the Risks of Gastroscopy: Infection Concerns and More - Gastroenterology and Hepatology

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What are the risks of undergoing a gastroscopy?


In recent months, I have been experiencing frequent stomach pain.
After seeing a doctor and taking medication, the improvement has been limited.
The doctor suggested that I undergo an endoscopy, but I am a bit afraid of invasive procedures and concerned about the risk of cross-infection (hepatitis, sexually transmitted diseases, various infectious diseases, etc.).
I would like to know if the risk of cross-infection is high, or am I being overly cautious?

Wa Lei, 10~19 year old female. Ask Date: 2024/03/03

Dr. Chen Shidian reply Gastroenterology and Hepatology


The probability of cross-infection under standard operating procedures in hospitals is nearly zero.

Reply Date: 2024/03/03

More Info


When considering a gastroscopy (also known as an upper endoscopy), it's completely normal to have concerns about the procedure, especially regarding the risks of infection. Your apprehension about invasive procedures and potential cross-contamination is understandable, particularly in today's health climate where infections can be a significant concern.

First and foremost, the risk of cross-infection during a gastroscopy is extremely low, especially when performed in a modern medical facility that adheres to strict sterilization and infection control protocols. The instruments used in gastroscopy are subjected to rigorous cleaning and disinfection processes between each use. For instance, the endoscope itself is typically cleaned with high-level disinfectants, and single-use components are employed whenever possible. This means that the likelihood of contracting infections such as hepatitis or sexually transmitted diseases from the procedure is almost negligible.

In the context of your specific concerns, it's important to note that the medical community has established guidelines to ensure patient safety. These guidelines include using disposable or single-use items whenever feasible, and ensuring that reusable instruments are properly sterilized. Hospitals and clinics are required to follow these protocols to minimize any risk of infection. Therefore, while it is wise to be cautious, you can be reassured that the risk of cross-infection during a gastroscopy is very low.

In addition to infection risks, it's also important to consider the reasons for undergoing the procedure. If you have been experiencing persistent stomach pain and have not found relief through medication, a gastroscopy can provide valuable insights into the underlying causes of your symptoms. Conditions such as gastritis, ulcers, or even early signs of more serious issues can be diagnosed through this procedure. The benefits of obtaining a clear diagnosis often outweigh the minimal risks associated with the procedure.

Regarding your concerns about the invasiveness of the procedure, while gastroscopy is indeed an invasive examination, it is generally well-tolerated by patients. Most individuals experience only mild discomfort during the procedure, and sedation is often used to help you relax and minimize any discomfort. The procedure typically lasts only a few minutes, and many patients are able to return to their normal activities shortly after.

If you are still feeling anxious about the procedure, it may be helpful to discuss your concerns with your healthcare provider. They can provide additional information about the procedure, what to expect, and how they ensure patient safety. This conversation can help alleviate some of your fears and allow you to make a more informed decision about whether to proceed with the gastroscopy.

In summary, while it is natural to have concerns about the risks associated with a gastroscopy, the actual risk of cross-infection is very low due to stringent sterilization protocols in place. The potential benefits of diagnosing and treating your gastrointestinal issues often outweigh these minimal risks. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for more personalized guidance. Your health and peace of mind are paramount, and they can help you navigate this decision with confidence.

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