Gastroscopy examination

Patients who choose to undergo a gastroscopy with Dr. Vosko benefit from the following benefits:

1. Medical training - Dr. Vosko has passed Unique training To identify and remove lesions, his ability and medical experience allow him to quickly understand what type of lesion is, at what stage the lesion is and how to properly manage it.
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2. Optics and microscopic magnification - The equipment Dr. Vosko works with is endoscopic equipment with advanced optical capabilities, which means magnification to a microscopic level, and viewing in Full HD resolution.
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3. Artificial Intelligence (AI) - An artificial intelligence system that, together with Dr. Vasco, scans the photographed area and provides an additional layer of detection for precancerous lesions.
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4. Advanced equipment - Dr. Vosko was selected as the Israeli Presenter for the world's leading endoscopic knife company because of his manorial capabilities, advanced equipment combined with unique knives allows Dr. Vosko to perform complex excisions.
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5. Professional experience - Experience of hundreds of gastroscopy examinations and endoscopic procedures in the country and around the world.
   
   Why is this important?
   
   The combination of a specialist with unique experience and training, along with the advantages of advanced optical equipment that allows for optimal detection - accompanied by a protective layer of artificial intelligence (AI) reduce the percentage of scraping of lesions to the number of aspirants to 0% and, if necessary, the use of knives that allow maximum flexibility increases the chances of success of the test and guarantees the patient the best results.
   

Gastroscopy - General Information

What are the common symptoms in patients with problems examined by gastroscopy examination?
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• Pain in the upper abdomen
• Chest pain
• Weight loss
• Difficulty swallowing
• Stuck food
• Vomiting
• nausea
• heartburn
• Black feces
• Anemia in blood tests
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In the event that you suffer from one of the listed symptoms, it is recommended to undergo a gastroscopy examination.

It is important to emphasize.
The symptoms in question are symptoms that recur in most people with gastro problems, however, reading the symptoms is no substitute for medical advice with a specialist.

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Another reason for which it is recommended to undergo a gastroscopy examination is Helicobacter, if there is a suspicion of Helicobacter it is recommended to perform a gastroscopy examination combined with a biopsy.
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Helicobacter bacterium

Full name: Helicobacter pylori

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A bacterium that is located in the stomach. It is present in about 60% of the population in Israel. The infection is from person to person (through saliva). Usually does not cause problems and does not need to be treated. It can sometimes cause symptoms of abdominal pain, nausea, stomach or duodenal ulcer and rarely stomach cancer.

‍ Treatment for Helicobacter pylori involves a combination of several types of antibiotics and an antacid preparation and there are studies that suggest combining probiotics alongside drug therapy.

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How is Helicobacter diagnosed?

Helicobacter can be diagnosed in several ways, including biopsy during gastroscopy, examination of exhalation, blood or feces.
Taking a biopsy while undergoing gastroscopy is considered the most reliable diagnosis.‍

There are also situations that give a false negative result for a stool or breath test, that is, there is a chance that the result obtained will be negative even though the bacteria is present. These situations are:

1. Treatment with antacids in close proximity to the examination.
2. Antibiotic therapy in close proximity to the examination.
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Recommendations on Helicobacter

Over 45 years of age - if Helicobacter is suspected due to symptoms of pain, nausea, or anything else that is aimed at an upper gastrointestinal problem - The recommendation is to undergo a gastroscopy examination rather than exhalation or stool tests.
A gastroscopy examination is also recommended if the patient is younger than 45 years of age but has symptoms that could indicate the presence of Helicobacter in the stomach, but a stool test or alternatively the exhalation test has come out negative and the patient continues to suffer.

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Gastroscopy (or endoscopy of the upper gastrointestinal tract) is an examination used to view the esophagus in the stomach and duodenum (the first part of the small intestine). The test is performed by inserting an endoscope into the subject's mouth. The endoscope is a flexible tube with a diameter of about 1 cm, containing a light source and a camera.

Inside the endoscope there are working channels that allow pumping, injecting air and water, and transporting instruments for various treatments.

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• A gastroscopy examination is an examination that takes an average of about 10 minutes.
• MOST SUBJECTS PREFER TO PERFORM THE TEST UNDER BLUR (SEDATION), WHICH IS GIVEN THROUGH LOWERING BEFORE THE TEST.
• You may also be given a topical blurring spray for the oral cavity and pharynx before the examination.
• After receiving the blur, a “tooth holder” will be inserted into your mouth, the purpose of which is to keep your mouth open throughout the examination.
• The test is performed lying on the left side. During the examination, monitoring devices will be connected to your body to check your heart rate, blood pressure, and respiratory activity.
• During the examination, Dr. Vosko watches the esophagus, stomach and duodenum using the screen in resolution FULL HD.
  If necessary, biopsies will be taken, which will be sent for histological examination (examination under a microscope).
• Sometimes, treatment will also be performed during the examination such as stopping bleeding, ligation of varicose veins, removal of a polyp, etc. These treatments do not involve pain.

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Regular medications for hypertension and heart disease should be continued on the morning of the examination.

• For diabetics — do not inject insulin or take any other medicine on the morning of the test.
• If you are using respiratory support devices CPAP /BPAP Due to nocturnal apnea or obstructive pulmonary disease you should bring the device for gastroscopy examination.
• If you have asthma, it is recommended that you take a dose of the inhaler two hours before the start of the test.
• If you have a pacemaker or defibrillator, a checkup at a pacemaker clinic is required about two weeks before the gastroscopy is performed. Gastroscopy examination should be reached with a summary of a visit to a pacemaker clinic.
• If a gastroscopy was ordered to bind varicose veins, it is mandatory to bring blood test results: counting and coagulation functions (INR) Carried out up to a month before the test.

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• After the examination, you will be transferred to a recovery room, where you will be able to rest under supervision.
• The duration of recovery usually ranges from half an hour to an hour and at the end you can drink and even start eating.
• There may be a temporary feeling of abdominal swelling and pain due to the introduction of air during the examination. This feeling will be relieved and disappear after removing gases.
• When you feel well and well, you will be released to your home by the nurse.
• The results of the examination will be provided by Dr. Vosko after the examination, preferably in the presence of a relative or other person close to you. If biopsies were taken, their results will be sent by mail a few weeks after the examination
• Dr. Vosko and the family doctor should be consulted about returning to the use of regular medications, especially blood thinners.

GASTROSCOPY EXAMINATIONS IN HERZLIYA, TEL AVIV AND JERUSALEM - AVAILABLE NEAR YOUR RESIDENCE

Dr. Vosko offers advanced gastroscopy examinations at convenient locations in Herzliya, Tel Aviv (Ramat HaShoil) and Jerusalem. Our clinics offer an accessible solution for residents of the region who are looking for a specialist gastroenterologist to perform a colonoscopy in the Sharon, Central and Jerusalem area.
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If you live in Herzliya, Ra'anana, Kfar Saba, Ramat Hasharon, Hod Hasharon, Tel Aviv and surrounding areas - Netanya, Holon, Ramat Gan, Givatayim, Bat Yam, Petah Tikva - or in Jerusalem and its surroundings (Mevaseret Zion, Maale Adumim, Beit Shemesh) - you can enjoy professional medical service close to home.
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The tests are performed by Dr. Vosko - Director of the Endoscopic Unit, using the most advanced equipment in the field and innovative techniques that ensure a thorough and comfortable examination as possible.

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