Which is your preferred choice: painless gastroenteroscopy or regular gastroenteroscopy? You need to know these 10 questions

Aunt Li has been feeling uncomfortable in her stomach recently and wants to go to the hospital for a gastroscopy. The doctor told her that gastroscopy is very intuitive and can easily detect early lesions, but many people feel pain, so Aunt Li needs to cooperate during the examination.

Originally, Aunt Li was very happy to hear that the diagnosis accuracy rate was high, but when she heard that the gastrointestinal endoscopy was a little uncomfortable, she started to worry again. Seeing her hesitation, the doctor told her that the gastrointestinal endoscopy also had a "painless" mode. Knowing that there was a "trick", Aunt Li felt relieved, but she still had many questions to ask the doctor~

Aunt Li: What discomforts are associated with a common gastrointestinal endoscopy?

Anesthesiologist: When the gastroscope passes through the throat, you may feel nauseous and retching. Once the gastroscope passes through the throat, you will generally feel much better. During colonoscopy, the intestines need to be inflated, which can cause abdominal distension and even abdominal pain. In addition, during the examination, there will be pulling, twisting, clamping and other actions, which may make people uncomfortable.

Aunt Li: How can I avoid suffering? Who can help me?

Anesthesiologist: Anesthesia and painless technology can relieve the discomfort during gastrointestinal endoscopy. Under the condition of closely monitoring the patient's breathing, blood pressure, heart rate and other vital signs, the anesthesiologist uses narcotic analgesics and sedatives to the patient so that he or she no longer struggles or feels helpless during the examination.

You wouldn’t have thought that anesthesiologists not only participate in surgery, but also participate in many comfort examinations.

Aunt Li: What medicine did the anesthesiologist give me?

Anesthesiologist: Anesthesiologists use sedatives, analgesics, local anesthetics, general anesthetics, etc. From the description of the drugs, it can be seen that the purpose of the anesthesiologist's medication is very clear - to make the subject relax and not feel pain.

Aunt Li: What is the benefit of painless gastroscopy?

Anesthesiologist: There are many benefits of painless gastroenteroscopy:

①Relieve the tension and discomfort of the examinee;

② Create good examination conditions to facilitate endoscopists to carefully examine various parts of the gastrointestinal tract and help improve the accuracy of diagnosis;

③Shorten the inspection time;

④Reduce complications caused by tension and fear, such as cardiovascular and cerebrovascular accidents, intestinal spasms and mechanical injuries, etc.

Aunt Li: This painless technology is not just an exaggeration, right? Doesn’t it have any disadvantages?

Anesthesiologist: Everything has its pros and cons. Painless gastroscopy also has the following disadvantages:

① Compared with ordinary gastroenteroscopy, because of the addition of anesthetic drugs and monitoring methods, the cost of "painless" gastroenteroscopy is higher and the appointment time may be longer;

②More preparation is needed, such as: infusion...

③ The patient stays in the clinic for a longer time and needs to be fully awake before leaving;

④ The adverse reactions of anesthetic drugs may cause a small number of examinees to "laugh with tears" and even lead to anesthesia accidents.

Aunt Li: Is this “painless” anesthesia safe?

Anesthesiologist: The anesthetic drugs commonly used during the examination usually have the advantages of fast metabolism and little residue; and during the examination, there are complete monitoring equipment and professional medical staff... All of these can guarantee the safety of the examinee to the greatest extent. Therefore, although we dare not say that it is foolproof, the long-term experience of many large hospitals at home and abroad has confirmed that the safety of painless gastroenteroscopy is very high.

Aunt Li: With the "painless" technology, does the examination really not hurt at all?

Anesthesiologist: During the painless gastrointestinal endoscopy, the examinee is in a state of sedation or anesthesia and perceives very little stimulation caused by the examination. Even if he feels a little uncomfortable, it is acceptable.

Aunt Li: Will I definitely fall asleep during the painless examination?

Anesthesiologist: Painless ≠ falling asleep! The purpose of painless is to improve the accuracy and safety of the examination. As long as the examination is completed smoothly, the role of the anesthesiologist and "painless" has been played. As for whether you fall asleep or not, it is not the point. Aunt Li: But I just want to fall asleep. Will the doctor meet my request?

Anesthesiologist: The subject's request to fall asleep to relieve pain and tension is understandable and worthy of consideration, but it can only be considered moderately and cannot be used as a criterion for anesthesia decision-making.

There are many factors that affect the anesthesiologist's decision, such as the patient's own condition, other diseases, allergy history, etc. As for whether the doctor will meet the patient's desire to fall asleep, it needs to be decided based on a comprehensive range of factors.

Aunt Li: I have high blood pressure. Can I have a “painless” gastroscopy?

Anesthesiologist: The stimulation of gastrointestinal endoscopy will increase the blood pressure of the examinee, thus bringing the risk of cardiovascular and cerebrovascular accidents. If the examinee has high blood pressure, the increase in blood pressure will be greater and the risk will be higher. Therefore, the examination is generally performed after the high blood pressure is effectively controlled. As for what blood pressure value is suitable for painless examination, the anesthesiologist needs to consider it comprehensively.

For example, if the blood pressure reaches 170/100 mmHg, if the blood pressure of the examinee can return to normal or roughly normal after sedation, then anesthesia can be accepted; otherwise, it should be considered carefully. In addition, if the examinee has hemangioma, sequelae of cerebral hemorrhage and other diseases in addition to hypertension, even if the blood pressure has dropped, the decision should be made carefully.

Therefore, there is no absolute or unique standard for what blood pressure value is suitable for anesthesia, and the doctor must analyze the specific problem.