Gastroscopy + urease test (for Helicobacter Pylori) under local anaesthesia

Gastroscopy with urease test (for Helicobacter pylori) under local anesthesia – test description

Gastroscopy and the Helicobacter pylori urease test are performed using an endoscope, which is a flexible tube with visual tracks that allows images from the inside of the digestive tract to be displayed on a color monitor. An important advantage of the endoscope is the ability to assess the mucosal condition and take a small tissue sample for further examination in the course of the same procedure. A special channel runs along the entire length of the endoscope, allowing the insertion of additional tools (forceps, loops, needles for injections, and accessories for controlling bleeding).

Gastroscopy allows assessment of individual parts of the digestive tract and the condition of the mucous membrane. A routine test for Helicobacter pylori (rapid urease test) is performed – without an antibiogram, and the result is obtained immediately. During the procedure, it is possible to take biopsies from detected abnormalities (additional paid service). The biopsy procedure is not painful.

Indications for gastroscopy with urease test

Gastroscopy with urease test is performed in cases of the following problems:

• nausea and vomiting,

• heartburn and other symptoms of gastroesophageal reflux,

• difficulty swallowing food and drinks,

• feeling of fullness in the stomach and persistent belching,

• bleeding from the upper digestive tract (bloody vomit, black stools, and positive occult blood tests in stool),

• suspected foreign bodies,

• anemia,

• unexplained weight loss,

• suspected stomach cancer.

Procedure: gastroscopy with urease test

The patient will lie on their side, and a sedative may be administered intravenously to make the procedure more comfortable. A local anesthetic is sprayed into the throat to prevent any discomfort from the insertion of the endoscope. The procedure itself takes only about 10 minutes. The endoscope is inserted through the mouth, and the stomach and parts of the intestines can be visually examined. A tissue sample may be taken from the stomach lining for the urease test to check for Helicobacter pylori infection.

After the procedure

The patient may feel mild discomfort or bloating after the procedure. These sensations are usually temporary. After the procedure, the patient should refrain from eating or drinking for a short time to allow the local anesthetic to wear off. The results of the urease test are available immediately, and further steps can be discussed with the doctor based on these results.

Conclusion

Gastroscopy with the urease test is a quick, minimally invasive procedure that helps diagnose problems in the upper digestive tract and detect Helicobacter pylori infection. The procedure provides essential information for the treatment of digestive problems and can identify potential risks like ulcers or cancer. Based on the findings, appropriate treatments or further diagnostic steps may be recommended.