Gastroscopy, a key diagnostic procedure for the upper digestive tract, can be performed painlessly with proper sedation options.
What is Gastroscopy?
Gastroscopy (panendoscopy or esophagogastroduodenoscopy) is a key diagnostic procedure for the upper digestive tract. It allows for a thorough evaluation of the esophagus, stomach, and duodenum, which is essential for the early detection of cancers, ulcers, inflammatory conditions, and diagnosis.
How is Gastroscopy Performed?
The procedure is performed using a gastroscope—a flexible tube about 10mm in diameter equipped with an HD camera. The device transmits a real-time image to a monitor, allowing the doctor to precisely assess the condition of the mucosal lining.
Types of Anesthesia for Gastroscopy
The choice of anesthesia significantly affects patient comfort. While the biopsy itself doesn’t hurt, the insertion of the endoscope can cause belching and a gag reflex.
Local anesthesia: The throat is sprayed with a lidocaine solution. The patient remains fully conscious, but sensations in the esophagus are dulled.
Gastroscopy under sedation: It is performed in the presence of an anesthesiologist. The patient falls into a brief, light sleep, so they don’t feel discomfort or stress related to the procedure.
Gastroscopy Under Sedation on NFZ
Many people wonder if they have to pay for general anesthesia during gastroscopy. The answer is: no, as long as there are specific medical indications. The National Health Fund (NFZ) reimburses gastroscopy with sedation if the doctor deems it necessary for the safety or success of the examination.
Getting a Referral for Sedated Gastroscopy
To use the free sedation procedure, you must go through the appropriate process:
Preparing for Gastroscopy
Proper preparation ensures reliable results and safety (especially under sedation):
Paying Extra for Sedation in NFZ-Covered Examinations
If you have a referral for a standard gastroscopy but prefer general anesthesia, many facilities offer the option of a commercial supplement for sedation. The cost depends on the pricing of the specific clinic.
