Beiping said | The patient drank a few sips of water before doing painless gastroscopy ...

Author:Guangdong Provincial Hospital Time:2022.09.20

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The spleen and stomach are the basis of the day after tomorrow. The spleen and stomach plays an important role in maintaining physical health.

Zhang Beiping, chief physician of the Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine, and the Integrated Traditional Chinese and Western Medicine Prevention Team of the Gastrointestinal Cancer will regularly push the knowledge of health care and Chinese and Western medicine to escort your digestive health through this column to escort your digestive and health! Welcome to follow.

Today is the day when Uncle Li conducts a painless gastroscopy. Uncle Li keeps in mind the doctor and nurse's instructions. After the morning, he never ate and drink water. As time passed, the patients around him were called one after another for inspection, and Uncle Li could not help but get nervous. Uncle Li, who did not eat and drink water after the morning, felt more and more thirsty, and muttered in my heart: The doctor asked me not to drink water to eat on the day of the day, but if I do n’t replenish it in time, I am afraid it ’s difficult to cope with the next one. Anesthesia and examination, right? Drinking a few sips of water should not be a big problem! As a result, Uncle Li picked up the kettle, secretly poured a few mouthfuls, his mouth was thirsty and resolved, and his nervousness also relieved a lot.

It didn't take long for Uncle Li to check. Before the examination, the doctor asked Uncle Li when he was eating and drinking the water for the last time. Uncle Li thought that he had secretly drank a little water and was not discovered, so he lied that he would never eat and drink water after getting up in the morning. So, Uncle Li lay on the bed in accordance with the standard position. After a few minutes of anesthesia, Uncle Li fell asleep, and then started gastroscopy. But as soon as the gastroscopy entered the esophagus, I saw a lot of reflux liquids. The endoscopic doctor immediately attracted the reflux liquid in the esophagus and quickly entered the gastric cavity in the stomach. , Avoiding the occurrence of mistakes, and finally completed the gastroscopy.

After the examination, the doctor asked Uncle Li's last time to drink water, and Uncle Li talked about secretly drinking water before entering the inspection room. The doctor patiently told Uncle Li: Before receiving a painless gastroscopy, you should strictly follow the doctor's order for fasting, otherwise the risk of anesthesia will be increased. Because if there is water and food in the stomach, it is easy to flow to the esophagus and the oropharynal parts after anesthesia. As the breath enters the airway and even the lungs, it will cause severe complications, such as inhalation of pneumonia, airway spasm, respiratory tract, respiratory tract Obstruction, even suffocating cardiac arrest.

After listening, Uncle Li had a lingering heart, and said that he must be serious about the preparation before the examination, and he would never dare to drink water secretly.

【Beiping Say】

What is the difference between painless gastroscopy and ordinary gastroscopy?

The difference between ordinary gastroscopy and painless gastroscopy is whether varicose anesthesia (commonly known as general anesthesia). Patients with non -anesthesia taboos can choose more comfortable painless gastroscopy, so painless gastroscopy is also the first choice for most patients.

"Manhua Gastrointestinal Health" original comics

Second, why should you stop fasting before painless gastroscopy?

① Ensure that the field of vision under the endoscope.

If the stomach is not completely emptied and food remains in the stomach, it will cover the gastric mucosa, affect the vision under the gastroscopy, and cause the endoscopy doctors to observe the complete and clear gastric mucosa, which directly affects the judgment of the endoscopy.

② Prevent erroneous suction.

In a physiological state, people have the following three types of physiological reactions to prevent food from entering the airway:

(1) The sphincter of the esophagus in the esophagus and gastric connection plays the role of the gates, which can prevent the gastric content from flowing to the esophagus and the oral cavity.

(2) Swallowing reflex can ensure that the food can enter the esophagus smoothly without entering the trachea when eating and drinking water.

(3) When water or other foreign bodies enter the trachea, they will immediately cause cough reflexes of the human body and remove these foreign bodies.

However, in the state of anesthesia, the above three protective physiological functions are lost. The content of the stomach can flow to the esophagus and the oral cavity. The food in the pharynx can enter the trachea and lungs. , Leading to foreign bodies into the trachea or even the lungs, leading to severe complications, such as inhalation of pneumonia, airway spasm, respiratory obstruction, and even suffocating the heart arrest.

3. What should I pay attention to before gastroscopy?

① Fasting forbidden water.

Stop eating at least 6 hours before the inspection and drinking water 2 hours ago! The day before, there was a diet (such as porridge, soft rice, rotten noodles, minced meat, vegetable mud, etc.) to avoid eating foods containing more cellulose (such as celery, coarse grains, or too hard food).

"Manhua Gastrointestinal Health" original comics

② Drug management.

Patients with hypertension patients can be delivered with a small amount of water on the morning of the examination, and after 2 hours of medication, it can be checked.

Those who have long -term oral aspirin, Boliwei, Sanqi, and other drugs with anti -platelets and anticoagulation effects must communicate with the doctor in advance and stop for 1 week under the condition of the condition. Bleeding.

Diabetes patients are prohibited from taking hypoglycemic drugs on the day of examination, so as not to cause hypoglycemia.

③ Smoking. Smoking will exacerbate the inflammation of the throat and increase the throat secretion. It may cause adverse reactions such as cough and throat discomfort during examination.

④ Those who have conducted a meal examination within 3 days shall be postponed to the gastroscopy. Because the pyrine can adhere to the gastrointestinal mucosa, especially the part of the ulcer lesions, affecting gastroscopy observation and difficulty in the diagnosis of gastroscopy.

⑤ If the patient has symptoms such as a cold, cough, allergies on the day, the doctor and anesthesiologist must be informed in time, and the condition must not be concealed. Because when the respiratory tract is inflammated and high -reactivity of the airway, the probability of laryngeal spasm and bronchial spasm will increase. At the same time, the number of nasal cavity and tracheal endocrine after anesthesia increases the risk of suffocation. ⑥ Complete blood routine, coagulation, and electrocardiogram examination in advance, especially patients with hypertension, coronary heart disease, arrhythmia, and patients over 60 years old.

⑦ Accompany relatives in order to explain the condition and sign.

⑧Wee tooth, glasses and other items should be removed before the inspection to avoid affecting the inspection.

【Expert Introduction】

Zhang Beiping

PhD, chief physician, doctoral tutor. Guangdong Provincial Hospital of Traditional Chinese Medicine (No. 2 Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine) Deputy Director of the Department of Science and Diseases of the Science and Disease Diseases, the third batch of national old Chinese medicine experts Ji Liangchen Professor Ji Liangchen, academic heir, training doctor in Beili University Hospital in Japan, and the sixth national tens of thousands of talents The target of colleges and universities, the first batch of outstanding young medical talents in Guangdong Province, the second batch of outstanding Chinese medicine talents in Guangdong Province, was selected as the 8th batch of Lingnan famous medical records, and the first batch of Hu Run Ping An China good doctors in 2017. Chairman of the Commissioner of the Early Early Cancer Cancer Committee of the Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Chinese and Western Medicine; Chairman of the Communication Tumor Prevention Professional Committee of the Guangdong Provincial Traditional Chinese Medicine Society; chairman of the Guangdong Health Association Spleen Health Branch.

Good at: gastrointestinal, esophageal tumors and anterior cancer lesions, endoscopic diagnosis of endoscopic diseases with bile pancreas; combination of traditional Chinese and western medicine; endoscopic treatment of various digestive tract obstruction; inflammatory bowel disease (ulcerative colitis and Crole Grace) The combination of traditional Chinese and western medicine.

Introduction

The Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine is a key specialty of the "Eleventh Five -Year Plan" of the State Administration of Traditional Chinese Medicine, a key specialty of the Guangdong Provincial Administration of Traditional Chinese Medicine, the National Poor Battle Management Project Sub -Center, the National Capsule Endoscopy Research Center Clinical Training Base, Guangzhou Branch Center, National Helicobacter Pylori Molecular Diagnosis Center. Lead the establishment of the Society of Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Digestion of Endoscopy, Early Early Cancer Expert Committee, the Guangdong Provincial Society of Traditional Chinese Medicine Society, the Guangdong Provincial Chinese and Western Medicine Society Gastroscopy Professionals Professional committees, Lingnan Traditional Chinese Medicine Digestive Endoscopy Medical Alliance and Lingnan (South China) Chinese and Western Medicine Integrated Cynefront Clear Screw -related Stomach Diseases Academic Alliance

Under the guidance of the three professors of the academic leader Yu Shaoyuan, Luo Yunjian and Huang Suiping, under the leadership of the subject leader, the deputy director of the spleen and stomach disease and digestive endoscopic center, Zhang Beiping, Zhang Haiyan, Director of the Director of the Department of Spleen and Stomach Diseases of the General Hospital of Dade Road Wang Jing, director of the Department of Spleen and Stomach Diseases of the Hospital, Chen Yan, Director of the Department of Spleen and Stomach Diseases of Fangcun Hospital, and Liu Tianwen, Director of the Department of Spleen and Stomach Diseases of the College City Hospital, led the team to follow the team and bring the team for progress. The combination of traditional Chinese and western medicine to prevent early cancer and inflammatory cancer transformation diseases such as chronic atrophic gastritis, colorectal adenoma, inflammatory bowel disease, biler and pancreas, etc., especially at 3E technology (ESD, ERCP, EUS ) Waiting for various surgical treatment and postoperative Chinese medicine to promote rehabilitation, achieve good clinical efficacy, and be welcomed by patients.

Supply: Ma Yanyan and Chen Liji of the Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine