Gastroenterology Worldwide

Gastroscopy (Upper GI Endoscopy)

Upper GI Endoscopy or Gastroscopy is also known as oesophagogastroduodenoscopy (OGDS). It is a specialized endoscopic examination where a small scope is passed through your mouth, down your food pipe (oesophagus) into your stomach and down to your duodenum (first part of the small intestines).

It is usually done for persistent symptoms such as gastric pain or discomfort, reflux symptoms, difficulty swallowing, or symptoms suggestive of bleeding or ulcer (eg. anemia or black stool). Common problems such as gastritis, polyps, ulcer or even cancer can be diagnosed.

Often times, Helicobacter Pylori (H. Pylori) can be one of the culprits for gastritis. It is detected through a biopsy of the ulcer via gastroscopy and this bacteria can be treated with a triple therapy regime. If it is left untreated, it can contribute to ulcers, gastritis or even more serious conditions such as bleeding or gastric cancer.

This procedure is performed with a local anaesthetic spray to the back of the throat and with or without sedation. It takes approximately 10-15 minutes for the procedure to be done. It is a safe procedure with small risk only of sore throat, bleeding, perforation of 1:10,000 cases.

Upper GI Endoscopy (Gastroscopy) Procedure

BEFORE the procedure:

It is important that your stomach is empty for the test to be successful and therefore the minimum hours to FAST and not have anything to eat or drink before gastroscopy is 6 hours.
Please do inform our doctor if you have Diabetes, High Blood Pressure or Heart problems or on any anti-coagulation or blood thinners such as Aspirin, Warfarin, Plavix etc.

If you are taking medications to reduce the amount of acid in your stomach (such as Omeprazole, Lansoprazole, Rabeprazole or Esomeprazole), you should stop taking these 2 weeks before your test.

ON THE DAY OF the procedure:

Take your high blood pressure or heart medications with sips of water.
If you are Diabetic and on treatment with insulin or tablets, DO NOT take your insulin or diabetic tablets on the morning of your test. You may bring it with you to our centre and can consume it after your procedure.

If possible, try to get a family member to accompany and drive you as you will be sedated for the procedure. Please arrive earlier than the appointment time in order to avoid any delays.

A full report of the gastroscopy will be provided to you once you have recovered from the sedation.

FOLLOW UP:

In the event of any abnormal gastroscopy findings and any further treatment required, the doctor will set an appointment as a follow-up.

By injecting our complete fresh living cell program including a high dosage of fresh liver cells and embryonic stem cells, and a variety of other needed organ cells, we are able to revitalize liver tissue, the liver function, and we are also able to improve the whole organ-system.

In Addition, we inject a large dosage of fresh thymus cells to strenghten the immune-System and to give your body enough strenght back to revitalize the own organs and fight any infection disease.

In addition, the whole organ metabolism will be stabilized and strongly improved. Consequently, we are able to stop any liver deterioration, to revitalize liver cells, and to normalize the liver-function.

Included in the package (we offer all of the following for free): • All about the procedure • All consults, investigations, preoperative lab tests before surgery, ultrasound, and blood tests. • Your pickup from and to the airport. • Transportation from the hospital to the hotel. •You will have direct access to the surgical team on WhatsApp and direct calls so that they reply to any of your inquiries when you return home. • Dr. Ammar recommends that the whole stay is for 4 to 5 days since the procedure is laparoscopic and the recovery is much faster than any open surgery. So you need booking from 4 to 5 nights at the hotel after the date of your hospital discharge. We can recommend you many good hotels 5 and 4 stars for booking. Generally, the average cost per night in 4 stars hotel ranges from $60 to $80 and in 5 stars hotels ranges from $90 to $130. •72 hours prior to surgery, you will receive all instructions needed and what to do one day before surgery. • Post-operatively, and before leaving the hospital you will receive all instructions regarding the recovery period and the nutrition plan and you will be linked to our nutrition team. For easy pickup, make sure your destination is Cairo International Airport (HBE) (40 minutes away from the hospital). A driver will be waiting for you regardless the time of your arrival. 72 hours before your arrival, we will send you his photo, name, phone number, and car details. • You will need a Visa to enter Egypt. Some nationalities don't need to apply for a visa before departure including US and UK nationals getting visa when they arrive at the airport. • Please don't book your flight before confirming the surgery date. • We accept US Dollars (preferred) and Euros. In case of payment in Euros, the fees are calculated according to currency exchange rate on the day of surgery. • At the current moment we only accept cash payment at the day of surgery . Banks in Egypt won't accept a foreign currency with minor, major cuts, written notes, marked on or even dated (old notes). Kindly check each paper beforehand. • There are many facilities at the airport where you can buy sim card and exchange money at reasonable prices.

Colorectal cancer is the most common cancer among men and second most common cancer among women in Malaysia. Among the tests used to screen for colorectal cancer include fecal occult blood testing, sigmoidoscopy colonoscopy, and CT colonography. Although diet and healthy lifestyle plays a major role in colorectal cancer, a highlight on the prevention is still via colonoscopy examination.

Colonoscopy is a ‘gold-standard’ test that enables doctors to look at the inner lining of the large intestine (rectum and colon), using a thin, flexible tube with a high definition camera at the tip called a colonoscope. This procedure is done with the help of sedation or asleep and if there is an abnormal finding during this procedure such as a polyp/s or a growth, it can removed or a biopsy (extraction of tissues) can be obtained to be further examined under the microscope to determine the nature of this growth. It takes approximately 20 to 30 minutes for a complete examination and it is done as a day-care procedure without the need for an admission.

As with any procedure, it comes with a risk and colonoscopy does have a small risk which includes infection, bleeding and perforation which is less than 0.01%. The important message is the benefits of colonoscopy outweigh the risk.

At Beacon Hospital, our doctors perform colonoscopies for patients at risk of, or with symptoms of, ulcers, colon polyps, tumours, and areas of inflammation or bleeding.

Colonoscopy Procedure

2 DAYS BEFORE the procedure, consult our doctors:

Please do inform the doctor if you have Diabetes, High Blood Pressure or Heart problems or on any anti-coagulation or blood thinners such as Aspirin, Warfarin, Plavix etc.

Stop taking iron tablets.

Bowel preparation will be prescribed by our doctor with the purpose of clearing your bowel content in preparation for the colonoscopy procedure.

1 DAY BEFORE the procedure:

Start a strict, clear liquid diet.

A clear liquid diet include:

• Plain white bread, porridge.

• Beef or chicken broth that is clear

• Tea or coffee without milk

• Soft-boiled eggs

• Apple, white grape or cranberry juice

• Avoid: Juice with pulp, Milk, Cream and Solid food

After a light dinner, you will need to take the Bowel Preparation prescribed by the doctor and follow the instructions given. Bear in mind that Bowel Preparation will cause you to have many bowel movements.

You should FAST (clear fluids are allowed but no solids/food) for 6 hours before the procedure.

ON THE DAY OF the procedure:

As advised by our doctors, if you are required to take your anti-hypertensive or heart medications please have it with sips of water and stop diabetic medication if you are fasting.

If possible, try to get a family member to accompany and drive you as you will be sedated for the procedure. Please arrive earlier than the appointment time in order to avoid any delays.

A full report of the colonoscopy will be provided to you once you have recovered from the sedation.

FOLLOW UP:

In the event of any abnormal endoscopy findings and any further treatment required, the doctor will set an appointment as a follow-up.