Explain Why Is Endoscopy Called Upper Gastroscopy

The difference between diagnostic endoscopy and surgical endoscopy is that diagnostic endoscopy is where they diagnose an illness that is inside the body using an endoscope. While surgical endoscopy is where either surgery inside the body happens or introducing of certain things are put into the body. When you code a diagnostic endoscopy that turned into a surgical endoscopy, you would bill for the surgical procedure. You would bill for surgical procedure because you provided the service by the same provider to the same beneficiary on the same day.

A gastroenterologist is a physician who specializes in diseases of the digestive tract. They also focus on the digestive function of the liver. They have an ongoing training in the diagnosis and treatment of conditions in the small intestine, stomach, large intestine, and biliary system. They understand how the food is moved and the chemical break down of food in the digestive tract. Gastroenterologist also know about the removal of waste products.

There are a few different ways to be diagnosed and/or screened for stomach cancer. One way is an upper endoscopy. This allows the doctor to see anything not normal in the GI tract that wouldn’t be shown in an x-ray. Risks of this procedure usually don’t happen but if

• Endoscopy. This is a procedure to look into your stomach using a thin, flexible tube that has a tiny camera and light on the end of it.

Opening up the stomach is called laparotomy. This test can also be done laproscopically where they use cameras to look at the organs. This is less invasive than the laparotomy. (Ignatavicius & Workman, (2016) pg. 1171). A CT of the abdomen and pelvis may also be done. This is much like an x-ray but the CT will show more detail. Cross sectional images are taken of the abdomen and pelvis, which gives a better view because these images can see through the organs. These images are very accurate, can produce 3D images, and can be looked at in multiple planes. (Pagana, T. (2014) pg. 1021)

Laparoscopic surgery is a minimally invasive form of surgery, in which operations are performed through small incisions made in the body. Laparoscopy uses an instrument called laparoscope to look at organs inside the body. The laparoscope is long, thin tube that has high intensity light and a high resolution camera at its front end.

Endoscopic thoracic sympathectomy (ETS) is a procedure to destroy or cut portions of a chain of nerves that runs along your spine inside your chest (sympathetic nerve chain). In this procedure, a surgeon inserts a a flexible telescope with an attached camera (endoscope) through small cuts (incisions) under your arm. The surgeon uses the endoscope to perform surgery through these incisions with special tools (thoracic endoscopy).

When a patient is no longer or unable to feed themselves orally a feeding tube must be ordered. Specifically, when a patient has prolonged bleeding, facial trauma, upper GI blockage and cancer. An enteral tube feeding can be placed nasally for a short period of time. The NG tube catheter tip normally resides inside the stomach or in the small intestine past the pylorus. The number one complication involved with the use of NG tube feeding is incorrect placement. A nurse can unintentionally place an NG catheter into the lungs, most notably when a patient has little to no gag reflex. Completing a test for gastric contents, pH or performing a chest x-ray after inserting an NG tube for confirmation of proper insertion. Another major complication when using NG tubal feeding is aspiration within the lungs due to gastric substances enter the trachea and into the bronchial spaces of the lungs. Keeping the head of the bed elevated greater than 30 degrees will reduce aspiration to least possibility. Applying a gastrostomy or jejunostomy tube for enteral feedings when NG tube has interference with therapy or ensues intolerance. The gastrostomy tube, PEG, tip situated in the stomach and exits the body through the left upper quadrant of the abdomen where a bumper holds it into location. Internally positioned by a doctor during an endoscopy, radiology or surgery. A jejunostomy tube is set while in surgery, radiology or endoscopic. If done endoscopic, the PEJ tube goes

Transabdominal ultrasound is a machine that detects sounds waves to the pancreas which the technician glides over the abdomen. When the device is over the pancreas; “the sound waves bounce off the pancreas, gallbladder, liver, and other organs, and their echoes generate electrical impulses that create an image-called a sonogram-on a video monitor” (Chronic pancreatitis testing and diagnosis , 2014). Second test is called Endoscopic Ultrasound. This is a tube that goes into the mouth through the throat down the stomach and into the small intestine. For the doctors do this procedure, they “spray a solution to numb the throat” (Chronic pancreatitis testing and diagnosis , 2014). With this diagnostic test it also shows images of the pancreas and sound waves like the transabdominal ultrasound. Third test is a magnetic resonance cholangiopancreatograph (MRCP). This test “uses magnetic resonance imaging (MRI), a noninvasive procedure that produces cross-section images of parts of the body” (Chronic pancreatitis testing and diagnosis , 2014). Patients who have this diagnostic test are sedated, and lay in a cylinder tube. After the doctor or technician “injects dye into the patient’s veins, which helps show the pancreas, gallbladder, and pancreatic and bile ducts” (Chronic pancreatitis testing and diagnosis ,

Esophagogastroduodenoscopy (EGD) is a procedure to examine the lining of the esophagus, stomach, and first part of the small intestine (duodenum). A long, flexible, lighted tube with a camera attached (endoscope) is inserted down the throat to view these organs. This procedure is done to detect problems or abnormalities, such as inflammation, bleeding, ulcers, or growths, in order to treat them. The procedure lasts about 5–20 minutes. It is usually an outpatient procedure, but it may need to be performed in emergency cases in the hospital.

The doctor diagnose GERD based on: The symptoms, which the patient has like common heartburn and other symptoms, the doctor also will make a test, which will determine the amount of acid inside the food pipe. The device determines when and for how long stomach acid backs up into the food pipe. There are two kind of devices. One is a catheter, which will be inserting in the nose into the food pipe. The other one is a clip, which is positioned in the food pipe during endoscopy. If the patient has GERD and has to have a surgery, he or she also may have other tests like: an x-ray of the upper digestive system. The patient drinks a chalky liquid, which coats the inside covering of the food pipe, this allows the doctor to see a silhouette of the

Proper positioning of the duodenoscope is critical if proper cannulation of the biliary or pancreatic ductal system is to be achieved.

The endoscope is inserted through an cut in the skin near a joint that is being examined. This can be used to look at the joint and preform operations such as removing torn tissues. Arthroscopy is where the endoscope is put in through a cut in the skin near a joint. This can be used to look at the joint and carry out operations like removing damaged tissue. In Bronchoscopy the endoscope is inserted through the bronchial tubes in the lungs to remove any objects blocking the air passage or investigate infection. Endoscope Biopsy is where the endoscope is inserted through an opening or cut in the body so that it can easily access the area that is having the problem. Then forceps are used to take a sample of tissue that can be examined by a doctor.

Have you ever had a colonoscopy or endoscopy – where they take a camera and look through your mouth down into your stomach; or a camera that goes in your rectum that looks through your bowel and intestines?

Everyone should know that a lower GI is a very common and important exam used to diagnose many colon conditions. A lower GI examination, also know as a barium enema, is an x-ray examination of the large intestine. The large intestine, or large bowel, consists of the entire colon, including the appendix, rectum, and sigmoid colon. This commonly performed test is essentially the predecessor to the more familiar colonoscopy. A lower GI is used worldwide to help diagnose fatal diseases and many other problems that affect the large intestine.