Dr. Clive Wilder-Smith, MD
Gastroenterologist

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Gastroscopy

The oesophagus, stomach and duodenum (upper small intestine) are examined. Biopsies are always taken. The endoscopy, including preparation, takes about 15 minutes.

How do I prepare for gastroscopy?

It is important I can visually inspect every corner during endoscopy! Clear vision and good preparation is vital for a safe and complete examination. Further information regarding the preparation for gastroscopy is available at this link www.ggp.center/patienten.

When do you recommend a gastroscopy?

I recommend this endoscopy especially when you have symptoms during swallowing, such as pain, discomfort, burning, if food does not pass into the stomach smoothly, or if you experience nausea and vomiting. Low blood values for iron, vitamin B12 and haemoglobin are further indications.

How are gastroscopies perfromed in your practice/clinic?

Your safety and comfort are my greatest concern. My aim is to let you relax by providing clear information, a sensitive, warm and professional environment, and top-level safety measure. My 'dream' team and I will welcome you, answer your questions and receive your informed consent, and prepare you (venous catheter, safety blood pressure and oxygen monitoring, tooth guard). You will soon gently fall asleep with the help of an intravenous sedative (propofol). You will not feel anything related to the procedure while you sleep and breathe without any assistance except extra oxygen given through your nose. While you sleep, I will perform the endoscopy through your mouth and take the usual biopsies. You will awaken gently after about 15 minutes. After a drink we will take some time to discuss the immediately available results of the endoscopy. Once you are steady on your legs you can leave - preferably with someone to accompany you. Please do not drive or operate heavy machinery today.

Can I choose to have my gastroesopy perfromed awake?

For many years I performed endoscopies while patients were awake. This is now an exception, as endoscopic equipment has changed, making the examinations more uncomfortable. The detailed inspection of the internal organs is easier when you are relaxed. Overall, endoscopy is just simply so much more pleasant for you and more likely to be complete with sedation. Our monitoring ensures maximum safety during sedation.

What happens after the endoscopy?

You will awaken gently after the endoscopy and the effect of the sedative will wear off after a short time. After a drink we will take some time to discuss the immediately available results of the endoscopy. Once you are steady on your legs you can leave - preferably with someone to accompany you. Please do not drive or operate heavy machinery today.
You can eat normally immediately following endoscopy. Your family doctor (GP) will receive the my report and the biopsy results within a few days. He/she will discuss the results and implications with you.