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Advanced / Interventional Upper Endoscopy

Understanding Advanced / Interventional Upper Endoscopy (Gastroscopy)

Gastroscopy, Upper endoscopy, or esophagogastroduodenoscopy (EGD), is a diagnostic and therapeutic procedure used to examine the upper part of the gastrointestinal (GI) tract, including the esophagus, stomach, and the first part of the small intestine. Advanced or interventional upper endoscopy goes beyond routine diagnostic endoscopy to offer targeted treatments for complex gastrointestinal conditions, allowing for minimally invasive management of various issues without the need for traditional surgery. This approach has transformed care for conditions such as gastrointestinal bleeding, early cancers, polyps, strictures, and more.

Advanced upper endoscopy is a powerful tool in the hands of a skilled GI surgeon, allowing for the diagnosis and treatment of upper GI disorders with greater precision and reduced recovery times. By using sophisticated equipment and techniques, interventional endoscopy provides an alternative to open surgery, reducing complications, hospital stays, and patient discomfort. The procedure can be used to treat various GI tract disorders, including pre-cancerous lesions, ulcers, and strictures.

Advanced Endoscopy in Australia: Statistics & Prevalence

In Australia, gastrointestinal issues are a major public health concern. For example, conditions such as peptic ulcer disease affect approximately 1 in 10 Australians over their lifetime, and rates of gastric cancer remain significant, particularly among populations at higher risk. With advancements in interventional endoscopy, Australia has seen a notable shift in treatment practices, allowing more patients to benefit from non-invasive techniques, which can improve recovery times and outcomes. Approximately 140,000 endoscopies are performed annually in Australia, with rising demand for advanced and therapeutic endoscopy procedures as awareness of these techniques grows.

Symptoms of Upper GI Tract Conditions

Conditions requiring advanced upper endoscopy can cause a range of symptoms, including:

  • Abdominal pain or discomfort
  • Heartburn and acid reflux
  • Unexplained weight loss
  • Nausea and vomiting
  • Difficulty swallowing (dysphagia)
  • Gastrointestinal bleeding, such as blood in vomit or stools
  • Chronic indigestion

It’s essential to seek medical attention if you experience these symptoms, as they could indicate a serious underlying condition.

Causes of Upper GI Tract Disorders

Several factors can lead to conditions affecting the upper GI tract, including:

  • Lifestyle factors: Diet, smoking, alcohol consumption
  • Genetics: Family history of GI diseases or cancers
  • Infections: Helicobacter pylori (H. pylori) infection linked to ulcers and gastric cancer
  • Medications: Long-term use of NSAIDs or other medications affecting the stomach lining
  • Autoimmune diseases: Conditions like Crohn’s disease can impact the upper GI tract

Diagnostic Tests

To accurately diagnose GI tract conditions, your surgeon may recommend:

  • Endoscopy: Inserting a thin, flexible tube with a camera to examine the GI tract
  • Biopsy: Taking a small tissue sample during endoscopy for further analysis
  • Endoscopic ultrasound (EUS): Using ultrasound with endoscopy for precise imaging
  • Advanced imaging techniques: Including narrow band imaging or chromoendoscopy for detailed mucosal evaluation
  • Barium swallow or CT scan: Sometimes used to supplement endoscopic findings

Potential Complications

While interventional upper endoscopy is generally safe, some risks include:

  • Bleeding at the site of tissue removal or biopsy
  • Perforation or injury to the GI tract
  • Infection, though rare
  • Adverse reactions to anesthesia

Your surgeon will discuss these risks and ensure the safest approach for your condition.

Treatments Offered through Advanced Upper Endoscopy

Advanced endoscopy techniques enable a range of treatments, including:

  • Polyp removal: Removing abnormal growths that may develop into cancer
  • Stricture dilation: Widening narrowed areas to ease swallowing difficulties
  • Hemostasis: Controlling gastrointestinal bleeding using clips, cauterisation, or injections
  • Endoscopic mucosal resection (EMR): Removing superficial cancers without surgery
  • Stent placement: Keeping open passages blocked by tumours or strictures

 

For more information or to book a consultation with Dr Craven, please call us on (03) 9852 3777 or email us at info@dralexcraven.com.au.

Dr Alex Craven Provides Specialised Care In

Frequently Asked Questions

Before the procedure, you’ll receive instructions on fasting and possibly stopping certain medications. Afterwards, you may feel slight discomfort or bloating, but most patients recover quickly and return home the same day.

The procedure is performed under sedation or anesthesia so that you won’t feel pain. Mild discomfort may occur afterwards but is usually manageable with over-the-counter medication.

Your GI surgeon will assess your symptoms, health history, and diagnostic findings to determine if advanced endoscopy is appropriate for your treatment.

Yes, your surgeon may consider other minimally invasive procedures or, if necessary, surgery. They will discuss all available options to ensure the best possible care.

Advanced upper endoscopy offers a minimally invasive, effective solution for managing various GI tract conditions, improving patient comfort and recovery outcomes in Australia and worldwide.

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