早筛、早治疗· 别耽搁
胃癌是常见的消化道恶性肿瘤，近几十年来，尽管其发病率逐渐下降，但全球肿瘤数据显示，胃癌的发病率与死亡率分别位居全球肿瘤第5位和第3位。据统计，早期胃癌的五年生存率可达95%，因此胃癌的早筛早治尤为重要。
gastric cancer is a common malignant tumor of the gastrointestinal tract. although its incidence has gradually declined in recent decades, the 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
在我国，胃癌的发病率仅次于肺癌居第二位，死亡率排第三位。近年来随着胃镜检查的普及，早期胃癌检出率逐渐提高。发现早期胃癌，胃镜是最好的检查方式。
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.
胃镜检查，就是借助一条迁细、柔软的管子通过嘴巴伸入上消化道中，医生可借助管子前面的镜头直接观察到食管、胃、部分十二指肠的内部情况，并对可疑部位进行活检。
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.
有哪些人需要做胃镜？
what kinds of people have to do gastroscopy?
长期胃部不适，胃痛，食欲不振，胀气，反酸的人及中老年人，有肿瘤家族史
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
慢性萎缩性胃炎、有胃溃疡、胃息肉患者
幽门螺旋杆菌感染者
patients with chronic atrophic gastritis， history of gastric ulcer, gastric polyp
patients with helicobacter pylori infection
胃镜病理活检提示有不典型增生、大肠型肠化生等患者
patients indicated to have atypical hyperplasia and intestinal metaplasia of large intestine through gastroscopy
01
普通胃镜和无痛胃镜的区别？
whats difference between general gastroscopy and painless gastroscope?
普通胃镜
general gastroscopy
01
通过电子胃镜由口腔直接伸入胃体内，探头可以直接拍摄胃内的表面情况，可以详细了解是否充血、水肿、糜烂、溃疡等。咽部麻醉：目的是减少咽部反应，减少患者痛苦，检查过程中会有不适,恶心等症状。
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.
无痛胃镜
painless gastroscopy
02
药物静脉注射麻醉，患者会进入睡眠状态。用量小、短效的麻醉药物，通常麻醉时间在十分钟左右。病人会被迅速唤醒，不会引起明显的呼吸抑制。不过，想预约无痛胃镜的患者需先通过麻醉医生的麻醉评估才可以哦！
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.
还有一种选择
对于有麻醉顾虑的患者，胶囊胃镜也是不错的选择。患者只需要将内置摄像与信号传输装置的智能胶囊吞下然后配合医生检查就可以了。
胶囊内镜适用于年老体弱的患者与对有麻醉顾虑者。
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.
问
胶囊内镜的优缺点是什么呢？
what are the advantages and disadvantages of capsule endoscopy?
优点：检查方便、无创伤、无痛苦、无交叉感染等
缺点：不能进行活检和治疗，无法控制胶囊行走速度，梗阻是易嵌顿等。
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
上海市同仁医院内窥镜室是上海市长宁区特色专科，“劳模创新”及“名医”工作室；拥有一支规范高效的医疗队伍，学科围绕胃肠道早期肿瘤内镜下诊断及治疗、胆道疾病内镜下诊断及治疗，门脉高压胃底食管静脉曲张内镜治疗等方向，承担了长宁区70%以上的消化内镜诊疗工作，乃至上海西部地区大多数的内镜急救工作。
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.
特需专家门诊时间
彭海霞 内窥镜室 主任医师
haixia peng, chief physician of endoscope
特需门诊时间：周二下午 周四上午
clinic hours: tuesday afternoon thursday morning
杨大明 内窥镜室 副主任医师
daming yang, associate chief physician of endoscope
特需门诊时间：周一上午
clinic hours: monday morning
周锋利 内窥镜室 副主任医师
fengli zhou, associate chief physician of endoscope
特需门诊时间：周四下午
clinic hours:thursday afternoon
（配图源自网络，如有侵权请通知删除）
供稿、编辑、翻译：何濛濛
上观号作者：上海市同仁医院
如果觉得《双语丨早发现 早治疗 胃癌早期别耽搁！》对你有帮助，请点赞、收藏，并留下你的观点哦！
