Upper Endoscopy (EGD)
An EGD allows your doctor to visualize the lining of your esophagus, stomach
and a portion of the small intestine known as the duodenum. It may be
performed for patients with upper abdominal pain, nausea, vomiting, reflux,
or difficulty swallowing. It is also the best test to determine the cause
of bleeding from the upper GI Tract.
For your EGD, the stomach must be completely empty prior to the procedure.
You can eat normally the day prior to the procedure but must have nothing
to eat or drink at least 6 hours prior to your arrival for your test,
unless otherwise instructed.
You will most likely be sedated during the procedure so you must make arrangements
to have someone drive you home. Sedation can affect your judgment and
reflexes for the entire day. You will not be able to drive, drink alcohol,
or operate machinery until the next day.
Before the procedure you will have an intravenous (IV) inserted to provide
adequate hydration before and during your procedure. Your nurse will obtain
a full medical history from you including medical conditions, allergies,
medications you take, and family history. In the procedure room you will
be positioned on a stretcher on your left side. Your heart rhythm and
vital signs will be monitored. You will also receive oxygen through a
small tube under your nose. A small bite block is inserted between your
teeth to protect them during the procedure. Once you are positioned and
monitored, sedation will be administered through your IV by an anesthesiologist.
You will drift off to sleep while your EGD is being performed. Typically
it takes less than ten minutes to complete the procedure.
During the procedure, the physician may wish to take a biopsy, a small
sample of tissue. There is no pain when a biopsy has been taken, nor afterward,
and a biopsy does not necessarily indicate a problem. Any tissue removed
during the procedure will go to the laboratory for analysis and you physician
will discuss w/ you after the report has been received.
Once the procedure is complete you will awaken quickly and remain in the
Post Anesthesia Care Suite until you are ready to go home, usually with
1-1 ½ hrs. You may feel slightly bloated, but this will quickly
improve by remaining on your left side and belching. Your physician will
explain the results to you after your procedure or at your follow up visit.