ENDOSCOPY

Medical Center «Health Clinic» is equipped with the latest endoscopic equipment. During diagnostic and endoscopic manipulations we identify pH of gastric juice, diagnose H. pylori infection, take bile for microscopy, or take a biopsy to exclude precancerous conditions.

The thinnest part of the endoscope(company OLYMPUS) with a new optical system allows you to see the relief of the mucous membrane with a fantastic clarity and precision.This lets us diagnose a cancer in gastroenterology.Better image details let us see differentiation in tissue structures and color transitions on the mucous membrane. A close focus function allows you to draw closer to the organ structure and get a larger image than the traditional.

Usually the following types of endoscopy are:

fibrogastroduodenoscopy – method of inspection of the mucous membrane of the esophagus, stomach and duodenum with a flexible device – OLYMPUS 2000 fibrogastroduodenoscope , in which an image is carried out through the finest optical system. Fibrogastroduodenoscope equipped with devices for multiple targeted biopsy,and other diagnostic manipulations.

The advantages of fibrogastroduodenoscope in «Health Clinic», are their great elasticity, that makes the introduction into the stomach more comfortable and reduces the unpleasant sensations that occur in patients usually. In addition, modern fiber optics, which are equipped in fibrogastroduodenoscope, provides a high degree of clarity and image quality. With fibrogastroduodenoscope that have controlled distal end, you can explore all areas of the esophagus, stomach and duodenum. This process can be difficult only if there is a deformation of explored cavities.

With gastroduodenoscopy we can examine esophageal mucosa, stomach and duodenum, which allows us to detect surface changes which are not available for the detection by radiological methods. Gastroduodenoscopy allows us find difference between benign and malignant tumors of the stomach and duodenum and get right diagnose. In addition, with the help of gastroduodenoscopy and targeted biopsy can monitor the healing of ulcerative process.

Indications fibrogastroduodenoscopy:

  • negative results of X-ray examination of the stomach in the presence of gastric symptoms of discomfort;
  • all diseases of the esophagus, stomach and duodenum for the purpose of differential diagnosis (esophagitis, gastritis, peptic ulcer disease, polyps, cancer of the stomach, etc.);
  • finding the source of gastrointestinal bleeding;
  • confirmation or exclusion of malignancy of the esophagus, stomach and duodenum;
  • diseases of other organs and systems in which it is necessary to clarify the state of the gastric mucosa.

Preparation:
On the evening before the procedure – a light dinner (not a fatty, fried, starchy foods).
On the day of the procedure refrain from taking food and water.

Development of the procedure:

  • The patient is asked to clamp his teeth a ring,in which is endoscope tube inserted, then asked to relax the throat and take a drink, during which the doctor inserts a gastroscope into the esophagus. During the study to reduce discomfort to the patient it is recommended to calm and breathe deeply.
  • The device is fed with a small amount of air in order to make the cavity of the upper gastrointestinal tract wider.
  • The doctor examines the esophagus surface of the stomach and duodenum.
  • If necessary the camera or video shooting and recording images.
  • Under indications may be performed biopsy or pH monitoring.
  • Then, the gastroscope is removed from the esophagus. Typically,the procedure lasts about 5 minutes.

Fibrocolonoscopy — a diagnostic medical procedure, which is performed for the diagnostic of the inner surface of the colon. Colonoscopy allows you to visually diagnose diseases such as ulcers, polyps, etc.as well as perform a biopsy and remove these lesions. Colonoscopy can help to remove polyps size of 1 mm or less. Immediately after removal of a polyp we can examine and determine is it precancerous or not.

Colonoscopy is very similar to sigmoidoscopy, but is not it, the difference lies is in the surveyed parts of the bowel: a colonoscopy allows to examine the entire colon (120-152 cm of the total length) and sigmoidoscopy – its distal part (the last 60 cm). In the «Heath Clinic» we perform both of these procedures.

Indications for fibrocolonoscopy and sigmoidoscopy:

  • Changes in the nature and/or stool frequency.
  • Discharge of blood during defecation.
  • Abdominal pain.
  • Anemia, weight loss, low-grade fever.

Preparation:
On the day before the study is necessary to take a light lunch (do not eat fried, fatty, starchy foods), and a light dinner until 18:00.
Two hours after the last meal you need to start taking the drug for bowel cleaning (our clinic experts recommend the use of the drug Endofalk).
If your body weight is less than 60 kg, you have to dissolve two sachets of Endofalk per 1 liter of water and drink this liquid for an hour; if your body weight is up to 80 kg, you will need to dissolve three bags of Endofalk in 1.5 liters of water, and drink this liquid for 1.5 hours; and if your body weight is over 80 kg – 4 bags of Endofalk dissolve in 2 liters of water and drink this fluid for two hours; do not finish the fluid use later than 22:00.
In the morning, you should refrain from eating and water before the test.

Development of the procedure:

  • The procedure takes about 40-45 minutes and is performed in a special room.
  • You will need to take off all your clothes, including underwear. In the case of restraint, you can ask the doctor a special disposable underwear. During the study, the colonoscope inserted through the anus into the lumen of intestine and gradually moving forward.To make study more significant we can use supplementary air. In this case you may have to appear bloated feeling. At the end of the study the air introduced into the intestine is aspirated by doctor through a special channel in the endoscope. During a colonoscopy, you may be asked to turn on the back, right or left side.

Chromoscopy -is a method of coloring areas of suspicious mucous that make visible at first glance, the “invisible” changes. With this method one can see small areas of tumor and mucosa regeneration, and to determine the borders of these regions to produce a biopsy with great accuracy.

Chromoscopy is performed by spraying the dye through the biopsy channel of the endoscope or catheter (Olympus PW-5L), Designed specifically for coloring the mucosa through the channel of the endoscope.

Preparation:
On the evening before the procedure – a light dinner (not a fatty, fried, starchy foods).
On the day of the procedure to refrain from taking food and water.

Development of the procedure:

  • Prepearing with atsetiltsisteini.
  • Coloring with methylene blue.
  • The end result, with area painted in blue, next the biopsy.

Breath test and cytological studies for Helicobacter Pylori

Breath test (Helic) – it is non-invasive respiratory diagnosis for Helicobacter pylori infection. The patient takes the urea solution and sits with the opened mouth. Terminating method is based on comparing the level of gas content, formed during the hydrolysis of urea (load) and the baseline content of the gas. Of all the bacteries only Helicobacter pylori exhibits such a high urease activity, as a result of which the urea is rapidly hydrolyzed. For each patient, we compare to its basal level with his own load level. The breath test method provides high diagnostic accuracy for Helicobacter pylori.

Preparation:
Examination must be conducted in the morning on an empty stomach. Light dinner the night before no later than 22:00. Allowed the use of water, but 1 hour before the test, and not more than 100 ml.
Do not take certain medications (antibiotics, antisecretory agents for 2 weeks, anti-inflammatory, antacids and analgesics for 5 days).
Do not take strong drinks for 3 days.
Do not eat beans.
Refuse chewing gum for at least 3 hours prior to the study.
It is recommended not to smoke 3 hours before the procedure.
It is recommended to brush your teeth before the test and carefully rinse the mouth.

For cytology used smears obtained from the endoscopic biopsies of the mucosa gastric antrum. Biopsy sample taken from the aiming areas with the most severe visual abnormalities. Applied Optical staining techniques reveal the presence of Helicobacter pylori, roughly to estimate the number of microorganisms.