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Therapeutic applications
Endoscopy is most often used in the treatment of bleeding lesions. Ulcers, varices (abnormal, dilated
tortuous veins) or additional abnormalities can be treated by injecting substances that constrict
vessels, occluding them as soon as balloons or placing a small band at their base. Benign strictures
(narrowings) in the tummy or oesophagus can along with be opened up using endoscopic techniques.
Cancers of the oesophagus, belly and duodenum can sometimes cause obstruction, appropriately
little tubes (stents) can be placed to save the lumen open. Laser treatment can next be used to try to
slay some of the cancerous cells. Furthermore, endoscopy has been used in the treatment of gastrooesophageal reflux disease by means of special surgery via the endoscope.
The procedure
The nurse will attach an intravenous line, through which medications will be introduced and your
valuable signs (blood pressure, temperature, pulse rate and oxygen saturation) will be recorded.
These will be monitored before, during and after the procedure.
When you arrive for the procedure, a local anaesthetic will be sprayed at the urge on of your throat
to allow you to swallow the tube without gagging. Several patients along with receive sedation to
minimise discomfort and anxiety.
A long, lithe endoscope is passed via the mouth, through the oesophagus and front to attain the
duodenum. air is pumped out of the endoscope to dilate the belly to permit augmented visualisation.
The doctor manoeuvers the endoscope through the gastrointestinal tract. The doctor will be clever
to see magnified pictures of the tract upon the television and consequently begin to make a
diagnosis.
If unusual lesions are detected, the doctor may believe a small sample (biopsy) to allow other
testing, or produce an effect procedures to stop bleeding ulcers. Specialised equipment is threaded
through the tube for these purposes. The entire procedure usually takes 20-30 minutes.
After the procedure, you will stay for a few hours of observation even if the painkilling wears off.
Your throat may environment pustule and you may environment bloated. These will speedily wear
off.
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