Endoscopy

SERVICE TITLE	Price, UAH
EGD (Video Esophagogastroduodenoscopy with Digital Chromoendoscopy)	1800
Video Colonoscopy with Digital Chromoendoscopy	2350
Video Rectosigmoscopy (in case of poor bowel preparation)	1200
Gastric/Intestinal Biopsy (including biopsy forceps cost)	1000
Endoscopic Forceps Polypectomy, Category I (up to 3 polyps, ≤10 mm)	1500
Endoscopic Loop Polypectomy, Category II (up to 5 lesions, ≤10 mm; includes instruments and physician’s work)	2500
Endoscopic Polypectomy, Category III (≥5 lesions or >10 mm; includes loop)	5000
Endoscopic Submucosal Dissection (ESD) for neoplasia of various sizes with suspected submucosal invasion (including instrument cost)	50000
Feeding Tube Placement (including tube cost)	1900
Endoscopic Foreign Body Removal from GI Tract – Category I	2100
Endoscopic Foreign Body Removal from GI Tract – Category II	3000
Endoscopic Hemostasis	700
Endoscopic Clip Placement (11 mm, 16 mm; including clip)	3650
Endoscopic Clip Placement (20 mm; including clip)	4780
Urease Test for <i>H. pylori</i> (cost per reagent)	540
Sedation (Category I, up to 30 min; gastroscopy only, ASA classification by anesthesiologist)	2400
Sedation (Category II, up to 60 min; gastroscopy/colonoscopy, ASA classification by anesthesiologist)	2900
EGD + Video Colonoscopy (both with Digital Chromoendoscopy)	4150
Endoscopic Injection (per site, including injection needle)	1600
Small/Large Intestine Biopsy (up to 7 samples)	1800
Gastrointestinal Biopsy Material or Polyp Resection (1 sample, 1 site)	1560
Neuroendocrine Carcinoma Verification (Immunohistochemistry)	6000
Gastric Cancer Verification (Immunohistochemistry)	4920
Excisional Biopsy / Polypectomy of Intestinal Polyps (up to 5 lesions)	2200
Laryngeal Biopsy Material	1440
Gastric Biopsy Material (Sydney system, OLGA and OLGIM staging)	2040
Excisional Skin Biopsy Material (non-melanocytic malignant tumors)	1680
Appendix or GI Diverticulum Biopsy Material (inflammatory diseases)	1440
GI Polypectomy Material (polyps ≤15 mm, up to 6 lesions, single location)	1800
Multifocal GI Biopsy Material (up to 6 samples, single location)	1680
Tumor Material from Endoscopic Mucosal/Submucosal Resection (GI tract)	2400
Cytological Examination of Endoscopic GI Material and H. pylori Detection	1188
Mucosal Resection and Endoscopic Submucosal Dissection (EMR, ESD)	6000

Endoscopy — How the Examination Is Performed and What Patients Should Know

Endoscopy — is a modern diagnostic method that allows the doctor to assess the condition of internal organs using a special device — an endoscope. During the procedure, a thin flexible tube with a camera and light source is used, transmitting images to a monitor in real time.

Endoscopic examinations help detect inflammatory processes, erosions, ulcers, polyps, tumors, and other pathologies at early stages. That is why endoscopy is considered one of the most informative methods for diagnosing the gastrointestinal tract and other organs.

In this article, we will explain what endoscopy is, what types of examinations exist, when it is prescribed, and how to prepare for the procedure properly.

What Is Endoscopy?

Endoscopy — is a minimally invasive examination during which the doctor examines internal organs without the need for surgery.

The procedure is performed using an endoscope — a special device with a video camera that is inserted through the body’s natural openings.

Modern endoscopy allows doctors not only to perform diagnostics but also to carry out certain therapeutic manipulations:

• take a biopsy;
• remove polyps;
• stop bleeding;
• administer medications;
• evaluate the effectiveness of treatment.

Types of Endoscopy

Gastroscopy (EGD)

An examination of the esophagus, stomach, and duodenum. It is used to diagnose gastritis, peptic ulcer disease, reflux, polyps, and other conditions.

Colonoscopy

An endoscopic examination of the large intestine used to detect polyps, inflammatory processes, tumors, and other intestinal diseases.

Sigmoidoscopy

An examination of the rectum and sigmoid colon.

Capsule Endoscopy

A modern diagnostic method in which the patient swallows a special capsule with a camera. It passes through the digestive tract and transmits images for the doctor to analyze.

What Does Endoscopy Show?

An endoscopic examination helps detect:

• gastritis;
• peptic ulcer disease;
• polyps;
• mucosal erosions;
• inflammatory processes;
• tumors;
• bleeding;
• intestinal pathologies;
• Helicobacter pylori.

During the procedure, the doctor can immediately collect material for additional laboratory or histological tests.

When Is Endoscopy Prescribed?

A doctor may recommend endoscopy for the following symptoms:

• stomach or abdominal pain;
• heartburn;
• nausea;
• difficulty swallowing;
• blood in the stool;
• bloating;
• long-term digestive problems;
• sudden weight loss;
• anemia of unknown origin.

Endoscopy is also used for preventive monitoring in patients with chronic gastrointestinal diseases.

Is Endoscopy Painful?

Many patients worry about possible discomfort during the procedure. Modern endoscopy is performed as comfortably as possible for the patient.

Depending on the type of examination and individual characteristics, the following may be used:

• local anesthesia;
• medical sleep;
• sedation.

In many cases, endoscopy under sedation allows patients to completely avoid unpleasant sensations.

How Is Endoscopy Performed?

Before the procedure, the patient undergoes a short consultation and preparation.

During endoscopy:

• the doctor inserts the endoscope through natural openings;
• the image is transmitted to a monitor;
• the condition of the mucous membrane is assessed;
• if necessary, a biopsy or other manipulations are performed.

The duration of the procedure depends on the type of examination and usually ranges from 10 to 40 minutes.

Preparation for Endoscopy

Proper preparation directly affects the accuracy of the results.

Preparation for Gastroscopy

• do not eat for 6–8 hours before the procedure;
• do not drink alcohol;
• do not smoke before the examination;
• avoid eating a lot of fiber before the examination;
• follow the doctor’s recommendations.

Preparation for Colonoscopy

Before colonoscopy, bowel cleansing with special medications and following a diet are required.

The preparation regimen is determined individually by the doctor.

What Should Not Be Done Before Endoscopy?

• violating dietary recommendations;
• changing the preparation regimen on your own;
• hiding information about medications or chronic diseases;
• ignoring the doctor’s recommendations.

Why It Is Important Not to Delay Endoscopy

Many gastrointestinal diseases may develop for a long time without noticeable symptoms.

Timely endoscopy makes it possible to:

• detect pathologies at early stages;
• monitor the course of chronic diseases;
• start treatment in time;
• reduce the risk of serious complications.

Conclusion

Endoscopy — is a modern, accurate, and informative diagnostic method that helps detect a wide range of diseases of internal organs.

Proper preparation for the procedure and timely consultation with a doctor make it possible to obtain the most accurate result and start treatment in time.

Modern endoscopy methods make the examination more comfortable and safer for the patient.