{"id":32105,"date":"2025-07-29T15:47:38","date_gmt":"2025-07-29T13:47:38","guid":{"rendered":"https:\/\/test.nefrocenter.it\/digestive-endoscopy-when-it-is-recommended\/"},"modified":"2025-07-29T15:47:38","modified_gmt":"2025-07-29T13:47:38","slug":"digestive-endoscopy-when-it-is-recommended","status":"publish","type":"post","link":"https:\/\/test.nefrocenter.it\/en\/digestive-endoscopy-when-it-is-recommended\/","title":{"rendered":"Digestive endoscopy: when it is recommended"},"content":{"rendered":"<h4><span style=\"font-weight: 400;\">Digestive endoscopy: when it is recommended. Medical progress has made the use of digestive endoscopy increasingly central to the diagnosis and treatment of diseases of the gastrointestinal tract. What was once seen only as a \u201cdiagnostic\u201d procedure is now fully regarded as a therapeutic and preventive tool, essential for the early detection of many conditions, including serious ones such as cancers. <\/span><\/h4>\n<h2><b>What digestive endoscopy is<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Digestive endoscopy is a medical procedure that allows the doctor to visually examine the digestive tract (that is, the esophagus, stomach, duodenum, small intestine and colon) using an instrument called an endoscope. This device is a thin, flexible tube fitted with a camera and a light source, which sends high-resolution images to an external monitor, allowing the doctor to observe the internal condition of the gastrointestinal tract in real time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Depending on the area to be explored, there are different types of endoscopy:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Esophagogastroduodenoscopy (EGD) or gastroscopy: to examine the esophagus, stomach and duodenum.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Colonoscopy: to examine the colon and rectum.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rectosigmoidoscopy: to examine the final part of the intestine.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enteroscopy: for the small intestine, in selected cases.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Capsule endoscopy: a swallowable capsule with a tiny camera to assess the small intestine in a non-invasive way.<\/span><\/li>\n<\/ul>\n<h3><b>What digestive endoscopy is used for<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Digestive endoscopy has diagnostic, therapeutic and preventive purposes<\/span><\/p>\n<h4><b>Diagnostic purposes<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">This is its best-known function. Endoscopy makes it possible to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">See ulcers, gastritis, esophagitis and esophageal varices.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Identify intestinal polyps, diverticula or signs of chronic inflammation (as in Crohn&#8217;s disease and ulcerative colitis).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diagnose tumors of the gastrointestinal tract, even at an early stage.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Detect internal bleeding or small lesions responsible for anemia.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Perform biopsies (that is, tissue samples) for histological examination.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">According to the guidelines of the American Society for Gastrointestinal Endoscopy (ASGE) and the Italian Society of Digestive Endoscopy (SIED), <strong>endoscopy is essential<\/strong> when the patient has persistent symptoms such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unexplained epigastric or abdominal pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty or pain when swallowing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rectal bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Iron-deficiency anemia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes in bowel habits (constipation, chronic diarrhea)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unexplained weight loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A family history of gastrointestinal cancers<\/span><\/li>\n<\/ul>\n<h3><b>Therapeutic purposes<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Today, many procedures that once required surgery can be carried out directly during endoscopy. Therapeutic endoscopy has taken on a crucial role in oncology as well, especially in removing precancerous lesions, as in the case of endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD), practices that are now common in large centers. For example:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Removal of polyps (polypectomy)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sclerotherapy or banding of esophageal varices<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dilation of strictures (narrowings of the lumen)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Removal of foreign bodies<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Treatment of active bleeding (with clips or injections)<\/span><\/li>\n<\/ul>\n<h3><b>Preventive purposes<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Screening colonoscopy is one of the pillars of colorectal cancer prevention, the second most frequent cancer in Italy. The test makes it possible to detect and remove adenomatous polyps before they turn into malignant tumors.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Italian Ministry of Health recommends that all citizens between 50 and 74 years of age undergo screening with a fecal occult blood test every 2 years. If the result is positive, a colonoscopy follows.<\/span><\/p>\n<h3><b>When it is recommended and for whom<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Digestive endoscopy is not a \u201croutine\u201d test for everyone, but is recommended by the doctor on the basis of:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The presence of suspicious symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Risk factors (family history, chronic conditions, age)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abnormal results on laboratory tests or screening tests<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In particular, it is strongly recommended for the following people:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">People with recurrent or unexplained gastrointestinal bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patients with anemia without an obvious cause<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">People with a family history of colon cancer or hereditary polyposis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">People who have had gastroesophageal reflux for more than 5 years, especially if over 50<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patients with chronic inflammatory bowel diseases (IBD) such as Crohn&#8217;s disease or ulcerative colitis<\/span><\/li>\n<\/ul>\n<h3><b>How the test is performed<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Many patients fear endoscopy because of pain or discomfort. In reality, today&#8217;s techniques are much less invasive, and conscious or deep sedation is often used, which allows the test to be undergone without pain or memory of it.<\/span><\/p>\n<h3><b>Gastroscopy (EGD)<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lasts about 10-15 minutes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Performed after fasting for at least 6 hours<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A thin tube is passed through the mouth down to the stomach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Biopsies or treatments can be performed during the test<\/span><\/li>\n<\/ul>\n<h3><b>Colonoscopy<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lasts 20-30 minutes on average<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Requires bowel preparation in the days beforehand (laxatives and diet)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The colonoscope is introduced through the anus to examine the entire colon<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Polyps can be removed or tissue samples taken<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The safety of endoscopy today is very high. Complications such as bleeding, perforation or reactions to sedation rarely occur (in less than 0.1% of cases).<\/span><\/p>\n<h3><b>Advanced digestive endoscopy toward precision diagnosis<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">In recent years endoscopy has been enriched with innovative technologies. These techniques, used by the <a href=\"\/en\/\">Nefrocenter<\/a> group, are turning endoscopy into a true tool for advanced diagnosis and personalized treatment.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High-definition (HD) endoscopy and endoscopy with NBI (Narrow Band Imaging) to better highlight blood vessels and mucosal structures<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Robotic endoscopy and capsule endoscopy to explore areas that are otherwise difficult to reach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Endoscopic ultrasound (EUS), which combines ultrasound and endoscopy to assess submucosal lesions or lymph nodes<\/span>&nbsp;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Digestive endoscopy: when it is recommended. Medical progress has made the use of digestive endoscopy increasingly central to the diagnosis and treatment of diseases of the gastrointestinal tract. What was once seen only as a \u201cdiagnostic\u201d procedure is now fully regarded as a therapeutic and preventive tool, essential for the early detection of many conditions, [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":24198,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1325],"tags":[],"area_medica":[1389,1392],"voce_indice":[],"class_list":["post-32105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","area_medica-digestive-endoscopy","area_medica-gastroenterology"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Digestive endoscopy: when it is recommended - Gruppo NefroCenter<\/title>\n<meta name=\"description\" content=\"Digestive endoscopy: when it is recommended. 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