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  6. Panendoscopy
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Panendoscopy

An endoscope system with lighting is used in order to examine esophagus, stomach and duodenum. Panendoscopy sets the golden standard in the diagnosis of several diseases, particularly peptic ulcer, types of esophageal cancer or stomach cancer. Furthermore, it offers an advantage of minimal invasive treatment for upper gastrointestinal bleeding, particularly for bleeding associated with peptic ulcer and bleeding varicose vein in chronic liver disease patients. Narrowing of esophagus or opening (pyloric stenosis) between the stomach and small intestine can be enlarged with various endoscopic methods. Normal nutrition of the patient can be provided by inserting a stent (tube) in case of narrowing of esophagus associated with cancer.

Considerations before panendoscopy;

  • • Patients with high blood pressure, pulmonary and cardiac diseases should be evaluated by the physician in charge in respect to the applicability of panendoscopy. The use of certain types of medication such as Kumadin should be stopped before the procedure. Patients who have gone a heart valve replacement may need to be administered antibiotics before the procedure.

  • • For a good evaluation of the mucosa during the procedure, the stomach should be empty. Furthermore, the procedure poses a risk of aspirating the gastric content into the lungs as the gag reflex is stimulated during the procedure. Therefore, you should not eat or drink anything after 12:00 before the procedure, yet you can have blood pressure or heart medication with a small amount of water. Patients with diabetes should bring along their medication or insulin of morning dose in order to have these with breakfast after the procedure.

  • • Possible anticipated diagnosis, previous gastric surgeries, previous panendoscopy findings, if any, systemic diseases and medication allergies should be included in detail within the procedure request slip in order to facilitate the procedure and reduce down the risk of complication.

  • • The throat is anesthetized with a spray in order to decrease the gag reflex during the procedure. Patients are administered sedation through an intravenous line in special circumstances. The procedure lasts 5-30 minutes depending on the patient.

  • • After the anesthesia in the throat loses its effect subsequent to panendoscopy (approximately 1 hour later), the patient can eat and continue usual life. Patients who have been administered intravenous sedation should not drive a vehicle during the day.

Panendoscopy reports can be received from the outpatient clinic secretariat as of 15:00 in the following work day.