Procedure

The patient is kept NPO (Nil per os) or NBM (Nothing By Mouth) that is, told not to eat, for at least 4 hours (I was told to fast for 9 hours!!) before the procedure. Most patients tolerate the procedure with only topical anesthesia of the oropharynx using lidocaine spray. However, some patients may need sedation and the very anxious/agitated patient may even need a general anesthetic (do i look like im anxious/agitated??!). Informed consent is obtained before the procedure. The main risks are bleeding and perforation (wahh!!!mama!!huhu). The risk is increased when a biopsy or other intervention is performed.

The patient lies on his/her left side with the head resting comfortably on a pillow. A mouth-guard is placed between the teeth to prevent the patient from biting on the endoscope. The endoscope is then passed over the tongue and into the oropharynx(whoa!!).

**blah blah blah here omitted****

The endoscope is quickly passed through the stomach and through the pylorus to examine the first and second parts of the duodenum. Once this has been completed, the endoscope is withdrawn into the stomach and a more thorough examination is performed including a J-maneuver.

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ok, this is not comforting..huhu

{ 気分} like, totally scared now

10:50 AMにcinderellaareus によって書かれました。

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