Indy Gastro | Colonoscopy, rectal bleeding, diarrhea, constipation, endoscopy

Upper GI Endoscopy (EGD)



What is upper endoscopy?

Endoscopic Retrograde Cholangiopancreatography7 During an upper endoscopy your doctor examines the lining of the upper part of your gastrointestinal tract, including the esophagus, stomach and duodenum (first portion of the small intestine). Your doctor will use a thin, flexible tube called an endoscope, which has its own lens and light source, to view the images on a video monitor. You might hear your doctor or other medical staff refer to upper endoscopy as upper GI endoscopy, esophagogastroduodenoscopy (EGD), or panendoscopy.

How do I Prepare for an Upper Endoscopy?

Upper GI Endoscopy1 Stop eating food and unapproved beverages by midnight on the night before your endoscopy. You can drink clear liquids until five hours before to your endoscopy time. Approved clear liquids are: water, apple juice, white grape juice, cranberry juice, broth, bouillon, tea, black or sweetened coffee, colas/sodas/carbonated beverages, Gatorade or other sports drinks, popsicles, and Jello.

If you will have general anesthesia, including Propofol, you must stop clear liquids earlier. Please refer to the instructions provided by your doctor.

Why is upper endoscopy done?

Upper GI Endoscopy Upper endoscopy helps your doctor evaluate the symptoms of persistent upper abdominal pain, nausea, vomiting, or difficulty swallowing. Doctors use EGD to discover the cause of bleeding from the upper gastrointestinal tract. Upper endoscopy detects inflammation, ulcers, and tumors of the esophagus, stomach, and duodenum with a higher degree of accuracy than an x-ray.

Your doctor might use upper endoscopy to obtain a biopsy (small tissue samples). Biopsies can diagnose common conditions like the presence of Helicobacter pylori, a bacterium that causes ulcers, or less common conditions such as stomach cancer. Doctors also use upper endoscopy to perform a cytology test, where a small brush collects cells for analysis.

Doctors also treat conditions of the upper gastrointestinal tract with upper endoscopy. Your doctor can pass instruments through the endoscope to directly treat many abnormalities with little or no discomfort. For example, your doctor might stretch a narrowed area, remove polyps, or treat bleeding.

What can I expect during upper endoscopy?

liver-biopsy-what-does-it-involve Your doctor might start by spraying your throat with a local anesthetic or by giving you a sedative to help you relax. You will lie on your side while your doctor passes the endoscope through your mouth, esophagus, stomach, and duodenum. The endoscope will not interfere with your breathing.

Most patients consider the test only slightly uncomfortable, and many patients fall asleep during the procedure.

What happens after upper endoscopy?

Liver Biopsy 2 After your upper endoscopy, medical staff will monitor you until most of the effects of the medication have worn off. Your throat might be a little sore, and you might feel bloated because of the air introduced into your stomach during the test. You will be able to eat after you leave, unless your doctor instructs otherwise.

Your doctor generally can tell you your test results on the day of the procedure. The results of some tests might take several days.

If you receive sedatives, you cannot drive after the procedure. Arrange for someone to accompany you home.The sedatives might affect your judgment and reflexes for the rest of the day.

What are the possible complications of upper endoscopy?

Upper GI Endoscopy2 Although complications can occur, they are rare when doctors who are specially trained and experienced in this procedure perform the test. Bleeding can occur at a biopsy site or where a polyp was removed, but it is usually minimal and rarely requires follow-up.

Other potential risks include a reaction to the sedative used, complications from heart or lung diseases, and perforation (a tear in the gastrointestinal tract lining). It's important to recognize early signs of possible complications. If you have a fever after the test, experience trouble swallowing or notice increasing throat, chest or abdominal pain, tell your doctor immediately.

Copyright © 2004 American Society for Gastrointestinal Endoscopy. All rights reserved.


Follow us on

Contact Indy Gastro

  • (317) 865-2955 & (800) 403-4683
  • Mailing Address

    8051 S. Emerson Ave.
    Suites 150 & 200
    Indianapolis, IN 46237

  • Contact UsView All Locatons