**At Parla Gastroenterology and Liver Clinic, all gastric endoscopic procedures are performed with anesthesia and the best devices!. A gastric endoscopy, also called a gastroscopy, is a procedure that allows doctors to see directly inside the stomach. This procedure can be done to diagnose or treat digestive problems. Here are the types of gastric endoscopy and the different types of anesthesia that may be used during the procedure: **1... diagnostic endoscopy** In diagnostic endoscopy, the doctor intervenes to check for signs or symptoms of stomach diseases.. This may include checking for ulcers, inflammation, bleeding or other abnormal conditions.. In this type of endoscopy, local anesthesia is often used for the pharynx and throat to reduce the discomfort caused by the placement of end tubes.. Relaxed during the procedure... **2... Therapeutic endoscopy** Endoscopy therapy goes beyond the diagnosis of diseases and provides treatment options such as removing polyps, stopping bleeding, or even repairing and suturing wounds... In these cases, depending on the invasiveness of the procedure, partial or complete anesthesia may be used so that the patient is more comfortable during the operation and feels less pain. **3... Balloon and stent** The two methods most often used in therapeutic endoscopy include dilating narrow sections of the stomach or esophagus with a balloon or placing a stent to keep the passage open. This type of endoscopy usually requires deeper anesthesia to ensure that the patient does not experience any pain. **Anesthetic Approaches** Anesthesia in gastric endoscopy can include the following: - **Local anesthesia**: Use of an anesthetic spray on the throat to reduce sensitivity and discomfort.... - **Mild to moderate sedation**: Sedation drugs are injected intravenously so that the patient is relaxed and semi-conscious.... - **General anesthesia**: In rare cases, the patient may be completely anesthetized. It has medical evaluations.. The decision about the type of anesthesia should be taken by considering all aspects and jointly between the doctor and the patient... Factors affecting the need for anesthesia in gastric endoscopy.. Technical details related to the endoscopy procedure itself... **1... Patient characteristics** - **Age and general health status**: old age and some medical conditions such as heart or respiratory diseases may increase the risks of anesthesia, as a result, the decision on the type and depth of anesthesia can be different... so that you can perform the endoscopic procedure more easily... **2... technical details of endoscopy** - **Length and complexity of the procedure**: Endoscopies that are longer or require more manipulations inside the stomach or esophagus, often require deeper anesthesia so that the patient is calm and immobile during the procedure... it affects anesthesia, some more modern equipment requires less deep anesthesia... **3... personal preferences of the patient and the doctor** - **Patient preferences**: Some patients may prefer not to be anesthetized during the procedure, while others may request full anesthesia to avoid pain or discomfort.... - **Physician experience and expertise**: Doctors with different experiences may have different recommendations regarding anesthesia, depending on the type of choice and their personal experience in performing endoscopy, all these factors should be considered.. Interaction between the patient and the treatment team... To ensure that each patient Receives the best care possible.... procedures without anesthesia Stomach endoscopy without anesthesia is often performed in order to reduce the risks of complete anesthesia and improve the recovery time of the patient after the operation. In this method, doctors usually use anesthetic sprays for the throat to reduce the sensitivity and discomfort caused by the passage of the endoscope tube. These sprays contain anesthetic substances such as lidocaine and they work quickly. **2... mild to moderate sedation** In cases where there is a need to sedate the patient, but the use of complete anesthesia is not desirable, oral or intravenous painkillers can be used... for this purpose, drugs such as midazolam or diazepam are prescribed... these drugs help the patient to be calmer during the operation and enjoy less discomfort and anxiety... **3.... Supervision and psychological support** In some cases, only constant medical and nursing support and monitoring is enough to make the patient's experience more comfortable. The medical team may talk to the patient during the endoscopy, explaining what is happening and emphasizing that they can let the patient know if they are uncomfortable. **4... Breathing Techniques** Teaching breathing techniques to patients before endoscopy can help them relax more during the operation. Deep and regular breathing can help reduce tension and anxiety. **5... Patient cultivation and training** Accurately informing the patient about the endoscopy process and its related expectations can also have a significant impact on reducing anxiety and the need for anesthesia. Teaching the benefits of endoscopy without anesthesia, such as faster recovery and reducing the risks associated with anesthetic drugs, can encourage patients to choose this option of anesthetic drugs. The use of anesthesia in gastric endoscopy can have various advantages and disadvantages, and the decision to use it should be made based on the specific conditions of the patient and the complexity of the operation. Here we will fully review these advantages and disadvantages: **Advantages of using anesthesia in gastric endoscopy** **Reduction of pain and discomfort:** Anesthesia helps patients avoid pain and discomfort caused by endoscopic procedures, which can make the endoscopy experience more comfortable for them. Anesthesia in gastric endoscopy** **Risks related to anesthesia:** Anesthesia, especially general anesthesia, can carry risks, including allergic reactions, breathing problems, and heart problems.... **Need for post-operative monitoring:** Patients who have undergone anesthesia may need more time to recover and need to be monitored after the operation.... **Delay in the patient's return to daily activities can affect the recovery of normal function:* especially if he is ill. lives alone... **Additional costs:** The use of anesthesia may bring additional costs for the patient, including the cost of anesthetic drugs and the presence of an anesthesiologist. Choosing to use anesthesia for gastric endoscopy should be done by considering all the advantages and disadvantages, the patient's health status, and the type of procedure planned. In this article, we present a comprehensive review of the role of anesthesia in gastric endoscopy. We review different types of gastric endoscopy, including diagnostic and therapeutic endoscopy, and show how the type and complexity of these procedures can affect the need for anesthesia. and the level of anxiety.. They... In addition, we examined the advantages and disadvantages of using anesthesia in endoscopy... In this article, we said that anesthesia can help the patient's comfort and increase the doctor's accuracy, but at the same time, it can also bring certain risks and requires monitoring and post-operative care... In the end, it is recommended to make the necessary care, cooperation and decision based on any kind of care. Patient and doctor considering all aspects and influencing factors... This helps to make sure that the best and safest method is chosen for each patient in each specific situation... Your health is our wish ❤️ Dr. Mohammad Amani, gastroenterology and liver specialist