Gastroscopy Singapore

Dr. Sulaiman Bin Yusof

MbChB (Sheffield) M.Med (Surg) FRCSEd (Gen Surg)
蘇萊曼·尤索夫博士

What is a Gastroscopy?

Gastroscopy, also known as upper endoscopy, is a medical procedure in which the doctor examines the upper part of the digestive system. This includes the oesophagus (the tube that transports food from the mouth to the stomach), the stomach, and the beginning of the small intestine (duodenum).

The procedure uses a thin, flexible tube called an endoscope with a light and a camera attached to it. Gastroscopy is primarily used to diagnose and sometimes treat conditions like ulcers, inflammation, tumours, and bleeding in the upper digestive tract.

Indications for Gastroscopy

Gastroscopy is recommended for several reasons. Common indications for undergoing the procedure include:

Chronic Abdominal Pain

Chronic or unexplained abdominal pain can indicate a variety of gastrointestinal issues. Gastroscopy can help identify the underlying cause, such as ulcers, inflammation, or other abnormalities.

Difficulty swallowing (dysphagia)

This may indicate an oesophageal blockage or constriction. Gastroscopy allows the doctor to view inside the oesophagus and identify any growths, strictures, or obstructions.

Nausea and Vomiting

Persistent nausea and vomiting can be symptoms of underlying gastrointestinal conditions.

Abdominal Bloating

Continuous bloating and a sense of fullness might indicate gastroparesis or blockages in the digestive tract.

Heartburn and Reflux

Frequent heartburn and acid reflux can be signs of gastro-oesophageal reflux disease (GERD) or other esophageal conditions.

Benefits of Gastroscopy

Gastroscopy provides several advantages for diagnosing and treating upper digestive system conditions, including:

Early Diagnosis

It can identify oesophagitis, gastritis, and peptic ulcers early, allowing for prompt treatment that can prevent complications and improve outcomes.

Accurate Diagnosis

It provides a direct view of the oesophagus, stomach, and duodenum, allowing for the precise identification of ulcers, inflammation, tumours, and sources of bleeding, which aids in developing an effective treatment plan.

Biopsy Collection

It enables the collection of biopsy samples from the digestive tract lining. These samples are examined under a microscope to diagnose infections, inflammation, or cancer, confirming non-visual diagnoses.

On-the-Spot Treatment

It allows for treatments such as polyp removal, bleeding control, widening narrow areas, and foreign object extraction during the procedure.

Preparing for Gastroscopy

Proper preparation for gastroscopy helps ensure accurate results and a smooth procedure, which includes:

Fasting: Patients are usually required to fast for 6 to 8 hours before the procedure, abstaining from all food and drink to ensure an empty stomach, to improve visibility and to reduce discomfort during the procedure.

Medication Adjustments: Some medications, particularly blood thinners and diabetes medications, as well as over-the-counter medications, supplements, and herbal remedies, may need to be adjusted or temporarily discontinued.

Allergies and Medical Conditions: Notifying the doctor about any medication or anaesthetic allergies, as well as existing medical conditions, will allow them to take the necessary precautions and ensure patient safety during the procedure.

Pre-Procedure Preparation: Patients will be asked to change into a hospital gown and remove dentures, glasses, or contact lenses before the procedure.

Step-by-Step Procedure

A gastroscopy involves several steps, which include:

Sedation

Sedatives are typically administered via an IV line to help the patient relax and relieve discomfort. Patients may also be given a local anaesthetic spray to numb the throat, which helps ease the insertion of the endoscope.

Insertion of the Endoscope

The doctor gently inserts the endoscope through the mouth and down the throat into the oesophagus. This allows the doctor to view the digestive tract on a video screen.

Examination

As the endoscope passes through the oesophagus, stomach, and duodenum, the doctor looks for inflammation, ulcers, tumours, or bleeding. Air is gently pumped through the endoscope to inflate the digestive tract for a better view.

Biopsy and Therapeutic Interventions

If necessary, the doctor may perform biopsies using instruments passed through the endoscope. The doctor may also remove polyps, treat bleeding areas, or enlarge narrowed sections during the procedure.

Completion of the Procedure

After the examination and any interventions, the endoscope is carefully withdrawn. The entire procedure typically takes 15 to 30 minutes.

Postoperative Care

After a gastroscopy, patients are monitored until the sedatives wear off, which usually takes 30 minutes to an hour. Once fully awake, they can start with small sips of water and slowly return to their normal diet, beginning with light, easy-to-digest foods. Activity should be limited for the rest of the day, and driving should be avoided for at least 24 hours due to lingering sedation effects.

Patients should follow their doctor’s instructions about resuming regular medications and watch for signs that need immediate medical attention, like severe abdominal pain, vomiting blood, or difficulty swallowing.

Follow-up appointments will review the gastroscopy results, any biopsy findings, and discuss further treatment or management plans.

Are Your Symptoms Affecting Your Quality Of Life?

You may need a gastroscopy. Consult our gastroscopy specialist today for a detailed consultation & personalised treatment plan.

Potential Risks and Complications

Gastroscopy is generally a safe procedure, but like any medical procedure, it comes with some potential risks. The most common side effects are mild and temporary, including a sore throat, bloating, and mild abdominal cramps. These symptoms usually resolve on their own within a day or two and can be managed with simple remedies like lozenges or warm liquids.

While rare, there are more serious complications that may require medical attention. These include bleeding, particularly after a biopsy or polyp removal, infection at the biopsy site, and, in very rare cases, perforation of the stomach, duodenum, or oesophagus, which might need surgical repair. Despite these risks, gastroscopy remains a routine and generally safe procedure.

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Dr. Sulaiman Bin Yusof

MbChB (Sheffield)

M.Med (Surgery)

FRCSEd (General Surgery)

蘇萊曼·尤索夫博士

Dr. Sulaiman Yusof is a distinguished Senior Consultant in colorectal and general surgery, boasting over 15 years of expertise. His passion lies in minimally invasive techniques, particularly robotic surgery, where he has achieved remarkable success using the Da Vinci Xi system. Dr. Sulaiman is dedicated to delivering high-quality, personalized, and empathetic care, always striving for the best outcomes for his patients.

Education & Specialist Training
  • MbChB(Sheffield)
  • M.Med(Surgery)
  • FRCSEd(General Surgery)

Dr. Sulaiman’s journey began at the University of Sheffield, where he graduated in 2002. He honed his skills during his house officer and basic surgical training in the UK before returning to Singapore. There, he completed his Advanced Surgical Training at Changi General Hospital and earned the Joint Speciality Fellowship in General Surgery in 2013.

Contact Us

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    (65)‎ 6643‎ 9922

    our locations

    Gleneagles Medical Centre

    6 Napier Road #06-16
    Singapore 258499

    Mount Elizabeth Novena Hospital

    38 Irrawaddy Road, #10-48/49
    Singapore 329563

    Parkway East Hospital

    #05-08, 319 Joo Chiat Place
    Singapore 427989

    Mount Alvernia Hospital

    #08-62, Medical Centre D
    820 Thomson Road
    Singapore 574623

    Connexion

    Farrer Park Medical Centre #14-12
    1 Farrer Park Station Road
    Singapore 217562

    Frequently Asked Questions

    What should I do if I experience pain after the procedure?

    Mild discomfort is normal; however, if you experience severe pain, particularly in the chest or abdomen, or have difficulty breathing, contact your doctor immediately, as these may be signs of a complication.

    How often should gastroscopy be repeated?

    The frequency of gastroscopy depends on the underlying condition being monitored or treated. Some conditions require regular monitoring, while others may not need follow-up procedures.

    How do I know if the procedure was successful?

    The procedure’s success is determined by the ability to examine the digestive tract and obtain clear images or biopsies. Your doctor will discuss the findings with you and any next steps.

    Is gastroscopy safe for pregnant women?

    Gastroscopy can be performed during pregnancy if necessary, but it is typically avoided unless there is a strong medical indication. The procedure will be carefully planned to minimise any risks to the mother and baby.

    Will I see the images captured during the endoscopy or gastroscopy?

    In most cases, the doctor will review the images and findings with you after the procedure. Some facilities may provide copies of the images for your records or to share with your doctor.

    +65 8491 1525