This is an automatically translated article.
The article is professionally consulted by Master, Doctor Mai Vien Phuong - Gastroenterologist - Department of Medical Examination & Internal Medicine - Vinmec Central Park International General Hospital.Gastrointestinal endoscopy is mainly used for the diagnosis of gastrointestinal diseases. In addition, gastrointestinal endoscopy also has the purpose of intervention, through which to pick up gastrointestinal foreign bodies, parasitic worms in the digestive tract to treat the disease.
1. When is endoscopic intervention to pick up foreign bodies in the gastrointestinal tract indicated?
Treatment of worms in the digestive tract. Pick up foreign bodies in the gastrointestinal tract.
2. Contraindications of endoscopic intervention to pick up foreign bodies in the gastrointestinal tract
Absolute contraindications :
Suspected acute coronary syndrome Patients with uncontrolled hypertension Suspicion of perforation of hollow viscera Suspicion of aortic aneurysm or dissection Patient is in respiratory failure Patient is depressed Severe heart failure Patients with uncooperative psychosis Relative contraindications:
Patients with hypotension systolic blood pressure <90mmHg. High-risk patients: age > 60 years, suspected chronic cardiopulmonary disease should do more electrocardiogram and chest X-ray.
3. Interventional gastrointestinal endoscopic technique to pick up worms and foreign bodies
According to the gastrointestinal endoscopy procedure issued by the Ministry of Health, the intervention technique to pick up worms and gastrointestinal foreign bodies is performed specifically in the following steps:
The patient enters the room, the medical staff guides the patient. Lie on the procedure stretcher and follow the monitor, as directed by the bronchoscope. Instruct the patient to lie in the correct position. The nurse will monitor the patient's condition, notify the doctor when there is an abnormality, always encourage and guide the patient to cooperate to conduct the procedure smoothly. Endoscopy according to the standard procedure: observe the esophagus, gastric mucosa, duodenum and duodenum or colon, find the location of worms or foreign bodies in the digestive tract, put pliers to pick up worms or foreign bodies. In case the foreign body is too large, the snare can be used to cut the foreign body into small pieces so that it can be pulled out of the digestive tract. Monitor the patient's condition throughout the entire procedure. After the doctor finished the endoscopy, the nurse helped the patient up and took the patient out of the endoscopy room to the waiting area. Instruct the patient to add more test sheets, biopsies if necessary. The nurse washes the machine according to the technical process. Return the results of interventional endoscopy to the patient. Medical staff will detect and treat bleeding complications (if any) when taking samples, due to the wrong insertion of the bronchoscope into the trachea, slow pulse or cardiac arrest due to vagal hypertrophy. All must be recorded on the results report or for the hospitalized patient for further treatment, depending on each complication.
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4. Interventional endoscopy – cutting and removing stomach food residue
Similar to endoscopic intervention to remove worms and foreign bodies, endoscopic intervention to remove food residues in the stomach is an interventional technique to remove food residues in the stomach. There are 2 types of food residues: phytobezoar (from vegetables and plants) and trichobezoar (from hair and feathers). Patients must fast for at least 6 hours and are advised to use carbonated drinks 1 week before: cocacola...
The doctor proceeds to put the overtube through the endoscope and endoscope according to the procedure. Use a noose to cut food residues into pieces, sometimes food residues are difficult to cut. After cutting the food residue into small pieces, use a gabion to gradually pull it out through the mouth by pulling the whole line of the scope out.
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