Esophageal endoscopy

By | October 31, 2011

Some elderly people have early endoscopy eleven Jianshi really terrible, but with the progress of endoscopic technology, this problem has been solved, in particular the emergence of electronic endoscopy, with its high-definition, high resolution and good operability, the diagnosis of tumors provide direct, fast, accurate and efficient technical support, as necessary to check the preferred diagnosis of esophageal cancer. Must be noted that unlike the early years of electronic endoscopy has been among the "old endoscopy" as painful, but after all, is an invasive examination, there will be some discomfort. Many patients of esophageal endoscopy of fear, in the event of early symptoms when the doctor advised to do endoscopy, refused or delayed because of fear of inspection, so the delayed diagnosis.
Esophageal endoscopy indications:
those who have progressive symptoms and swallowing difficult and the performance of early esophageal cancer patients;
The X ray imaging revealed abnormal woven meal, need to further clarify the nature of those diseases;
exfoliated cells of the esophagus pull net positive, need to clear the location and extent of those lesions;
esophageal cancer surgery, radiation therapy, chemotherapy, and followed up after the therapeutic effect, treatment after recurrence of symptoms for patients to be excluded;
esophageal precancerous lesions of follow (such as severe esophagitis, select the door achalasia, esophageal hiatus pain, esophageal Italian room, polyps, papilloma, Barrett esophagus, etc.);
high-risk areas of esophageal cancer screening to detect early esophageal cancer.
In order to ensure the quality of esophageal endoscopy, the patient should be prepared well in advance before the inspection. 1 day before the test eat less fiber, low fat and easily digestible food; check to fast for 12 hours before, water deprivation; eating patients when significant obstruction, requiring three days of fasting, intravenous fluids, or washing before surgery esophageal emptying of food to be left only after inspection. Esophagus of patients did receive meals, waiting for Dayton agent after emptying (usually requires 3 days later) and then check. Preoperative routine application of 10 / 0 tetracaine pharyngeal anesthesia, and doctors before the examination can share their symptoms, to remind doctors focus on observing the esophagus, to relax when on the examination bed belt, unlock collar button, remove the denture, left lateral position, good mouth bite pad, relax, take the initiative to meet the doctors.
Endoscopic early esophageal cancer in the performance of the so-called early esophageal cancer is cancer confined to the mucosa and submucosa, the depth of invasion did not reach the muscle, regardless of tumor size. The performance of gastroscopy can be grouped into 4 types:
congestive type: flat mucosal lesions, showing small pieces of irregular mucosa congestion, flushing color, and normal mucosa boundaries clear, crisp texture, touch of easy bleeding, easy to find;
Hong rotten type: congestion of the mucosa in mild depression, were different sizes, edge irregular point sheet shallow ulcer or inexpensive rotten, surface attachment of white fur, food wall systolic and diastolic function well, this type of early esophageal cancer is the most common, accounting for about 45%;
plaque-type: mild white mucosal surface, slightly elevated, rough, leather chair was like, touch the easy bleeding;
papillary: papillary lesions were nodular-like bulge or small, less than 1 cm in diameter, the base width, surface congestion, or William Black.
Gastroscopy in the performance of advanced esophageal cancer: esophageal endoscopy in the diagnosis of advanced esophageal cancer rate of 100%, with a prominent mass endoscopic, deep ulcer and esophageal stenosis, easily identifiable diagnosis. Even the electronic gastroscope examination also found that only 50% -60% of patients with early, in order to improve the detection rate of early esophageal cancer, endoscopic staining can be combined screening method.
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