Outpatient clinic for gastroenterology

Gastroenterology

Gastroenterology is the branch of medicine that deals with the diagnostics and treatment of digestive disorders. It focuses on the diseases of the oesophagus, stomach, small and large intestine or the colon and the anus. It also treats the diseases of the abdominal organs, such as the liver and pancreas. Our medical clinic performs gastroenterological and diagnostic examinations of the digestive system: gastroscopy, colonoscopy, rectoscopy and abdominal ultrasound.

Barsos Medical Center MC also performs gastroscopy and colonoscopy on the basis of the concession contract, which means that endoscopic examinations for patients with a referral are free of charge. Patients can make an appointment without a referral, but in this case, the check-up will be payable.

 

WHICH SERVICES DOES THE OUTPATIENT CLINC OFFER?

Patients are offered a professional clinical examination, performed by experienced specialists. After the clinical examination and the review of your medical documentation, we will recommend possible additional diagnostics and treatment for your digestive problems. The required procedures can also be performed under sedation.

 

WHEN TO MAKE AN APPOINTMENT?

If you are experiencing any difficulties or pain in the digestive system and after you have received a referral. Considering the fact that serious diseases of the upper and lower digestive tract are on the rise, we recommend that everyone above the age of 50 gets a preventive check-up. If you do not have medical insurance (or for any other reason), you can make an appointment as a private patient.

GASTROSCOPY

Gastroscopy is an endoscopic examination of the oesophagus, stomach and duodenum.

A diagnostic gastroscopy is performed in the following cases:

  • Pain in the upper digestive tract,
  • Difficulty swallowing (dysphagia),
  • Pain when swallowing (odynophagia),
  • Pain related to the symptoms of an organic disease of the upper digestive tract,
  • X-ray images showing changes on the upper digestive tract,
  • Chronic blood loss and consequently anemia,
  • Bloating, decantation in the stomach or diarrhea (possible symptoms of nutrition allergies).

GASTROSCOPY UNDER SEDATION

A sedated patient does not experience undesired reflexes, such as nausea, vomiting or pain during the examination. An operation under sedation is more precise, because the patient is more relaxed, which also affects the functioning of the stomach.

After an examination under sedation, the patient is not allowed to drive or drink alcohol.

 

COLONSCOPY

A colonoscopy refers to the endoscopic examination of the large intestine and the end part of the small intestine (terminal ileum).

A diagnostic colonoscopy is performed in the following cases:

  • Unexplained chronic diarrheas or constipations,
  • Obvious or hidden bleedings of the intestine,
  • Chronic infectious intestinal diseases,
  • Tumorous changes in the large intestine.

The examination is indicated for anyone whose family members have suffered from malign tumors of the digestive system or whose family members have been diagnosed with polyps on the intestine (genetic disease). The examination should also be performed if a patient experiences the so-called alarm symptoms of a digestive disorder: pain, weight loss, anemia, iron deficiency or bleeding (visible or hidden in stool).

Our medical center offers diagnostic examinations as well as treatments (removal of polyps and minor changes with an electric wire loop).

COLONOSCOPY UNDER SEDATION

Before the procedure, medication is injected into the vessel for the patient to completely calm down, relax and feel no pain. The patient is awake during the examination, but usually falls asleep for a while. Thanks to the medicine, they will have no unpleasant memories of the examination.

Sedation is safe for the majority of people who need this procedure. Complications are rare, but sometimes the breathing and heart functions may slow down temporarily. Because of this, the blood pressure, heart frequency and oxygen saturation levels are diligently monitored during the procedure.

The patient is released to home care an hour after the procedure if accompanied by another person.

 

Examination with an endoscopic ultrasound

An endoscopic ultrasound examination focuses on the structure of the digestive system wall and organs that lie near the digestive tract. It is used to examine the oesophagus, stomach, duodenum and anus, but can also be used to examine the liver, pancreas, gall bladder etc.

An endoscope (a thin, flexible tube with an ultrasound probe on one end) in inserted through the patient’s mouth or anus to the examined area. The probe on the endoscope uses ultrasound waves to create an image of the internal organs.

How is the examination performed?

Before the examination of the upper digestive tract, the oesophagus is anaesthetized with a local anesthetic. During the examination, a mouthpiece is placed in your mouth to prevent biting. While you are lying on your left side, a doctor inserts an endoscope. The examination is not painful; you should breathe normally.

Complications during the examination are very rare. One of the extremely rare complications includes perforation of the digestive tract. Other minor complications can include hypersensitivity to the received medications.

 

How should a patient prepare for the examination?

Before the gastroscopic examination, the patient must not eat or drink anything except water for 8 hours (and not to consume anything at all two hours before the examination). In such circumstances, the examination can be performed safely and without complications. If the treated patient takes medications against blood coagulation or medications that affect bleeding, e.g. Aspirin, Plavix, Marivarin, Xarelto, Predaxa or medications for rheumatic diseases (non-steroidal antirheumatic drugs) we ask the patient to first consult their personal doctor on medications they will be able to abolish.

If the patient follows all these written instructions, the sample collecting examination or polyp removal will be safe.

In order to perform a precise examination of the mucous membrane with an endoscopic examination of the large intestine (colonoscopy), it is extremely important that the mucous membrane is completely clean, which is achieved if the patient takes into consideration the prescribed instructions for intestinal cleansing. One week before the examination, it is recommended you avoid fruit with stones (cherries, plums) or pips (grapes, pomegranate) and all vegetables with seeds (peppers).

The procedure for intestinal cleansing can be found in the instructions of the powder you will receive in the pharmacy.
Patients with diabetes and patients with coagulation disorders who take prescribed medications should consult their personal doctor or our staff during the preparation.

Before the examination of the upper digestive tract with an endoscopic ultrasound, the patient is not allowed to eat or drink for at least 6 to 8 hours.
Before the examination of the lower digestive tract (anus) with an endoscopic ultrasound, the final part of the intestine must be prepared with an enema or aperients.

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You can make an appointment every working day by phone
01/242 07 01, via E-mailinfo@barsos.si or in person at our center.