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Gastroscopy (or upper endoscopy) allows Dr Noushi to examine the oesophagus, stomach, and duodenum (first part of the small intestine) using a thin, flexible tube passed through the mouth.
It is used to assess:
It is more accurate than X-rays for detecting inflammation, ulcers, tumours, or early cancer. Biopsies are taken by using a specialized instrument to sample tissue. These samples are then sent to the laboratory to be analyzed. A biopsy is taken for many reasons and does not mean that cancer is suspected.
A variety of instruments can be passed through the endoscope that allows the surgeon to treat many abnormalities with little or no discomfort. Dr Noushi can stretch narrowed areas, remove polyps, remove swallowed objects, or treat upper gastrointestinal bleeding. Safe and effective control of bleeding has reduced the need for transfusions and surgery in many patients.
The stomach should be completely empty. You should have nothing to eat or drink for 6 hours prior to the examination. Dr Noushi will be more specific about the time to begin fasting depending on the time of day that your test is scheduled.
Medication may need to be adjusted or avoided. It is best to inform Dr Noushi and his anaesthetist of ALL your current medications as well as allergies to medications prior to the examination. Most medications can be continued as usual. Medication use such as aspirin, Vitamin E, non-steroidal anti-inflammatories, blood thinners (eg. Warfarin, clopidegral etc) and insulin should be discussed with Dr Noushi and his anaesthetist prior to the examination. It is essential that you alert Dr Noushi and his anaesthetist if you require antibiotics prior to undergoing dental procedures, since you may also require antibiotics prior to this procedure.
You will receive sedation anaesthetic. So please arrange for someone to drive you home. Do not drive or operate machinery until the following day.
You will be given medication through a vein to help you relax and fall asleep for the duration of the examination. You will be laid on your side or back in a comfortable position as the endoscope is gently passed through your mouth and into your esophagus, stomach and duodenum. Air is introduced into your stomach during the procedure to allow a better view of the stomach lining. The procedure usually lasts 15-60 minutes. The endoscope does not interfere with your breathing. Most patients fall asleep during the procedure; a few find it only slightly uncomfortable.
You will be monitored for 1–2 hours post-procedure.
Common symptoms:
You can eat and resume medication unless instructed otherwise. If biopsies were taken, avoid alcohol, NSAIDs, or spicy foods for 24 hours.
Results are usually discussed the same day. Biopsy results may take a few days. Contact Dr Noushi’s rooms if you need clarification.
Complications are rare but may include:
For questions about your procedure or preparation, please contact Dr Noushi’s rooms.
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