A gastroscopy is to evaluate the shape, size, and location of gastric cancer by observing the inside of the stomach directly through the endoscope, and conduct a biopsy in the suspected area. This is required to confirm the gastric cancer through a biopsy, to determine the scope of the operation, and to find the early gastric cancer without symptoms.
Recently, a dye is used to paint mucous membranes or immunofluorescence is injected to improve the accuracy of diagnosis.
An examinee must fast from the previous night, take medications to remove air bubbles and mucus in the stomach just before the examination,
and keep local anesthetic in the mouth for about five minutes to reduce discomfort caused when inserting an endoscope.
The upper endoscopy takes about 5 to 10 minutes, and if the endoscopy causes great anxiety, a conscious sedation (sedative) gastroscopy is recommended.
As the sedative gastroscopy is carried out after injecting a sleeping- inducing sedative, the patient can be examined more comfortably than normal gastroscopy due to the antianxiety or anterograde amnesia effects (memory loss effects).
However, as the patient is not unconscious or anesthetized, the patient can cooperate during the examination.
In addition, despite the appropriate amount of medication used, some people fail to fall asleep or be under conscious sedation, and in some cases, the examination can be difficult due to the lack of cooperation from the patient.
The sedative gastroscopy is relatively safe, but caution is req uired for the elderly or those who have deteriorated cardiopulmonary functions.