All diagnostic and therapeutic gastroenterological procedures within the scope of modern medicine are carried out by expert staff, especially faculty members and officials of Erciyes University Medical Faculty Gastroenterology Unit of Internal Medicine. Gastroenterology Department is located in Gevher Nesibe Hospital and serves. There are two follow-up policlinics in which chronic liver diseases (hepatology policlinic) and gastrointestinal system diseases (gastroenterology policlinic) are observed. The department has a fully equipped endoscopy unit with all kinds of equipment. All kinds of endoscopic diagnosis and treatment are possible. In the endoscopy unit, a conventional vision system for the upper gastrointestinal endoscopy (gastroscope), a sideoscope for the lower gastrointestinal endoscopy (for imaging of the entire colon) and a flexible sigmoidoscopy (for the imaging of the distal colon), and ERCP (endoscopic retrograde cholangiopancreotikogafi) endoscope (duodenoscope) and ultrasonography devices. Our clinic has a 50-bed detached service. In our clinic, approximately 50 patients are examined at a distance, 20-25 upper endoscopy, 15-20 rectoscopy / colonoscopy, 2-3 ERCP, and 5-6 liver biopsies are performed in our clinic.
Diagnosis and treatment services provided
Rectoscopy Flexible sigmoidoscopy Colonoscopy
ERCP (Endoscopic Retrograde Cholangio-Pancreotikogafi)
Gastrostomy Liver biopsy
Conditions that patients should know before panendoscopy
Persons with high blood pressure, lung and heart disease should be assessed for panendoscopy feasibility by the following physician. Some drugs, such as Kumadin, may need to be withdrawn before treatment or antibiotics may be given to people who have had a changed heart valve.
During the procedure the mucosa needs to be empty in order for the mucosa to be well evaluated. In addition, there is a risk that stomach contents may escape to the lungs as the gag reflex is stimulated during the procedure. For this reason, nothing should be eaten and drunk after 24:00 hours before the procedure, but blood pressure and heart medications can be taken with a small amount of water. Diabetics need to take their pills or insulin doses and breakfast in the morning and take their medicines after panendoscopy to make breakfast.
The detailed description of the possible diagnosis of the patient, the history of previous gastrointestinal surgery, previous findings of panendoscopy, systemic diseases and, if any, drug allergies facilitated the procedure and reduced the risk of complications.
During the procedure, the throat is anesthetized with a spray to reduce the reflex. In special cases calming medicines applied to the victims are given. The procedure takes 5-30 minutes depending on the nature of the patient.
After a panendoscopy, the person may eat food in the throat over time (after about 1 hour) and continue normal life. People who are sedated from the vard should not drive a car that day.
Panendoscopy reports can be taken from the policlinic secretariat after 13:00 on the same day.
Conditions that patients should know before rectoscopy
Anything should be eaten and drunk after 20:00 pm before the procedure, but blood pressure and heart medications can be taken with little water. Diabetics need to take their pills or insulin doses in the morning and take their breakfast and take their medicine after rectoscopy.
Fibergmoidoscopy is a procedure that allows the evaluation of the distal (extreme) 60 cm of the rectum and the large intestine. Rectoscopy in every person with breech presentation is important for early detection of large bowel cancer.
Patients need to know before fibigmoidoscopy
Anything should be defeated after 24:00 hours before the procedure, but blood pressure and heart medications can be taken with little water. Diabetics need to bring their pills or insulin doses and meals with them and eat their meals by taking their medicines after flexible sigmoidoscopy.
Colonoscopy is a procedure that allows you to evaluate the entire large intestine and, where necessary, the small intestine. Early diagnosis of large bowel cancer is a necessary procedure for the diagnosis of patients with chronic diarrhea. In addition, the polyps are prepared to remove the cancers, some bleeds are stopped and narrow stenosis in the large bow can be expanded by balloon or stent (tube) can be stooled by normal way.
Conditions that patients should know before colonoscopy
Anything should be defeated after 24:00 hours before the procedure, but blood pressure and heart medications can be taken with little water. Diabetics need to bring their pills or insulin doses and meals with them and take their medicine after colonoscopy to eat their meals.
ERCP (endoscopic retrograde cholangiopancreotikogafi)
It is a process that allows the display of bile ducts and pancreatic ducts. It makes it possible to remove bile duct stones without surgery. The benign (non-cancerous) or malignant (carcinogenic) stenosis of the bile duct can be treated by balloon dilation or stent placement.
Conditions that patients should know before ERCP
Patients to be ERCP should be followed up in the hospital one day after the procedure.
Gastrostomy is an endoscopic tube placement procedure for the muscles of people who can not swallow for various reasons. It is provided to feed the people through home prepared or commercial foods given from the gastrostomy tube. If necessary, the gastrostomy tube can be transformed into a jejunostomy tube (small bowel feeding tube).
Conditions that patients should know before gastrostomy
Gastrostomy may open a patient who is hospitalized or who is admitted to a polyclinic. The gastrostomy tube to be placed during the procedure should be provided in advance. Before the procedure the person should stay fast for 8-10 hours. During the procedure, the person does not feel pain because of local pain relievers and vardenere tranquilizers when necessary. The process takes 15-20 minutes. Except in special cases, it can be used after 6-12 hours of gastrostomy tube placement. The operation of the gastrostomy tube should be controlled daily, dressed around, and monitored for infections that may develop. If the strength of swallowing improves, the gastrostomy tube can be easily removed without pain or the gastrostomy tube deformed (deformed) can be replaced.
Conditions that patients should know before liver biopsy
After the procedure, the patients should be followed up by one day.
Department of Gastroenterology
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