DIGESTMED MEDICAL CLINIC

Superior digestive endoscopy

Superior digestive endoscopy is an investigation procedure by which the physician can explore the esophagus, stomach and duodenum using the endoscope, a thin and flexible instrument with an optical device. The endoscope is inserted through the oral cavity and moves slightly via the throat, investigating the esophagus, stomach, and then the duodenum.

It is a painless, short-term (3-5 minutes) investigation which does not affect breathing, and the discomfort of the investigation is given by the perception of the tube in the throat; local anesthesia with xiline helps calm the unpleasant sensation.

Symptoms that may indicate the need for superior digestive endoscopy

  • Upper abdominal pain when age is over 45 years, or weight loss or lack of appetite, or when not responding to treatment
  • difficulty or pain when swallowing
  • liver cirrhosis to see if there are esophageal varices or changes in the stomach
  • iron deficiency anemia
  • persistent vomiting,
  • persistent or recurrent gastro-esophageal reflux symptoms despite adequate treatment
  • radiological findings that require biopsy
  • active or recent upper gastrointestinal hemorrhage (vomiting of blood and / or black stool, glossy as oil)
  • close relatives with gastric cancer or gastric polyps
  • adenomatous polyposis or Peutz Jaghers syndrome

Aspects that can be highlighted during superior digestive endoscopy

digestmed-aspecte-ce-se-pot-evidentia-in-timpul-endoscopeii-digestive-superioare
Gastritis;
Angiodysplasias - Vascular dilations;
Esophageal or duodenal diverticula;
Transhiatal gastric hernia;
Esophageal varices usually in patients with advanced liver disease;
Ulcer gastric sau duodenal;
Esophageal / gastric / duodenal polyps;
Esophageal/gastric/duodenal tumors;
Duodenitis;
Reflux esophagitis.

Preparation for examination

In order to perform a superior digestive endoscopy, the stomach should be completely empty-fast for 8 hours. Medications and liquids can not be given either. Small water inlets are allowed up to 2-3 hours before.

endoscopie-digestiva-superioara-digestmed

What does the investigation consist in

When the patient visits for the investigation, the doctor discusses the symptoms requiring the investigation, the medical aspects of interest and explains the procedure. Then the patient reads and signs the consent form for the investigation.

Before starting the investigation, a xiline spray is used for local anesthesia in the throat so as to relieve the sensation of nausea and local reflexes. Then a mouthpiece is inserted in order to protect the endoscope from bites, and the endoscope insertion tube is introduced through the piece and advances to the duodenum. During exploration, air is introduced and a slight feeling of bloating may occur. The patient can also perceive the movement of the endoscopic tube into the abdomen, usually without feeling any pain. The examination is performed both during the insertion of the tube and especially during its withdrawal, when the stomach is in distension because of the air.

DigestMed offers the possibility of recording the investigation on DVD for making it available to other physicians assessing the patient.

When to perform biopsy sampling

If changes are observed, biopsy can be taken. Biopsy does not cause pain to the patient. Also, biopsy can be taken for rapid Helicobacter pylori test if there is an appearance of gastritis or gastric or duodenal ulcer. The Helicobacter Pylori test is readable for up to one hour, but most often it is set at 5 minutes. The rapid endoscopic test has the best accuracy for the diagnosis of the bacteria and enables prescribing the correct treatment. It is recommended - if possible - for the antisecretory treatment (Controloc, Omaz, Omeran, Nexium, Lanz, etc.) to be stopped 1-2 weeks before performing the endoscopic test.

If the biopsy is performed in suspicion of malignancy, the patient should not worry about a potential seed and dissemination of the tumor because the biopsy is taken "from the inside" without crossing other tissues and is absolutely necessary for proper treatment.

It is very important for the patient to be aware that the procedure and, if necessary, the biopsy are absolutely necessary to accurately determine the diagnosis and implicitly an appropriate treatment and not just a symptomatic treatment.

Duration of the investigation

The entire investigation takes 3-5 minutes. The duration of the investigation is shorter and image is better when the patient co-operates and stays relaxed. Biopsy can prolong the investigation for 1-2 minutes and cause a slight local bleeding that stops shortly, most often before the endoscope withdrawal. It is recommended for the patient not to consume hot liquids or foods that stimulate gastric acid (coffee, hot spices, citrus) after the biopsy.

digestmed-cat-dureaza-endoscopia-digestiva-superioara

Risks

The superior digestive endoscopy represents a simple, minimal risk analysis unless therapeutic procedures (resection of polyps, hemostasis, etc.) are performed. In general, complications of upper gastrointestinal endoscopy are rare. Overall, the complication rate ranges between 0.02% and 0.2% (less than 1 in 500 cases). Possible complications are: bleeding (0.15%), perforation (rarely reported in superior digestive endoscopy for diagnosis purposes), infectious complications in patients with cardiac valvular disease (endocarditis risk estimated in 1 out of 5 to 10 million patients).

digestmed-riscuri

DigestMed Clinic

DigestMed is a privately-owned medical clinic primarily involved in the diagnosis and treatment of digestive diseases and performs medical work at the highest European standards. DigestMed provides patients with a range of services including gastroenterology, hepatology and digestive endoscopy, endocrinology and psychiatry.

WHY DIGESTMED?

igiena-si-servicii-medicale-de-calitate-inalta-digestmed

We perform in a pleasant and welcoming environment and put a special emphasis on hygiene and cleanliness, providing our patients with complete safety, comfort and medical services at a high-quality standard.

punctualitatea-programarii-si-servicii-medicale-profesionale-digestmed

Each and every patient is important to us and we strive to respect the appointment time. However, the planned time may be offset due to cases that may require more detailed investigations than planned at the time of scheduling.

discutii-cu-pacientii-cu-privire-la-investigatiile-urmatoare-digestmed

In each specialized section of the DigestMed clinic, our patients are informed about the investigations they are about to perform and their questions and concerns about their health status will promptly be answered .

tratament-rapid-si-eficient-digestmed

DigestMed will provide you with a medical team composed of professional physicians with high expertise in the field, who, following the performed investigations, offer the patients a fast and efficient treatment, specific to the needs they meet.

The Medical Team

DigestMed offers you a team of physicians with extensive experience and expertise in the treatment of digestive diseases. Our physicians are open to communication with the patients and work with you in order to develop an optimal therapeutic strategy according to your expectations and your health.

At DigestMed your health is our goal, which is why our team is ready to answer your requests and provide you with assistance in dealing with your health problems. DigestMed Clinic provides you with a quick consultation service if your health problems require urgent assessment and treatment. We also offer the possibility to make an online appointment by completing the form on the DigestMed website.

Elena Ciupercă

Senior Specialist in Gastroenterology

Dr. Elena Ciupercă is a Senior Specialist in Gastroenterology. She has competence in general ultrasound and digestive diagnostic endoscopy. She participated in numerous national and international specialized congresses and courses in the field of Gastroenterology and Hepatology. Consultations can be provided in Romanian or English.

Tudor Arbănaș

Senior Specialist in Gastroenterology and Assistant Professor

Tudor Arbănaș, Gastroenterologist and Assistant Professor, is a collaborator of our clinic and works at Elias University Emergency Hospital. He has competence in general ultrasound and digestive diagnostic endoscopy. He is a Doctor of Medical Sciences, author and co-author of 6 specialized books, 12 published articles and 50 papers presented at national and international congresses. Consultations can be provided in Romanian, English, French or Italian.

Adelina Popescu

Specialist in Gastroenterology

Dr. Adelina Popescu, Specialist in Gastroenterology, has competence in diagnostic and therapeutic digestive endoscopy and in abdominal ultrasound. She participated in numerous national and international congresses in the field of Gastroenterology and Hepatology. Consultations can be provided in Romanian or English.

Carmen Ruxandra Posoiu

Senior Specialist in Gastroenterology

Dr. Carmen Ruxandra Posoiu is a collaborator of our clinic, Senior Specialist in Gastroenterology, with competence in ultrasound and digestive endoscopy. She participated in numerous national and international specialized congresses and courses in the field of Gastroenterology and Hepatology. Consultations can be provided in Romanian, English or Spanish.

Florica Năftănăilă - Mali

Senior Specialist in Internal Medicine, Specialist in Gastroenterology

Dr. Florica Năftănăilă-Mali is a collaborator of our clinic, Senior Specialist in Internal Medicine, Specialist in Gastroenterology. Until 2017 she held the position of Director of Research and Development at the National Aeronautical and Space Medicine Institute. She has competence in general ultrasound and digestive diagnostic and therapeutic endoscopy. Consultations can be provided in Romanian or English.

Elena-Bianca Istratie

Specialist in Gastroenterology

Dr. Elena-Bianca Istratie is a Specialist in Gastroenterology. She has competence in digestive diagnostic endoscopy. She participated in numerous national congresses and courses of Gastroenterology, Hepatology and Pancreatology. Areas of interest: native abdominal ultrasound with contrast and Eco endoscopy. Consultations can be provided in Romanian, English or French.

Monica-Adriana Stana

Specialist in Gastroenterology

Dr. Monica-Adriana Stana, a Specialist in Gastroenterology, has competence in digestive diagnostic endoscopy. She participated in numerous national and international congresses in the field of Gastroenterology and Hepatology. Areas of interest: native abdominal and contrast substance ultrasound. Consultations can be provided in Romanian or English.

Modern Equipment

slide-aparatura-foto-3

A quality exploration means a quality device and an experienced physician. The clinic is equipped with modern, state-of-the-art equipment according to European standards of hygiene and health and professional equipment - we have a Siemens Acuson X150 ultrasound and a Pentax endoscopy line. We use the best medical equipment to ensure that the services we offer to our patients are perfectly suited to your needs.

aparatura-moderna-sterilizator-clinica-medicala-digestmed

Fees list - Superior Digestive Endoscopy

DigestMed provides medical services settled by the following private insurance companies:

europ-assistance-logo
logo-signal-iduna
uniqua-logo
tarife-gastro-adelina-popescu
Dr. Adelina Popescu

Specialist in Gastroenterology

SUPERIOR DIGESTIVE ENDOSCOPY

SUPERIOR DIGESTIVE ENDOSCOPY + INTERPRETATION AND TREATMENT SET-UP

ENDOSCOPIC TEST FOR HELICOBACTER PYLORI

tarife-gastro-elena-ciuperca
Dr. Elena Ciupercă

Senior Specialist in Gastroenterology

SUPERIOR DIGESTIVE ENDOSCOPY

SUPERIOR DIGESTIVE ENDOSCOPY + INTERPRETATION AND TREATMENT SET-UP

ENDOSCOPIC TEST FOR HELICOBACTER PYLORI

tarife-gastro-carmen-posoiu
Dr. Carmen Posoiu

Senior Specialist in Gastroenterology

SUPERIOR DIGESTIVE ENDOSCOPY

SUPERIOR DIGESTIVE ENDOSCOPY + INTERPRETATION AND TREATMENT SET-UP

ENDOSCOPIC TEST FOR HELICOBACTER PYLORI

tarife-gastro-tudor-arbanas
Dr. Tudor Arbănaș

Senior Specialist in Gastroenterology and Assistant Professor

SUPERIOR DIGESTIVE ENDOSCOPY

SUPERIOR DIGESTIVE ENDOSCOPY + INTERPRETATION AND TREATMENT SET-UP

ENDOSCOPIC TEST FOR HELICOBACTER PYLORI

tarife-gastro-florica-naftanaila
Dr. Florica Năftănăilă-Mali

Senior Specialist in Internal Medicine and Specialist in Gastroenterology (M. D. Medical Doctor)

SUPERIOR DIGESTIVE ENDOSCOPY

SUPERIOR DIGESTIVE ENDOSCOPY + INTERPRETATION AND TREATMENT SET-UP

ENDOSCOPIC TEST FOR HELICOBACTER PYLORI

Dr-Elena-Istratie-Gastroenterologie-300x300px
Dr. Elena-Bianca Istratie

Specialist in Gastroenterology

SUPERIOR DIGESTIVE ENDOSCOPY

SUPERIOR DIGESTIVE ENDOSCOPY + INTERPRETATION AND TREATMENT SET-UP

ENDOSCOPIC TEST FOR HELICOBACTER PYLORI

Dr-Monica-Adriana-Stana-Gastroenterologie-300x300px
Dr. Monica-Adriana Stana

Specialist in Gastroenterology

SUPERIOR DIGESTIVE ENDOSCOPY

SUPERIOR DIGESTIVE ENDOSCOPY + INTERPRETATION AND TREATMENT SET-UP

ENDOSCOPIC TEST FOR HELICOBACTER PYLORI

Special or emergency medical services

We offer medical services based on appointment, but we also provide medical consulting services for foreign or emergency patients, scheduled at the latest on the following day.

SPECIAL OR EMERGENCY MEDICAL SERVICES

SUPERIOR DIGESTIVE ENDOSCOPY + INTERPRETATION AND TREATMENT SET-UP (EMERGENCY)

BIOPSY SERIES

DVD RECORDING

SWE ELASTOGRAPHY

TOTAL ABDOMINAL ULTRASONOGRAPHY + SWE ELASTOGRAPHY

CONTRAST-ENHANCED ULTRASOUND (250 RON – 3 patients, 400 RON – 2 patients, 500 RON – one patient)

Our clinic is located in Bucharest, sector 6.

You can reach us by using the following public transport means: METRO : M3 Lujerului TRAM : 41 Bd. Uverturii station, BUS : 178 Teatrul Masca station; 106, 136, 236, 336 Piata Veteranilor station, TROLLEYBUS : 61, 62 Piata Veteranilor station

Quick appointment
Facebook appointment
Whatsapp appointment
Online appointment
Phone call appointment