liter of water.

If you are taking any medications, be sure to tell the doctor who performs the gastroscopy. There is an option to change the frequency, refuse or switch to another drug. This is possible with the use of iron-containing products and others that can color the feces in a different color.

What can you eat before FGDS

It is allowed to eat in these 3 days before the procedure, everything is boiled and pureed, and it is light and dietary. And on the day appointed for the examination, it is generally not recommended to use anything.

Is it possible to drink before gastroscopy

Drinking is allowed only green tea or mineral water without gases. If necessary, the specialist prescribes an enema.

Prohibited actions before the procedure

Try not to be nervous, psychologically preparing yourself for the procedure, especially since it is completely painless. And, as mentioned above, observe all medical recommendations nutrition and bad habits. Otherwise, you will have to undergo FGDS in the classic version, which is not as pleasant as we would like.

Preparing for the study the day before

Preparation for gastroscopy of the stomach in the morning consists in hygienic rinsing of the teeth without balms, elixirs and the absence of breakfast. For the procedure, take an identity document with you, honey. policy (with a free examination), medical card, direction, diaper and shoe covers (slippers).

If we talk about the pros and cons of FGDS, then the first ones include:

1. A comfortable state, both physical and psychological.
2. The ability to view all departments of the body with an assessment of the state of the mucosa.
3. Ease of carrying out and preparation for the procedure.
4. Exclusion of injury and infection.
5. The high sensitivity of the equipment, which allows making and transmitting high-quality images - approximately 60,000 for the entire time the capsule is in the body, starting from the esophagus and ending with the anus.

Now for the disadvantages:

1. The disposable capsule has a high cost.
2. Not too high quality pictures taken from the folds of the organ walls.
3. The procedure does not allow tissue to be taken for histology. And if problems are found during this study, then the classic version of EGD will have to be carried out in the future.
4. Treatment with capsule endoscopy is also not possible.

There are also contraindications for such a procedure, which include pregnancy, suspected obstruction, exacerbation of epilepsy, age under 12 years, and the use of a pacemaker.

With all questions about the advisability of gastroscopy, you should contact the gastroenterologist at the place of residence or in a private hospital. The specialist, before prescribing the procedure, will ask you to go through a series of laboratory research, which are usually done for diseases of the digestive system.

Research Innovation

Creation the latest technologies are now replacing complex diagnostic traditional methods the gastrointestinal tract using non-invasive devices. American scientists have created a device the size of a vitamin that can deliver medicine to the sore spot. It is also excreted from the body naturally.

There are models that measure the acidity of gastric juice, the temperature in the intestines, the amount of mucus, the condition of the feces and the presence of stones in the intestines. A device is being developed that can even take tissue for further examination.

Often, one cannot do without studying the internal state of the gastrointestinal tract, and the option of gastroscopy of the stomach without swallowing the probe is the best in the absence, of course, of contraindications. Health to you and your loved ones!

Gastroscopy of the stomach without swallowing the probe is the most effective technique receiving reliable information about the state gastro- intestinal tract. Thanks to the development of modern medicine and the emergence of new technologies, it has become possible gastroscopy of the stomach without swallowing the probe, which had to be inserted into the stomach, with painful manipulations and was not possible in all cases.

Gastroscopy is a procedure to examine the stomach, duodenum and esophagus using a machine. It looks like a thin, long tube and is called a gastroscope. The tube of the device is covered with a fiber optic system and equipped with a video camera that is inserted into the stomach through the mouth (transoral) or nose (transnasal).

The study is conducted by a specialist - a gastroenterologist, who treats the patient's throat with a special spray (lidocaine) to alleviate the discomfort when inserting the tube. During the procedure, you need to breathe deeply through your nose. AT individual cases, at emergency indications, patients with nervous disorders, children, the procedure is performed under general anesthesia.

The main equipment is endoscopes.

Types of the most common procedures in gastroenterology:

• FGS - fibrogastroendoscopy - a type of examination in which the thickness of the walls of the stomach and the condition of the gastric epithelium are examined.
• FGDS - fibrogastroduodenoscopy (popularly called the procedure "swallowing a light bulb") - a type of examination in which the stomach and duodenum are examined.
• EGDS - esophagogastroduodenoscopy - an examination during which full inspection stomach, duodenum, esophagus, gallbladder, mucous membrane upper divisions GIT.
• Fibrogastroscopy - examination of the stomach, duodenum and esophagus using an endoscope.
• Virtual gastroscopy is a type of examination in which the gastrointestinal tract is examined using a tomograph under the influence of x-rays.
• Ultrasound examination of the stomach - this type of examination, in which a modern device can instantly illuminate suspicious areas with ultrasound. The procedure is performed instead of FGDS, when there are contraindications or when the patient refuses classical gastroscopy.

Gastroscopy is a procedure that has several synonyms, with one meaning - gastroendoscopy, fibroscopy, gastrofibroscopy, fibroesophagogastroscopy, gastroenteroscopy, duodenal sounding, EFGDS, or FGS - the components that are denoted by:

• Gastro - stomach;
• Esophagus - esophagus;
• Duodeno - duodenum;
• Fibro - tube, flexible;
• Scopia is a visual inspection.

Classical gastroscopy lasts 10-15 minutes and allows you to carry out not only diagnostic procedures, but also therapeutic ones, in which medications are injected directly into the focus of the disease, the method makes it possible to remove polyps and stop bleeding. Most patients report quite pain after such an examination.

An alternative to this method is gastroscopy of the stomach without swallowing the probe.

Currently modern medicine has made great progress and gastroscopy of the stomach without swallowing the probe is a painless procedure for patients who do not tolerate the classical method of examination, which allows you to look inside at the work of the body. The most common procedure is to examine the large intestine (capsule colonoscopy). Next, we will consider how this innovative technique for examining the digestive system is carried out and what it is.

Tubeless gastroscopy allows you to examine the gastrointestinal tract from the oral cavity to anus, without the use of probes, tubes, but using a small and unique device - a computerized capsule. The video tablet consists of a mini camera, a transmitter and a flashlight. The device was invented by Israeli experts, and today it is used throughout the modern world.

There are 2 types of microscopic disposable probeless endocapsules that are used for:

1. Studies of the small and large intestine
2. Examination of the cavity of the stomach and esophagus

For a high-quality and accurate examination result, it is necessary:

1. On the patient's abdomen, attach a transmitter with electrodes (similar to ECG electrodes), which records pictures from a video camera.
2. Swallow the capsule like a regular tablet.

The video capsule passes through the esophagus for several minutes and moves to the stomach, where it takes pictures for two hours. Next, the capsule enters the small intestine, where the camera takes two frames per second and after 7-8 hours is in the large intestine. Later, the capsule leaves the body with feces and completes its function. The video tablet is disposable, it transfers all the recorded information to the recording device, and there is no need to control its output.

Upon completion of the examination, the device is removed from the body and inserted into a computer to read the video. Next, the doctor looks at the pictures and, based on them, gives a medical conclusion.

Capsule endoscopy

The device for endoscopy of the gastrointestinal tract consists of a capsule with a diameter of 11 mm and weighs 4 grams, it is made of waterproof biomaterial. The capsule consists of four optical systems, an independent power source and built-in illumination to illuminate the gastrointestinal tract from the inside. To transfer images, a universal electronic Bluetooth device is used, which, during its passage through the gastrointestinal tract, transmits data to a transmitter, which in turn records images on a Flash card. At the end of the procedure, the images from the Flash card are transferred via USB to the computer.

Until recently, endocapsules were produced in Japan, Israel, South Korea. Today in Russia, the production of domestic devices is organized - this is the development of researchers and graduate students of the Moscow Engineering Physics Institute, which received the name - "Lily of the Valley" (in honor of the gastroenterologist and member of the project team Landysh Gubaidullina).

Existing Russian analogue Lily-of-the-valley capsules have a number of advantages:

• Firstly, less expensive, but no less effective. The cost of the procedure is from 8,000 rubles.
• Secondly, the capsule itself determines and finds ulcers, tumors, bleeding, polyps.
• Thirdly, the “pill” is smaller in size and therefore easier to swallow (7 mm in diameter and 15 mm long)

Finally, we note that the quality of camera shots is much better than that of foreign analogues, thanks to good German optics.

During the examination, you can not play sports, exclude physical exercise, and being in places with strong magnetic field. If the patient feels discomfort, pain, and other signs of malaise, you should immediately consult your doctor.

The patient does not have to stay within the walls of the hospital after swallowing (taking) the capsule; after the time prescribed by the doctor, he needs to come and transfer the device for further examination.

Study preparation

How it is necessary for the stomach without swallowing the probe, so that the examination is most effective and efficient:

1. Three days before the procedure, according to the doctor, it is necessary to check the stomach, make an x-ray of the intestinal tract to identify possible intestinal obstruction;
2. Two days before the manipulation, the patient must follow a diet - it is permissible to consume broths, boiled meat, it is forbidden to eat fruits and cereals;
3. One day before the capsule gastroscopy, you can not smoke and drink alcohol;
4. The night before, you need to drink a special laxative drug that will prepare the intestines and stomach for the camera insertion procedure;
5. On the day when the procedure will be carried out - you can not eat, which will prevent the camera from moving and distort the resulting image;
6. 30 minutes before the start of the procedure, the patient needs to drink a drug to reduce gas formation in the intestine;
7. During the procedure, you need to drink water every hour. A light snack is allowed four hours after swallowing the capsule, and a full meal after the end of the procedure (8 hours).

Today pass this procedure and it is absolutely safe and comfortable to examine the work of the stomach, esophagus and intestines in Moscow, St. Petersburg, Novosibirsk, Ufa, Yekaterinburg and in all regional centers Russia.

Indications and contraindications for the procedure of capsule gastroscopy

Indications for the video capsule gastroscopy procedure are as follows:

Contraindications to the capsular gastroscopy procedure are as follows:

1. Patients with intestinal obstruction;
2. Child under 12;
3. Pregnant women;
4. Patients with a pacemaker (a device that affects the rhythm of the heart);
5. Patients with epilepsy during an exacerbation.

Advantages and disadvantages of the tubeless gastroscopy procedure

Advantages over classical FGS:

Disadvantages of capsule gastroscopy:

1. Unable to obtain tissue for biopsy;
2. Neoplasms cannot be removed;
3. It is impossible to analyze the material from different angles and from different angles.
4. High price for the capsular gastroscopy procedure.

Video: Capsule endoscopy

Content

A replacement for FGS (fibrogastroscopy) is gastroscopy of the stomach without swallowing the probe, which is performed without the use of a tube. Such modern way checking the condition of the patient's gastrointestinal tract is considered safer; it is indicated for the patient's panic fears before swallowing a probe with optical system. It also allows for a more accurate examination of the gastrointestinal tract.

What is gastroscopy of the stomach

In medical terminology, gastroscopy of the stomach is understood as a variety endoscopic examination. The procedure involves a visual examination of the walls of the esophagus, stomach and duodenum using a gastroscope - an endoscopic probe. The latter is a thin flexible tube with an optical system. The procedure is not the most pleasant, accompanied by discomfort, so its replacement was invented - examination of the stomach without gastroscopy.

How to Check Your Stomach Without Swallowing a Tube

The advantages of classic light bulb gastroscopy are the ability to biopsy tissue or cauterize a bleeding site throughout the gastrointestinal (GI) tract. For those patients who are afraid of the classic procedure because of negative reviews or has contraindications to it, an alternative to FGDS has been developed:

• capsule endoscopy;
• virtual colonoscopy;
• CT scan cavity of the stomach;
• replacement with radiopaque examination;
• electrogastrography and electrogastroenterography (special devices are used).

Gastroscopy without swallowing the probe

popular modern method is capsular gastroscopy or video pill. This is a less invasive way to study the gastrointestinal tract, which examines and shows the results very accurately. Differences from gastroscopy with swallowing the probe is to obtain more information about the condition small intestine and the ability to detect diseases at an early stage. After such an examination of the digestive tract, a correct diagnosis can be made.

Instead of a conventional camera, biomarkers are built into the capsule, tuned to respond to given substances. The body is examined more slowly. The study option is considered to be swallowing a capsule sized 11*24 mm with a built-in sensitive video sensor. He shoots several thousand frames, according to which the doctor draws a conclusion about diseases.

Indications for gastroscopy

Like the classic FGS procedure, painless gastroscopy of the stomach without swallowing the probe is performed according to the following indications:

• detailed study of the mucous membrane of the stomach, esophagus, duodenum 12;
• suspicion of a tumor, bleeding, stomach ulcer;
• treatment of diseases of gastritis, duodenitis, esophagitis;
• clarification of the diagnosis of pathology in allergies, neuroses;
• detection of stomach acidity.

• ischemia of the heart;
• hypertension;
• pronounced curvature of the spine;
• aortic aneurysm;
• previous heart attack or stroke of the brain;
• varicose veins veins of the esophagus;
• narrowing and ulcer of the esophagus;
• hemophilia;
• hemorrhagic diathesis;
• obesity;
• exhaustion;
• endemic goiter of the thyroid gland.

Advantages and disadvantages

Examination of the stomach in this way has the advantage of not having to swallow the tube (reduction of fears and panic attacks in patients before manipulation), high information content, exclusion discomfort and pain without anesthesia. Diagnostic procedure suitable for those people who are contraindicated in classical FGS with the introduction of a tube. The disadvantages of capsule endoscopy include the following factors:

• the procedure is expensive;
• there is no way to take the material for a biopsy;
• it is impossible to accurately consider the pathology of the walls of the stomach;
• there is no possibility of medical measures- removal in the presence of polyps, stop gastric bleeding.

Contraindications

For gastroscopy without swallowing a flexible probe, there are contraindications:

• violation of swallowing function (dysphagia);
• age up to 12 years;
• pregnancy;
• increased gag reflex;
• closure of the lumen of the gastrointestinal tract (organ obstruction);
• the presence of a pacemaker and an implant powered by electricity, neurological electrical stimulators;
• intestinal obstruction due to the presence of a mechanical obstacle, impaired peristalsis;
• narrowing of the bowel due to fistulas and strictures (holes and closed spaces).

Training

Before performing capsule endoscopy, the patient must perform a number of actions to facilitate the procedure:

• in two days, start eating only liquid or solid food;
• do not use cabbage, legumes, alcohol, milk, fresh pastries, carbonated drinks;
• take drugs that reduce flatulence within 24 hours;
• on the evening before the study, to cleanse the intestines, take the Fortrans medication - from 16.00 to 20.00, drink a liter of suspension (a sachet per liter);
• stop eating at all within 12 hours;
• the procedure lasts 6-8 hours, the capsule is washed down with plain water, taken on an empty stomach;
• during the procedure, you can play sports, but do not make sudden movements and do not lift weights;
• through certain time prescribed by the doctor, the patient comes to the hospital to remove the capsule, this must be done naturally.

How is the procedure

Once in the esophagus, the capsule begins to work and take photographs. For eight hours, it moves along the gastrointestinal tract along a natural trajectory. During this, the patient is in the hospital or at home, without performing heavy loads. There is no discomfort during the procedure. The doctor receives data from her records, after which, after 1-2 days, the capsule leaves the body naturally. The diagnosis obtained by this method is highly accurate.

Price

It is possible to conduct an analogue of FGS - gastroscopy without swallowing a probe for examining the stomach in the usual free clinics as prescribed by a doctor and with a mandatory policy health insurance or private hospitals. Approximate prices for the capsule method of checking the gastrointestinal tract in Moscow:

Video