Indications and contraindications to fibrogastroskopii

In the diagnosis, especially in the early diagnosis of cancer of the stomach fibrogastroscopy currently holds a leading role and allows you to diagnose cancers of the stomach in 90% of cases, and in combination with x-ray study in 96-97% [Sokolov L. K., 1970; Savinkin Yu. N., 1970]. The application of complex examination (fibrogastroscopy, gastrobiopsy, x-ray and cytological examination) allows you to diagnose even the early form of cancer in 100% of cases [the Possibilities of the endoscopic method..., 1974].
The fibrogastroscopy should be used in all patients with suspected cancer of the stomach and all those at high risk. Even if the tumor is clearly visible on the x-ray and diagnosis of stomach cancer is virtually certain, fibrogastroscopy enables to specify the type of tumor and its prevalence in the mucous in the proximal and distal areas, which is of great importance in choosing the type of operation.
Contraindications to this study should be considered: 1) acute inflammatory diseases of the mouth and throat; 2) disease of the esophagus symptom dysphagia; 3) acute myocardial infarction; 4) acute violation of cerebral circulation; 5) cardio-pulmonary insufficiency III century; 6) a mental disorder.
Preferably, fibrogastroskopii was preceded by an x-ray examination of the esophagus and stomach with contrast weight that gives an opportunity to exclude or, contrary, identify a disease of the esophagus (tumor, diverticulum and so on) and with greater accuracy to outline localization for visual research.