What is Endoscopy ?

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Why do you need Endoscopy ?

Endoscopy is indicated for:

  • Digestive issues:
    • Upper GI endoscopy (esophagogastroduodenoscopy, EGD): For acid reflux, ulcers, or bleeding (50–60% of cases).
    • Colonoscopy: For colorectal cancer screening, rectal bleeding, or diarrhea (30–40% of cases).
    • Prevalence in India: 20–30% of adults over 40 experience GI symptoms needing endoscopy; colorectal cancer incidence 4–6 per 100,000 (2023 data).
  • Other indications:
    • Bronchoscopy: Lung issues (e.g., chronic cough, infections; 5–10% of cases).
    • Cystoscopy: Bladder issues (e.g., blood in urine); links to your urologic queries.
    • Failed non-invasive tests: Unexplained symptoms after ultrasound or CT.
  • Types:
    • Diagnostic: To visualize and biopsy (e.g., gastric ulcer biopsy for H. pylori).
    • Therapeutic: Polyp removal, stent placement, or bleeding control (e.g., variceal banding).
  • Associated treatments:
    • Pre-op: Bowel prep (colonoscopy, e.g., polyethylene glycol solution), fasting (4–6 hours for upper GI).
    • Post-op: Monitor for complications, dietary adjustments (e.g., light meals post-procedure).
  • Timing:
    • Performed in adults (average age 30–70 years); elective for screening/diagnosis; urgent for acute bleeding or obstruction.

The procedure aims to diagnose or treat internal issues with minimal invasiveness, offering quick recovery and high diagnostic accuracy.

Why Do Costs Vary in Philippines?

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Endoscopy Procedure

  • Before Procedure Evaluation:
    • Assessment:
      • Blood tests: Clotting profile (if biopsy planned), blood sugar (diabetes control).
      • Medical history: Allergies, medications (e.g., stop blood thinners if safe).
      • Imaging: Often preceded by ultrasound/CT to narrow focus.
    • Preparation: Fasting 4–6 hours (upper GI); bowel prep (colonoscopy); throat spray (local anesthesia for EGD).
    • Consent: Risks, including perforation, are explained.
  • Procedure Technique:
    • Upper GI Endoscopy (EGD):
      • Performed under local anesthesia (throat spray) or sedation (e.g., midazolam), lasting 5–15 minutes.
      • Process:
        • Endoscope (9–10 mm diameter) inserted through mouth, passed into esophagus, stomach, and duodenum.
        • Visualization: Camera displays internal structures on monitor; air insufflated to expand area.
        • Intervention (if needed): Biopsy taken (e.g., for H. pylori), bleeding cauterized, or foreign body removed.
        • Completion: Endoscope removed; patient monitored for 1–2 hours if sedated.
    • Colonoscopy:
      • Under sedation, lasting 15–30 minutes; endoscope inserted via rectum to examine colon; polypectomy if needed.
    • Intraoperative Tools:
      • Endoscope: Flexible tube with camera/light.
      • Biopsy forceps: For tissue sampling.
      • Snare: For polyp removal.
  • After Procedure:
    • Hospital stay: Outpatient (1–2 hours observation if sedated; same-day discharge).
    • Care: Resume light diet after 1–2 hours (upper GI); avoid heavy meals for 24 hours (colonoscopy).
    • Pain management: Mild throat discomfort (EGD) or bloating (colonoscopy) for 1–2 hours; usually resolves without medication.
    • Instructions: Avoid driving for 12–24 hours if sedated; monitor for bleeding or pain.

Recovery After Endoscopy

  1. Procedure Duration: Outpatient (1–2 hours observation).
  2. Post-Procedure Care:
    • Discomfort: Mild throat soreness (EGD) or bloating (colonoscopy) for 1–2 hours; resolves same day.
    • Activity: Resume normal activities same day (if no sedation) or next day (if sedated); avoid strenuous activity for 24 hours.
    • Diet: Light meals (e.g., soup, yogurt) for 1–2 hours post-procedure; normal diet by next day.
    • Sedation effects: Drowsiness for 4–6 hours; avoid driving or operating machinery for 12–24 hours.
  3. Follow-Up:
    • Results: Biopsy results in 3–7 days; follow-up if abnormal (e.g., H. pylori treatment).
    • Screening: Repeat colonoscopy every 5–10 years (if normal, per guidelines).

Most resume normal activities within 1 day; full recovery is immediate unless complications occur. Success rate: 95–98% diagnostic accuracy; 90–95% therapeutic success (e.g., polypectomy); <1% complication rate.

Risks and Complications

  • Procedure Risks:
    • Bleeding (0.5–1%): From biopsy or polypectomy; usually self-limiting, rarely needs intervention.
    • Perforation (0.1–0.3%): Tear in organ (e.g., colon); may need surgery (rare).
    • Sedation risks (<1%): Reaction to sedatives; higher in elderly or comorbid patients.
  • Post-Procedure:
    • Infection (0.1–0.5%): Rare with proper sterilization; treated with antibiotics.
    • Bloating (5–10%): From air insufflation; resolves in 1–2 hours.
    • Sore throat (5–10%, EGD): Resolves in 1–2 days; gargle with warm saline.
  • Long-Term:
    • Missed lesions (2–5%): Small polyps or early cancers; mitigated by experienced endoscopists.
    • Recurrence (5–10%): Polyps may regrow; needs regular screening.

Report fever, severe abdominal pain, or persistent bleeding promptly.

Frequently Asked Questions (FAQs)

What causes the need for endoscopy?

GI symptoms (e.g., acid reflux, rectal bleeding), lung issues (e.g., chronic cough), or bladder concerns (e.g., hematuria).

Can I avoid endoscopy?

Yes, if mild: Non-invasive tests (e.g., stool tests, ultrasound); endoscopy needed for definitive diagnosis or intervention.

Is endoscopy painful?

Mild discomfort (throat soreness or bloating) for 1–2 hours; sedation minimizes pain during procedure.

How soon can I resume normal activities?

Same day (if no sedation) or next day (if sedated); avoid driving for 12–24 hours if sedated.

Is endoscopy covered by insurance in India?

Often covered (diagnostic/therapeutic); confirm with your provider; Ayushman Bharat often subsidizes.

Signs of complications?

Fever, severe abdominal pain, or persistent bleeding.

How effective is endoscopy?

95–98% diagnostic accuracy; 90–95% therapeutic success; <1% complication rate.

Lifestyle changes post-procedure?

Follow dietary advice (e.g., light meals initially), attend follow-ups, and address underlying issues (e.g., H. pylori treatment).

Conclusion

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Looking for Best Hospitals for Endoscopy

Note: we are not promoting any hospitals

We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)

  • click on your city and schedule your surgery now done in good hands.
City Minimum Price (₱) Maximum Price (₱)
Angeles City
Antipolo
Bacolod
Bacoor
Baguio
Butuan
Cagayan de Oro
Caloocan
Cebu City
Dasmariñas
Davao City
General Santos
General Trias
Iligan
Iloilo City
Las Piñas
Makati
Malolos
Manila
Muntinlupa
Parañaque
Pasay
Pasig
Puerto Princesa
Quezon City
San Fernando
San Jose del Monte
Taguig
Valenzuela
Zamboanga City

Disclaimer

This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.

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