Diagnosis of Gastrointestinal Diseases Using Video Endoscopy in Israel

Professor Hagit Tulchinsky

leading colorectal surgeon

At the Top Ichilov clinic, patients with various gastrointestinal pathologies undergo the following types of video endoscopic examinations:

• Esophagoscopy (examination of the esophagus);
• Gastroscopy (examination of the stomach);
• Duodenoscopy (examination of the duodenum);
• Colonoscopy (examination of the large intestine).

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In Which Gastrointestinal Diseases is Video Endoscopy Indicated

Endoscopic diagnostic procedures are the most informative methods for examining hollow organs: ENT organs, bronchi and lungs, various sections of the digestive tract (esophagus, stomach, duodenum, large intestine). Nowadays, thanks to rapid advancements in medical technology, in countries such as Germany, Israel, and the USA, modern video endoscopes equipped with CCD sensors have replaced older fiber-optic endoscopes, allowing for significantly magnified images, display on monitors, recording, etc.

Video endoscopy enables doctors to examine the mucous membrane lining the hollow organs of digestion in great detail; this method of investigation is indicated for the following pathologies:

• Inflammatory processes of various localizations: esophagitis, gastritis, duodenitis, colitis, etc.;
• Peptic ulcer disease of the stomach and duodenum;
• Suspected bleeding in the stomach or intestines;
• Neoplastic diseases;
• Ulcerative colitis;
• Crohn's disease;
• Colonic polyposis, etc.

Advantages of Video Endoscopy

Video endoscopic examination has numerous advantages, primarily including:

• High diagnostic informativeness;
  
• The ability to display images on a monitor and record them on various media;
• The ability to scale the obtained image (by enlarging the picture tens or even hundreds of times, the doctor can notice even the slightest focus of pathology);
• Additional functions, such as the use of a water jet (particularly in video colonoscopy), directing a stream of water under pressure to the area of future examination to clean the mucous membrane from blood, organic debris, etc.

Features of Diagnosis via Video Endoscopy

In the video endoscopes used at Top Ichilov, the diameter of the flexible optical tube inserted into one of the natural (mouth, anus) or artificially created (colostomy, gastrostomy) openings does not exceed 12-13 mm, which is very important for reducing the sensation of pain and discomfort in the patient. Additionally, in Israeli clinics, most patients during video endoscopy are in a state of "medicated sleep," completely eliminating the pain factor.

Before the procedure, the patient undergoes preparation (fasting for 8-12 hours prior to the examination, cessation of certain medications, local anesthesia).

Video endoscopy in Israel, at Top Ichilov, is an opportunity to detect most inflammatory and neoplastic diseases of the gastrointestinal organs at the earliest stages.

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