Gastroenterology

endoscopy
During the endoscopy, blood pressure, rhythm and oxygen saturation of the patients are constantly monitored and monitored, and an anesthesiologist is also present during the colonoscopy. Patients who come after making preliminary preparations for the intestines are administered a mild anesthetic drug to ensure that they do not feel any discomfort during the procedure. Rest after the procedure. Our patients, who are taken to their room and have no problems with their follow-up and control, are sent home on the same day. If a biopsy has been taken, the patient is informed as soon as the result is available.

What is endoscopy?
It is the examination of all hollow body cavities (stomach, intestines, inside the nose, bronchi, uterus, etc.) with specially designed instruments called endoscopes. While rigid, rigid, thin tube-shaped endoscopes were used in the past, today, thin, tube-like instruments called fiberoptics, with a light source and camera at the end, and bendable ones have been developed. Their thickness is 8-10 mm. and their length is 110-160 cm. They also have therapeutic properties that allow taking biopsies and excising small tumors called polyps. If the esophagus, stomach and the first part of the small intestine will be examined by entering the endoscope from the mouth, it is called gastroscopy, more commonly known as gastroscopy, while if the large intestines will be examined by entering the anus, it is called colonoscopy.

What is seen in endoscopy?
It is essential to be an experienced physician to fully evaluate what is seen during endoscopy. This device, called a video endoscope, projects the images it receives onto a screen, allowing the doctor to see what is happening inside. By looking at these images, the inner surface of the examined area is examined, if necessary, a piece is removed, and even if there is bleeding or polyps, they are treated. Whether there is a microbe (Helicobacter pylori) that causes ulcers in the stomach is most definitely determined by seeing the bacteria in the stomach biopsy.

Who can have gastroscopy?
It is performed for examination, diagnosis and treatment of the stomach, duodenum and bile duct mouth.

Anyone over the age of 45 who complains of indigestion or heartburn,

– Those who are under the age of 45 and have difficulty swallowing, nausea, vomiting, loss of appetite, and weight loss,

– Those with bleeding from the upper part of the gastrointestinal system,

– Those with a history or suspicion of stomach cancer,

– In patients over 50 years of age with complaints of reflux and stomach ulcers,

-In those with vitamin and iron deficiency of unknown cause,

– Those with cirrhosis and dilated vessels in the esophagus.

Who can have a colonoscopy?
It is performed to examine the colon, ectum and the place where the small intestine connects to the large intestine, to make a diagnosis and, if necessary, to treat it.

– For early diagnosis of bowel cancer for everyone aged 50 and over, even if they have no complaints,

– In those who have rectal bleeding or hidden blood in their stool,

– Those who have a family or personal history of bowel cancer or polyps

– In the investigation of the cause of anemia

– In those with inflammatory bowel disease (colitis, Crohn’s disease, etc.)

– It should be performed in patients with suspicious complaints such as abdominal pain of unknown origin, change in defecation habits, and long-lasting diarrhea.

What are the side effects of endoscopy?
Although it is not a painful procedure, a mild anesthesia is given to provide relaxation before the procedure. During this time, the patient is never unconscious, does not receive general anesthesia, and all vital data are monitored during endoscopy. The anesthetic may have side effects on the heart and respiratory system, biopsy and polyp removal site. Bleeding may occur. Complaints such as fever, difficulty swallowing, sore throat, and abdominal pain may occur, but these are very rare. Due to the anesthesia effect, activities that require attention should be avoided for a while (driving a car, etc.).

The growing problem of our age is Colon Cancer!
As with every type of cancer, early diagnosis is very important. Colon cancer is a preventable disease and is thought to develop from benign tumors called polyps. Today, the most effective method used to reduce the risk of dying from this disease is colonoscopic screening and removal of polyps detected during this screening. Other methods used for colon cancer screening are fecal occult blood testing. New alternatives are DNA testing from a stool sample and CT colonoscopy (virtual colonoscopy). Lifestyle has a big impact on colon cancer risk. Risk factors such as diet, exercise, alcohol consumption, tobacco use, a diet low in fiber and lack of vitamin intake are important factors in the development of colon cancer.