Related specialist in hospital
Surgical and oncology patients often have concomitant digestive diseases: the gastroenterologist assesses the risks (stress ulcers, exacerbation of pancreatitis), prescribes PPI prevention, enzyme support, nutritional regimens after surgery, and monitors liver parameters during treatment. Such support reduces complications and speeds up recovery after surgery.
Indications
- heartburn, belching, epigastric pain, heaviness after eating;
- pain along the intestines, bloating, constipation/diarrhea, blood in the stool;
- nausea, bitterness in the mouth, changes in liver function tests, jaundice;
- Helicobacter, gastritis, ulcer, GERD, IBS, pancreatitis - diagnosis and management;
- preparation for endoscopy and observation after polypectomies.
Diagnostic approach
The gastroenterologist builds a diagnosis from complaints to an accurate diagnosis: “alarming symptoms” (weight loss, anemia, blood, night pain, age 45+ with new symptoms) - a direct indication for endoscopy; for typical dyspepsia - testing and eradication of Helicobacter; for reflux - PPI test and decision on EGDS. Gastro- and colonoscopy with sedation and polypectomy (pages in this section), ultrasound and a full laboratory range are also available here - the examination is completed in one place in 1-2 visits.
