Oesophago-Gastro-Duodenoscopy (OGD) Flashcards
1
Q
What is OGD ?
A
Use a thin, flexible tube called an endoscope to examine the lumen of the upper digestive tract, which include oesophagus, stomach and duodenum.
2
Q
What are the indications?
A
- Upper abdominal pain
- Peptic ulcer or bleeding
- Suspected oesophageal or gastric cancers
- Gastroesophageal reflux disease 胃酸倒流
- Difficulty in swallowing
- Liver cirrhosis 肝硬化 and suspected to have gastroesophageal varices 胃食道靜脈曲張
3
Q
What are the therapies that could be performed during OGD?
A
- polypectomy (removal of polyp) 息肉切除
- control of bleeding
- stenting 放置支架
- dilatation of oesophageal 擴張食道 or enteric stricture 腸道狹窄
4
Q
What is the procedure ?
A
- 檢查前,病人喉部先被噴上局部麻醉藥。 醫生會因應病人個別情況,注射適量的鎮靜劑,以減低病人的焦慮 及檢查時所引起之不適。
- 醫生將一支柔軟之內視鏡經口部放進病人體內進行檢查。
- 整個內視鏡檢查一般需時約五至十分鐘,病人如情況複雜而需要特別治療,則需要更長時間。
5
Q
What are the precautions?
A
- fast for at least 6 hours
- remove make up and metallic items
- 喉部之麻醉藥會引致吞嚥困難,情況持續一個多小時