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Our specialist surgeons are trained in Gastroscopy (also called upper endoscopy). Gastroscopy involves the insertion of a fibre optic gastroscope through the mouth into the oesophagus, stomach and duodenum (first part of the small intestine). It is a non-invasive procedure that is safe and done under sedation.
When is gastroscopy indicated?
Gastroscopy may be indicated if you have a history of epigastric pain or bloating, or gastro-oesophageal reflux, or there is a family history of gastric or oesophageal cancer.
What are the associated risks & complications of Gastroscopy?
Gastroscopy When performed under sedation by a qualified ansesthetist is very safe. Vomiting during anaesthetic can occur if strict fasting 6 hours prior to procedure is not adhered to. The risk with vomiting is that some of this fluid can be aspirated into the airways. This can lead to a chemical pneumonia due to the acidic nature of gastric fluids. The risk of aspiration is less than 0.2%[3]. Risk factors for aspiration include, Advanced age, obesity, and a previous history of gastro-oesophagral reflux. Elderly patients are most susceptible to developing pneumonia after an aspiration event. If aspiration occurred, hospital admission for treatment and monitoring may be necessary.
What should I do before my gastroscopy?
Gastroscopy is performed as a day procedure. Unless you are also having a colonoscopy, no bowel preparation is required prior to your gastroscopy.
You must fast for 6 hours (no oral food or liquids) prior to your gastroscopy to reduce your risk of vomiting and aspiration.
What happens during my gastroscopy?
Gastroscopy is quick, easy and safe. You will be sedated during the procedure. You may be asked to bite on a mouth guard prior to the insertion of the gastroscope. If biopsies are taken, they will be painless.
What happens after my gastroscopy?
You will need 1-2 hours to recover after your gastroscopy before being allowed to leave the hospital. You will need someone to pick you up from hospital following your procedure, as it is unsafe for you to travel alone or drive a vehicle. Results of your biopsy should be available within 1 week of your procedure.
How much does gastroscopy cost?
Our specialist surgeons and anaesthetists offer Direct Access “No Gap” Endoscopy to those with both Medicare and Private Health Insurance for all endoscopy procedure. If you do not have private health insurance, and would like to Get a Quote, you will find our rates quite competitive.
References
- You WC, Zhang L, Gail MH, et al. Gastric dysplasia and gastric cancer: Helicobacter pylori, serum vitamin C, and other risk factors. J Natl Cancer Inst 2000;92:1607–12.
- Sung JJ, Lin SR, Ching JY, et al Atrophy and intestinal metaplasia one year after cure of H. pylori infection: a prospective, randomized study. Gastroenterology 2000;119:7–14.
- Agostoni M, Fanti L, Gemma M, et al. Adverse events during monitored anesthesia care for GI endoscopy: An 8-year experience. Gastrointest Endosc 2011; 74: 266–275.