Therapeutic gastroscopy - Question to ask page 

Surgeon Ian Beckingham on the questions to ask 

Dr Ian Beckingham

'Therapeutic endoscopy will stop bleeding in around 90% of ulcers'

Ask your surgeon

  • Who will do the procedure? 
  • How many of these do you do a year? 
  • What is your success rate? 
  • What are you looking for? 
  • How soon will I know if you've found anything?

 

We asked Ian Beckingham of the Queen's Medical Centre, Nottingham, what he would want to know if he needed a gastroscopy.

What are my treatment options?

In the past, bleeding peptic ulcers were treated with major abdominal surgery (when your stomach is opened up).

However, today, gastroscopy is the procedure of choice and major abdominal surgery is only used when gastroscopy fails to stop the bleeding, which occurs in around 10-20 per cent of patients.

What is the relative success of these operations?

Therapeutic endoscopy will stop bleeding in around 90% of ulcers, although sometimes it will need more than one session.

Will I need a blood transfusion?

If your bleeding has been severe, acute or you have become very anaemic, you may need a transfusion.

Will I need an anaesthetic?

Most patients can have a therapeutic endoscopy under sedation, but it may be necessary to have a general anaesthetic if there's a significant danger of breathing blood or other substances into the lungs.

Last reviewed: 06/11/2009

Next review due: 06/11/2011

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