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Gastroscopy

You have an appointment with Doctor Benhamron for a gastroscopy on the .........................................................................................

If you are unable to attend your appointement, please let us know at least 72 business hours before at this number: 514 769-7198.

You may also call this number for any complementary information.

Gastroscopy is a test performed with a long, flexible, tubular instrument which allows the direct exploration of the lining of the esophagus, the stomach as well as a part of the duodenum. This procedure usually takes between 10 to 15 minutes.

Samples are usually taken during this exploration. Polyps can also be removed, if present.

A sedative injection is given before the test to help releive apprehension and fear.

A local anesthetic in the form of a spray in the throat is always given a few seconds before the test. This inhibits the normal gag reflex during the introduction of the instrument.

You will be able to return to a regular diet within 40 minutes after the procedure.

Gastroscopy is a very safe procedure. Complications are extremely rare:

• Esophageal perforation or stomach perforation is extremely rare. The consequence is a leak of digestive fluids. These complications are generally treated by aspiration of the fluids until the leak closes completely. Antibiotics or a surgery could be sometimes needed in this situation.
• Bleeding always happens after a biopsy and sometimes after polypectomy. Nevertheless, it is minor and in the majority of cases stops spontaneously. Cauterization is rarely necessary. It is extremely rare that a transfusion be needed.
• Adverse reactions or allergic reactions to the sedative medications can happen rarely.
• A local irritation at the site of the venous puncture for sedative administration can also happen. It generally disappears after a few days or, more rarely, a few weeks.

Some medications should be stopped before the gastroscopy, unless otherwise recommended by your physician:

• Medications containing aspirin (aspirin, asaphen, rivasa, entrophen): to be stopped 7 days before
• Plavix (clodiprogel): to be stopped 7 days before
• Ticlid (ticlopidine): to be stopped 7 days before
• Coumadin or Synthron: to be stopped 5 days before
• Pradax, Pradaxa (Dabigatran) : to be stopped 4 days before
• Efient (Prasugrel) : to be stopped 8 days before
• Brilinta (Ticagrelor) : to be stopped 3 days before

This list is not complete. If you think you are taking a medication that could be a blood thinner, report it to Dr. Benhamron.

You should absolutely always consult your cardiologist to have permission before stopping Plavix, Efient or Brilinta.

There is no specific preparation for the gastroscopy except for fasting 9 hours before the test if it is done in the afternoon. You can drink clear liquids until 4 hours before the test.

Please make sure not to drive a car for 6 hours after the procedure.

Have a good test