Comments on: Endoscopy – OGDS http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/ As life cruises along; vita non est vivere sed valere Sun, 18 Jul 2010 21:48:11 +0000 hourly 1 http://wordpress.org/?v=3.0 By: gcgeorge http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-54039 gcgeorge Tue, 15 Jun 2010 07:33:50 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-54039 Hi Yana, there are many things about endoscopy which I am not able to cover in this comment. If there is a specific issue please ask again. thank you Hi Yana, there are many things about endoscopy which I am not able to cover in this comment. If there is a specific issue please ask again. thank you

]]> By: gcgeorge http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-54038 gcgeorge Tue, 15 Jun 2010 07:28:54 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-54038 Hi Shahidah, sorry for the delay. Hmm, when you ask me what should we do for the patients, I am assuming you are also working in a hospital setting. Well for a patient, there is nothing much that the patient needs to do except to fast for a period of at least 6 hours. This is bearing in mind that the patient had consulted the doctor and have been briefed about the procedure and thereafter a consent for the procedure taken. During the procedure, or rather just prior to the procedure, a medication to numb the back of the throat will be sprayed to the area. Some doctors will administer sedation while many don't as this is actually a very short painless procedure but can sometimes be uncomfortable. During the procedure, the patient is advised to maintain calm and relax. This is further encouraged by telling the patient to breath deeply. The patient is also advised not to swallow their saliva and to just let it flow as there is a draw sheet placed under their face. The procedure normally last about 5 to 10 minutes and occasionally longer. After the procedure, the patient is asked to rest especially if sedated and the results of the test would be explained to them thereafter. As for nursing procedures, there are many to check as to when the patient arrives to the daycare, the preparations for the procedure and the after procedure which involves both patient care and instrument care. Most often OGDS is done as a diagnostic tool to ascertain a diagnosis for the patient's complaint. However, it can also be used as a therapeutic tool when dealing with bleeding ulcers or removing polyps. Not doing the procedure well to the very least will further prolong the problem and complications can arise such as bleeding ulcers, perforation of ulcer, a cancerous growth can be missed etc. Doctors will have to make assumptions for the patient's complaints and treat according to these assumptions which in these day and age is not recommended. Many mistakes were made by making assumptions. Hope this info has helped. Thank you for visiting Hi Shahidah, sorry for the delay. Hmm, when you ask me what should we do for the patients, I am assuming you are also working in a hospital setting. Well for a patient, there is nothing much that the patient needs to do except to fast for a period of at least 6 hours. This is bearing in mind that the patient had consulted the doctor and have been briefed about the procedure and thereafter a consent for the procedure taken.

During the procedure, or rather just prior to the procedure, a medication to numb the back of the throat will be sprayed to the area. Some doctors will administer sedation while many don’t as this is actually a very short painless procedure but can sometimes be uncomfortable. During the procedure, the patient is advised to maintain calm and relax. This is further encouraged by telling the patient to breath deeply. The patient is also advised not to swallow their saliva and to just let it flow as there is a draw sheet placed under their face. The procedure normally last about 5 to 10 minutes and occasionally longer.

After the procedure, the patient is asked to rest especially if sedated and the results of the test would be explained to them thereafter.

As for nursing procedures, there are many to check as to when the patient arrives to the daycare, the preparations for the procedure and the after procedure which involves both patient care and instrument care.

Most often OGDS is done as a diagnostic tool to ascertain a diagnosis for the patient’s complaint. However, it can also be used as a therapeutic tool when dealing with bleeding ulcers or removing polyps.

Not doing the procedure well to the very least will further prolong the problem and complications can arise such as bleeding ulcers, perforation of ulcer, a cancerous growth can be missed etc. Doctors will have to make assumptions for the patient’s complaints and treat according to these assumptions which in these day and age is not recommended. Many mistakes were made by making assumptions.

Hope this info has helped. Thank you for visiting

]]> By: yana http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-54036 yana Mon, 14 Jun 2010 01:39:21 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-54036 hi...can u give me more interesting knowlage about endoscopy? thank you! hi…can u give me more interesting knowlage about endoscopy? thank you!

]]> By: shahidah http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-54034 shahidah Fri, 11 Jun 2010 10:25:28 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-54034 what are the complication if somebody refuse to do this procedure? what are the complication if somebody refuse to do this procedure?

]]> By: shahidah http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-54033 shahidah Fri, 11 Jun 2010 10:23:05 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-54033 sir may i ask u some question?..can u explain that what should we do for the patients before,during and after this procedure?means for the treatment or else?can u please tell me the reason..thank you.. sir may i ask u some question?..can u explain that what should we do for the patients before,during and after this procedure?means for the treatment or else?can u please tell me the reason..thank you..

]]> By: Dyspepsia - Odysseys of George http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-53958 Dyspepsia - Odysseys of George Fri, 02 Apr 2010 05:12:26 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-53958 [...] blood test will not be sufficient and patients would be required to undergo a procedure called OGDS, a scope inserted into the stomach through the mouth and an abdominal ultrasound. Together with [...] [...] blood test will not be sufficient and patients would be required to undergo a procedure called OGDS, a scope inserted into the stomach through the mouth and an abdominal ultrasound. Together with [...]

]]> By: coyodill http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-53956 coyodill Wed, 31 Mar 2010 12:51:33 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-53956 thanxx all give me some space to study thanxx all give me some space to study

]]> By: Rachel http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-53937 Rachel Thu, 25 Feb 2010 12:21:37 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-53937 Thank you for ur information and explaination. (^.^)Y Thank you for ur information and explaination. (^.^)Y

]]> By: george http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-53934 george Tue, 23 Feb 2010 15:48:19 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-53934 Hi Rachel, thanks for dropping by. Well when someone has anaemia, one of the possible cause is blood loss from the gastrointestinal tract which is anywhere from the esophagus all the way down to the anus. These form of bleeding can be occult (not visible) to gross bleeding. The worry are the occult bleeds as one can bleed slowly over a period of time without causing any distress to the patient until much later. To identify such forms of blood loss, one would therefore suggest an OGDS and even a Colonoscopy to be performed, as this would cover the oesophagus, stomach, the duodenum and also the large intestine for which represents 80-90% of bleedings that occur from the intestinal tract. The balance <10% of intestinal bleeds would come from the small bowel which would require other forms of investigations i.e Double barrel endoscopy or capsule endoscopy. I hope this information would suffice. Hi Rachel, thanks for dropping by. Well when someone has anaemia, one of the possible cause is blood loss from the gastrointestinal tract which is anywhere from the esophagus all the way down to the anus. These form of bleeding can be occult (not visible) to gross bleeding. The worry are the occult bleeds as one can bleed slowly over a period of time without causing any distress to the patient until much later. To identify such forms of blood loss, one would therefore suggest an OGDS and even a Colonoscopy to be performed, as this would cover the oesophagus, stomach, the duodenum and also the large intestine for which represents 80-90% of bleedings that occur from the intestinal tract. The balance <10% of intestinal bleeds would come from the small bowel which would require other forms of investigations i.e Double barrel endoscopy or capsule endoscopy.

I hope this information would suffice.

]]> By: Rachel http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-53933 Rachel Tue, 23 Feb 2010 14:48:43 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-53933 Sir, may i ask u a question? I would like to know why anaemia (sign and symptom) patient will need to do the OGDS? Can u please tell me the reason in detail. Thank you very much. ^^ Sir, may i ask u a question? I would like to know why anaemia (sign and symptom) patient will need to do the OGDS? Can u please tell me the reason in detail. Thank you very much. ^^

]]> By: CLD http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-53928 CLD Mon, 08 Feb 2010 21:24:44 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-53928 There are many different types of endoscopes available today. They are useful in cases such as this and it are a pretty common instrument for doctors. <a href="http://www.endoscope.ca/category/flexible-endoscopes/" rel="nofollow"> Flexible Endoscopes </a> are obviously the more comfortable choice, but there are many more kinds than just flexible or rigid. There are many different types of endoscopes available today. They are useful in cases such as this and it are a pretty common instrument for doctors. Flexible Endoscopes are obviously the more comfortable choice, but there are many more kinds than just flexible or rigid.

]]> By: Yudi http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-35514 Yudi Wed, 18 Feb 2009 13:02:39 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-35514 Damn dude.... you're a blogger!!!! Ampang not really busy I see. Must let Goh YH know about this! Damn dude…. you’re a blogger!!!! Ampang not really busy I see. Must let Goh YH know about this!

]]> By: sanjay http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-33205 sanjay Wed, 07 Jan 2009 08:02:41 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-33205 my stomach bloated,i need to do endoscopy,what is the charges? my stomach bloated,i need to do endoscopy,what is the charges?

]]> By: Light Source For Endoscopy http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-13202 Light Source For Endoscopy Fri, 13 Jul 2007 06:45:12 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-13202 <strong>Light Source For Endoscopy...</strong> Your blog posts are insightful. I will take them into deep thought and consideration. Your point of view is very smart and intellectual. Charlie... Light Source For Endoscopy…

Your blog posts are insightful. I will take them into deep thought and consideration. Your point of view is very smart and intellectual. Charlie…

]]> By: Odysseys of George » Blog Archive » Obscure upper GI bleed! http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-12559 Odysseys of George » Blog Archive » Obscure upper GI bleed! Fri, 11 May 2007 16:07:22 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-12559 [...] an elderly gentleman who presented to us with a diagnosis of Upper GI bleed. I proceeded to do an OGDS which did not reveal any source of bleeding. So, I proceeded with colonoscopy and apart from an [...] [...] an elderly gentleman who presented to us with a diagnosis of Upper GI bleed. I proceeded to do an OGDS which did not reveal any source of bleeding. So, I proceeded with colonoscopy and apart from an [...]

]]> By: george http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-12496 george Fri, 04 May 2007 15:19:51 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-12496 FH sorrylah - i a little sibuk but promise will drop by to your kopitiam and make a superb thosai and masala tea. :) eve - OGDS will cost from a range of RM300 to RM500 normally. In Selayang, it depends on who has referred the patient whether a general practitioner or a government health clinic. ECL - did I say free? Hmmmm! Then again, for you .... surgery pun bolehlah - free. See I very generous with my offer one! FH sorrylah – i a little sibuk but promise will drop by to your kopitiam and make a superb thosai and masala tea. :)

eve – OGDS will cost from a range of RM300 to RM500 normally. In Selayang, it depends on who has referred the patient whether a general practitioner or a government health clinic.

ECL – did I say free? Hmmmm! Then again, for you …. surgery pun bolehlah – free. See I very generous with my offer one!

]]> By: eastcoastlife http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-12494 eastcoastlife Fri, 04 May 2007 09:51:50 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-12494 Huh Georgie, You give free endoscopy to friends arh? hehehe... no thanks. Wah! You do surgery also. Next time better keep quiet if not you also offer surgery. hahaha.... Huh Georgie,
You give free endoscopy to friends arh? hehehe… no thanks. Wah! You do surgery also. Next time better keep quiet if not you also offer surgery. hahaha….

]]> By: eve http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-12493 eve Fri, 04 May 2007 04:55:39 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-12493 Eh congrats on your new house..ehhe..Actually most of my pts are interested in how much does it cost to have a OGDS done.. Eh congrats on your new house..ehhe..Actually most of my pts are interested in how much does it cost to have a OGDS done..

]]> By: Firehorse http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-12492 Firehorse Thu, 03 May 2007 23:07:22 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-12492 Helloo...your kopi at my kopitiam getting cold ady lah, when you coming over to visit me? I am craving some Indian food :P Helloo…your kopi at my kopitiam getting cold ady lah, when you coming over to visit me? I am craving some Indian food :P

]]> By: george http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/comment-page-1/#comment-12489 george Thu, 03 May 2007 16:03:35 +0000 http://www.gcgeorge.net/2007/05/01/endoscopy-ogds/#comment-12489 ECL - so how now still got symptom or not ? Will do scope for you anytime! ECL – so how now still got symptom or not ? Will do scope for you anytime!

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