Wenzhou gastrointestinal physical examination SMS notification

Recently, the Endoscopy Center of Longwan Campus of the Second Affiliated Hospital of Wenzhou Medical University started a special gastrointestinal endoscopy.

Lin, a gastroenterologist in this hospital, inserted the gastroscope tube into his throat with his right hand, stared at the screen and calmly observed his stomach. Miao sent a photo of herself doing a gastrointestinal mirror to a circle of friends, which made a group of colleagues shout "awesome".

Why did Dr. Lin give himself a gastrointestinal mirror? What's it like to make yourself a gastrointestinal mirror?

I gave myself a gastroscope five years ago.

Choosing to do gastrointestinal endoscopy by herself, besides just doing a physical examination for her gastrointestinal tract, Lin also wants to experience the feeling of being a patient. As an expert in gastroenterology, Lin popularizes the necessity of gastrointestinal endoscopy to patients every day, but he still encounters too many patients who delay treatment because of neglecting the examination, including many young people. "I met the youngest patient with gastric cancer, a girl in her early 20 s, and it was too late to find out."

Usually ten minutes, this time half an hour.

Lin, 47, has been a doctor for 20 years and has done about 60,000 gastrointestinal endoscopy. But even such an "old driver" has become a novice by making it himself.

Every doctor has fixed movements and postures when doing gastrointestinal endoscopy for patients, but when doing it for himself, the position, movements and postures are completely changed. In addition to the common discomfort such as vomiting and nausea, the gastroscopy was generally smooth, and the whole process took 5 minutes. The gastrointestinal endoscopy that Lin usually does is mainly to screen early lesions, and it takes 5~ 10 minutes to enlarge a few millimeters of lesions by dozens or even hundreds of times. However, when it comes to colonoscopy, due to problems such as posture, angle and posture, the operation difficulty is upgraded. It usually takes only two or three minutes to insert the mirror, and it took him 20 minutes to finish it.

The test results came out: chronic gastritis, no obvious abnormality in colonoscopy. "Fortunately, the problem of how to find colon polyps that were entangled before did not appear." Li Linmiao said that before doing gastrointestinal endoscopy, she had imagined the treatment method if polyps were found during the examination: simple small polyps, try to do it yourself; If it is complicated, it can only be handled by colleagues.

It is recommended to have a routine examination after the age of 40.

Gastroenteroscopy is the gold standard for the diagnosis and treatment of gastrointestinal diseases. Blood drawing, stool examination, CT, B-ultrasound, capsule gastroscopy and other examination methods all have their corresponding defects and cannot replace gastrointestinal endoscopy. "The biggest symptom of early digestive tract cancer is that there are no symptoms. Many early gastrointestinal diseases can be found through gastrointestinal endoscopy. " Miao suggested that normal healthy people should undergo routine painless gastrointestinal endoscopy after the age of 40.

Why do you suggest painless abortion? Miao explained that the experience of painless gastrointestinal endoscopy would be much better. Under anesthesia, there will be no symptoms of vomiting and nausea, which is beneficial for doctors to observe early and minor lesions. Digestive tract tumors need early detection, early diagnosis and early treatment. Early gastric cancer, esophageal cancer and precancerous lesions, if they meet the standards of gastroscopy, can be removed under therapeutic gastroscopy, and can grow completely after 2-3 months, retaining the integrity of esophagus and stomach, and there is no difference with normal people after operation. Such as early gastric cancer, the 5-year survival rate can reach 90%~95%, which is higher than the standard of gastroscopy resection. For advanced gastric cancer, most patients need to remove two-thirds of their stomachs, some need total resection, which is very traumatic, and some even have no chance of surgery. The 5-year survival rate is only 20%~30%.

According to age, living habits, family history and their own gastrointestinal diseases, the follow-up time of gastrointestinal endoscopy should be adjusted accordingly. The incidence of gastrointestinal tumors in young people is relatively low, but Lin suggested that they should be examined when they are unwell.