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1. What is gastroscopy ?
     Esophagogastroduodenoscopy, synonymous with upper endoscopy, known also as “Gastroscopy”, is a medical procedure in which the doctor can examine carefully and accurately the surface of the mucous coat of esophagus, stomach and duodenum. Endoscope, a thin, flexible tube that has a video camera with a light source attached to one end is used as a tool for this type of investigation. Thus, any inflammatory and ulcerative change, any source of bleeding or precancerous lesions, any malignant or benign tumors can be detected without any problem.
 
     The gastroscopy is recommended if you:
- feel intense/chronic pain in the upper abdomen;
- have bitter taste in the mouth;
- have waterbrush;
- have nausea, persistent and unexplained vomits;
- feel difficulty during swallowing;
- have no appetite;
- lose weight;
- feel general weakness;
- have bloating and frequent indigestion;
- suffer from hepatic cirrhosis;
- suffer from anemia;
- have allergy or cutaneous eruption;
- suffer from chronic or acute diseases of esophagus, stomach or duodenum;
- suspect a tumor of the esophagus, stomach or duodenum;
- have had operations in the upper digestive tract to determine success/failure of the operation.
 
     Endoscopy can also detect Helicobacter pylori infection, the bacterium that can cause gastritis or gastric cancer and take samples for biopsy. Thus, gastroscopy can accurately determine:
- presence/absence of precancerous conditions in the upper digestive tract;
- differential diagnosis of identified disease process (benign/malignant).
 
     Gastroscopy is not painful, lasts a very short time (2-3 minutes) but is accompanied by an unpleasant sensation, especially during the introduction of the endoscope in the pharynx. To overcome this condition, the doctor from the German Diagnostic Center will administer a mild anesthesia of pharyngeal mucous coat using a special spray.
 
     Gastroscopy is prohibited to people who have suffered from a heart attack, a stroke, and those suffering from the 3rd degree heart failure, pectoralis angina, peritonitis and hepatitis caused by hepatitis viruses. The patient may undergo gastroscopy about 3-4 weeks after a heart attack.
 
     People suffering from inflammation of the tonsils, larynx, bronchial or from glaucoma, epilepsy, hemophilia and goiter of the 4th degree should be cautious when undergoing the investigation. You should notify the doctor about medical conditions. This procedure can be prohibited in certain cases.
 
     Nowadays, upper digestive tract endoscopy is a usual procedure with low risk.
 
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