早篩、早治療· 別耽擱
胃癌是常見的消化道惡性腫瘤，近幾十年來，儘管其發病率逐漸下降，但2018年全球腫瘤數據顯示，胃癌的發病率與死亡率分別位居全球腫瘤第5位和第3位。據統計，早期胃癌的五年生存率可達95%，因此胃癌的早篩早治尤為重要。
Gastric cancer is a common malignant tumor of the gastrointestinal tract. Although its incidence has gradually declined in recent decades, the 2018 global tumor data shows that the incidence and mortality rate of gastric cancer respectively rank fifth and third across the world. Since the survival rate of patients with early-stage gastric cancer within the five years can be as high as 95%, early diagnosis and treatment of gastric cancer is vital.
WINTER
在我國，胃癌的發病率僅次於肺癌居第二位，死亡率排第三位。近年來隨著胃鏡檢查的普及，早期胃癌檢出率逐漸提高。發現早期胃癌，胃鏡是最好的檢查方式。
In China, incidence of gastric cancer is ranked second only behind to lung cancer, and is ranked third in death rate. In recent years, with the popularity of gastroscopy, the detection rate of early gastric cancer gradually increased. Gastroscope is the best examination way to discover inchoate gastric cancer.
胃鏡檢查，就是藉助一條遷細、柔軟的管子通過嘴巴伸入上消化道中，醫生可藉助管子前面的鏡頭直接觀察到食管、胃、部分十二指腸的內部情況，並對可疑部位進行活檢。
Gastroscopy is performed by inserting a thin, flexible tube through the mouth into the upper gastrointestinal tract, allowing the doctor to directly observe the inside of the esophagus, stomach, and part of the duodenum with the camera at the end of the tube, and to conduct biopsy on the suspicious areas.
有哪些人需要做胃鏡？
What kinds of people have to do gastroscopy?
長期胃部不適，胃痛，食欲不振，脹氣，反酸的人及中老年人，有腫瘤家族史
People with chronic stomach discomfort, stomachache, loss of appetite, flatulence, sour regurgitation, and middle-aged and elderly people, people with a family history of tumor
慢性萎縮性胃炎、有胃潰瘍、胃息肉患者
幽門螺旋桿菌感染者
Patients with chronic atrophic gastritis， history of gastric ulcer, gastric polyp
Patients with helicobacter pylori infection
胃鏡病理活檢提示有不典型增生、大腸型腸化生等患者
Patients indicated to have atypical hyperplasia and intestinal metaplasia of large intestine through gastroscopy
01
普通胃鏡和無痛胃鏡的區別？
What's difference between general gastroscopy and painless gastroscope?
普通胃鏡
general gastroscopy
01
通過電子胃鏡由口腔直接伸入胃體內，探頭可以直接拍攝胃內的表面情況，可以詳細了解是否充血、水腫、糜爛、潰瘍等。咽部麻醉：目的是減少咽部反應，減少患者痛苦，檢查過程中會有不適,噁心等症狀。
Directly extend the electronic gastroscope into the stomach from the mouth, which makes the probe able to directly shoot the surface of the stomach, so as to know in detail whether there is hyperemia, edema, erosion and ulcer. Pharyngeal anesthesia: the purpose is to reduce the pharyngeal reaction, reduce pain of patients. The patients may have symptoms such as discomfort, nausea, etc. during the examination process.
無痛胃鏡
Painless gastroscopy
02
藥物靜脈注射麻醉，患者會進入睡眠狀態。用量小、短效的麻醉藥物，通常麻醉時間在十分鐘左右。病人會被迅速喚醒，不會引起明顯的呼吸抑制。不過，想預約無痛胃鏡的患者需先通過麻醉醫生的麻醉評估才可以哦！
Intravenous general anesthesia will cause the patient to enter a state of unconsciousness. A small dosage or short-acting anesthesia usually lasts for approximately 10 minutes. The patient will swiftly recover consciousness with no obvious breathing difficulties. However, patients who wish to book a painless gastroscopy must first undergo an anesthesia assessment from an anesthetist.
還有一種選擇
對於有麻醉顧慮的患者，膠囊胃鏡也是不錯的選擇。患者只需要將內置攝像與信號傳輸裝置的智能膠囊吞下然後配合醫生檢查就可以了。
膠囊內鏡適用於年老體弱的患者與對有麻醉顧慮者。
Capsule endoscopy is a good option for patients who are concerned about anesthesia. Patients simply need to swallow a smart capsule with a built-in camera and signal transmission device, and then cooperate with the doctor for an examination.
Capsule endoscopy is suitable for the elderly or infirm patients and for those with concerns about anesthesia.
問
膠囊內鏡的優缺點是什麼呢？
What are the advantages and disadvantages of capsule endoscopy?
優點：檢查方便、無創傷、無痛苦、無交叉感染等
缺點：不能進行活檢和治療，無法控制膠囊行走速度，梗阻是易嵌頓等。
Advantages: convenient, non-invasive, painless, no cross-infection, etc.
Disadvantages: cannot perform biopsy and treatment, cannot control the capsule travel speed, prone to obstruction, etc.
答
上海市同仁醫院內窺鏡室是上海市長寧區特色專科，「勞模創新」及「名醫」工作室；擁有一支規範高效的醫療隊伍，學科圍繞胃腸道早期腫瘤內鏡下診斷及治療、膽道疾病內鏡下診斷及治療，門脈高壓胃底食管靜脈曲張內鏡治療等方向，承擔了長寧區70%以上的消化內鏡診療工作，乃至上海西部地區大多數的內鏡急救工作。
The Shanghai Tongren Hospital Endoscopy is a specialized clinic in Changning District, a work place where 「model workers& innovation」 and 「esteemed doctors」 meet. It boasts a highly regulated and efficient medical team and treatment of early stage gastrointestinal tumors and biliary tract diseases, and treatment of portal hypertension and esophageal varices, etc., and undertakes over 70% of Changning District’s digestive endoscopy diagnosis and treatment work, and even most of the emergency endoscopic work across western suburbs of Shanghai.
特需專家門診時間
彭海霞 內窺鏡室 主任醫師
Haixia Peng, chief physician of endoscope
特需門診時間：周二下午 周四上午
Clinic hours: Tuesday afternoon Thursday morning
楊大明 內窺鏡室 副主任醫師
Daming Yang, Associate chief physician of endoscope
特需門診時間：周一上午
Clinic hours: Monday morning
周鋒利 內窺鏡室 副主任醫師
Fengli Zhou, Associate chief physician of endoscope
特需門診時間：周四下午
Clinic hours:Thursday Afternoon
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供稿、編輯、翻譯：何濛濛
TONGREN HOSPITAL
上海交通大學醫學院附屬同仁醫院
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原標題：《雙語丨早發現、早治療，胃癌早期別耽擱！》
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