Interventional Gastroscopy

What is Interventional Gastroscopy?

Interventional gastroscopy is a procedure that is usually done under general anaesthetic where a camera at the end of a tube is passed through your mouth into the oesophagus through the stomach and finally into the duodenum. It is used to provide high resolution imaging of the gastrointestinal tract and diagnose any abnormality as well as take biopsies to aid a diagnosis depending on the individual patient history, clinical examination and radiological findings.

Using the gastroscope further interventions can be performed:

Endoscopic Stenting

However in the case your condition requires interventional endoscopy such as the placement of a stent this will need to be done under a general anaesthetic. Oesophageal stents are typically used as an effective palliative treatment of a malignant process in the oesophagus.

This needs to be done by a specialist following detailed discussion.

Endoscopic PEG tube:

This involves placement of a percutaneous endoscopic gastrostomy feeding tube using a gastroscope to help the nutritional supplementation of a patient. A PEG allows nutrition in the form of a fluid (prepared or recommended by a dietician) to be given directly into a patient’s stomach bypassing the oesophagus. This is often seen in patients who have difficulty swallowing or have an inability to take nutrition through their mouth.

Endoscopic removal of foreign body

Depending on the size and location of this device, often it can be removed using a gastroscope. However if this is not possible, Dr. Niruben is specially trained in laparoendoscopic surgery (combining a gastroscope with key hole surgery ) to assist in removing the foreign body.

Endosocpic Feeding Jejunostomy

This is another means of feeding a patient who is having inadequate nutrition intake. This feed goes directly into the patient’s small bowel. A tube that lies in the small bowel runs all the way back through the patients nose. This form of feeding is also called transpyloric or post pyloric feeding.