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What is an Upper Endoscopy?

Rakesh GUPTA
Rakesh GUPTA MD
New York, Brooklyn
Gastroenterology
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* Date : 09-18-2008 - 05:42 PM (65 days ago),

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What is an Upper Endoscopy?

What is an Upper Endoscopy?
This test is also known as Gastroscopy, Esophagogastroduodenoscopy, or simply, EGD. This test allows your Gastroenterologist to examine the lining of the esophagus (food pipe), stomach, and the duodenum (the first part of your small intestine). A flexible tube with a camera at it's tip, about the thickness of the little finger, is inserted through the mouth into the esophagus, stomach, and duodenum. This procedure is done painlessly with the assistance of our in house Anesthesiologist.



Upper Endoscopy

The digestive systemUpper endoscopy enables the physician to look inside the esophagus, stomach, and duodenum (first part of the small intestine). The procedure might be used to discover the reason for swallowing difficulties, nausea, vomiting, reflux, bleeding, indigestion, abdominal pain, or chest pain. Upper endoscopy is also called EGD, which stands for esophagogastroduodenoscopy (eh-SAH-fuh-goh-GAS-troh-doo-AH-duh-NAH-skuh-pee).

For the procedure you will swallow a thin, flexible, lighted tube called an endoscope (EN-doh-skope). Right before the procedure the physician will spray your throat with a numbing agent that may help prevent gagging. You may also receive pain medicine and a sedative to help you relax during the exam. The endoscope transmits an image of the inside of the esophagus, stomach, and duodenum, so the physician can carefully examine the lining of these organs. The scope also blows air into the stomach; this expands the folds of tissue and makes it easier for the physician to examine the stomach.

The physician can see abnormalities, like inflammation or bleeding, through the endoscope that don't show up well on x rays. The physician can also insert instruments into the scope to treat bleeding abnormalities or remove samples of tissue (biopsy) for further tests.

Possible complications of upper endoscopy include bleeding and puncture of the stomach lining. However, such complications are rare. Most people will probably have nothing more than a mild sore throat after the procedure.

The procedure takes 20 to 30 minutes. Because you will be sedated, you will need to rest at the endoscopy facility for 1 to 2 hours until the medication wears off.

Preparation
Your stomach and duodenum must be empty for the procedure to be thorough and safe, so you will not be able to eat or drink anything for at least 6 hours beforehand. Also, you must arrange for someone to take you home—you will not be allowed to drive because of the sedatives. Your physician may give you other special instructions.

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