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Endoscopy Unit

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Endoscopy; It is used in the diagnosis of esophagus, stomach, small and large intestines, anus region, liver, gall bladder, bile ducts, pancreas and peritoneum diseases. Bronchoscopy, gastroscopy, colonoscopy, recto-sigmoidoscopy, cystoscopy, urodynamics procedures are performed.


BRONCOSCOPY

Bronchoscopy is a type of endoscopy method that is used to examine the respiratory tract and lungs after the larynx area, to perform some procedures and interventions for diagnosis and treatment. During this procedure, the anatomy of the bronchial tree is examined and many diseases, especially lung cancer, can be diagnosed. Widely used bronchoscopes today are flexible, and in these devices, the part that enters the bronchial tree of the patient is quite thin and thus does not cause much discomfort in the patient. The image taken from the airways is monitored with the lens located at the end of the device. During the procedure, biopsy can be taken from the bronchial mucosa, material can be obtained by brushing, or the presence of bacteria or tumor cells in this fluid obtained by giving saline to the bronchial tree and withdrawing it can be examined.

Bronchoscopy is performed for two main reasons:

1. Diagnostic purposes: When abnormal findings are detected on chest X-ray or computed tomography for various reasons, in the presence of hoarseness that lasts more than 2 weeks and not directly considered a disease of the vocal cords, in the presence of an unexplained and long-lasting cough, cough It is applied to patients who have ingested a foreign body into the trachea, in case of bloody sputum or coughing up blood.

2. For therapeutic purposes: In order to remove foreign bodies in the airways in the presence of excessive secretion (excretion) accumulation in the bronchi, invasive bronchoscopy applications of benign or malignant tumors originating from the trachea or main bronchi, i.e. laser, argon plasma cautery, electrocautery, Therapeutic bronchoscopy is applied for the removal of stenting for the treatment of stenosis of the trachea and main bronchi due to various reasons.

GASTROSCOPY

 It is the process of examining the upper digestive system, ie esophagus, stomach and duodenum. This procedure is done with an endoscopy device. This tool is a soft, plastic structure, the thickness of your little finger, in the form of a cable, it is a camera system that transmits the image of the path it passes to the television screen.
 
When is gastroscopy required?
 
Problems with swallowing: painful swallowing, difficulty swallowing solid or liquid foods, food stalling, etc.
Heartburn and burns that do not resolve with medical treatment,
Abdominal pain: gnawing or persistent pain in the upper middle part of the abdomen that occurs when hungry or a few hours after eating.
Red-colored or coffee-like blood with vomiting,
Vomiting with abdominal pain, gastroscopy is required if abnormality is observed in the stomach film with barium.
 
How to prepare for a gastroscopic examination?
 
For this examination, it is sufficient to fast for 6-8 hours, during this time water or clear tea can be drunk. If you have rheumatic valvular heart disease before, you should have 2 separate antibiotic injections 2 hours before and 8 hours after the procedure. If you have diseases related to congenital bleeding or you have other diseases, it is useful to inform your doctor before the procedure.
 
How is the gastroscopy procedure?
 
Before starting the procedure, a spray to stop nausea and vomiting is sprayed into your throat. This spray is a spray that has a needle-like effect used by dentists and its duration of action is up to 15 minutes. If there is no disadvantage in medical care, the endoscopy procedure is started after the patient is relieved by intravenous relaxing medication. This procedure is not a surgical intervention. Therefore, narcosis and complete sleep are not required.

COLONOSCOPY-RECTO-SIGMOIDOSCOPY

It is a method of visualizing the entire large intestine and the part of the small intestine adjacent to the large intestine by entering from the anus with a thin and flexible tube with a camera at the end. Sigmoidoscopy is the name given to the examination of the part of the large intestine close to the anus. Before the procedure, the intestines should be cleaned with a laxative. It is the most reliable method in the diagnosis of colon (large intestine) cancer. Also; It protects patients from cancer by detecting and removing polyps and similar pre-cancerous lesions. It is recommended to be applied to anyone over the age of 50 to avoid colon cancer. Those with colon cancer in their close relatives should have a colonoscopy 10 years before the age of the youngest cancer patient in the family. The vast majority of colon cancers develop on benign tumors called polyps. Colonoscopy performed at the appropriate time allows polyps to be found and removed at the stage before cancer develops. Those who have polyp taken from the large intestine should have follow-up colonoscopies every 1 to 3 years, depending on the characteristics of the polyp. Non-cancer such as Colonoscopy, Ulcerative Colitis, Crohn's Disease