Upper Endoscopy

An upper endoscopy, also called an esophagogastroduodenoscopy (EGD), is a medical test that examines the upper part of your digestive system. This includes the esophagus, stomach and the beginning of the small intestine (duodenum). The procedure uses an endoscope, which is a thin, flexible tube with a light and camera. This is similar to a colonoscopy, except the camera tube is gently inserted into the patient's esophagus to examine the stomach and upper gastrointestinal tract. Most patients receive sedatives to relax them and make them more comfortable for the procedure. Recovery can be done at home after a short time or in our fully equipped recovery room.

Why Might You Need an Upper Endoscopy?

Your doctor might suggest an upper endoscopy if you have any of these symptoms:

• Persistent abdominal pain
• Unexplained bleeding in the digestive tract
• Chronic nausea and vomiting
• Difficulty swallowing
• Unintended weight loss

The Purpose of an Upper Endoscopy

An upper endoscopy helps doctors to:

• Get a clear, direct view of the upper digestive system.
• Diagnose conditions more accurately than X-rays.
• Identify issues like acid reflux (GERD), tumors, inflammation (esophagitis, gastritis, duodenitis), gastrointestinal disorders (celiac and Crohn's disease), and stomach ulcers.

Treatment Capabilities

Besides diagnosing problems, an upper endoscopy can be used for treatments such as:

• Managing bleeding in the upper digestive tract
• Stretching narrowed areas of the digestive tract
• Removing polyps, tumors or foreign objects

Combined Procedures

Sometimes, an upper endoscopy is done along with other procedures, such as:

• Endoscopic Retrograde Cholangiopancreatography (ERCP): combines endoscopy, X-rays, and dye to diagnose and treat liver, pancreas, gallbladder and bile duct issues.
• Endoscopic Ultrasound (EUS): ultrasound and endoscopy are used to create detailed images of the digestive tract and nearby organs.

Upper Endoscopy Procedure Overview

An upper endoscopy is usually an outpatient procedure, so you can go home the same day. The steps include:

• Sedation: Patients will receive sedation to help them relax and make them comfortable for the procedure. A bite block is placed to protect your teeth and you may be asked to remove your dentures.
• Positioning: you will lie on your left side.
• Procedure:
  • The doctor will numb your throat and insert a mouthguard.
  • The endoscope is guided through your mouth into the esophagus, stomach and duodenum.
  • Air is gently pumped into your stomach and duodenum for a better view.
  • The doctor examines your digestive tract on a video monitor and performs any necessary treatments or biopsies.

After the Procedure

• Recovery: Stay in the recovery area until the sedation wears off. Someone needs to drive you home. You might have a sore throat or feel bloated.
• Diet and Activity: Follow your doctor’s advice. Usually, you can go back to normal activities the next day.

Understanding the Risks

While upper endoscopy is generally safe, potential risks include:

• Allergic reactions to the sedative

• Bleeding or infection in the digestive tract

• A tear in the digestive tract lining

When to Call Your Doctor

Call your doctor is you feel any of the following after your procedure:

• Fever
• Chest pain
• Shortness of breath
• Bloody, black or very dark-colored stool
• Difficulty swallowing
• Severe or persistent abdominal pain
• Vomiting, especially if your vomit is bloody or looks like coffee grounds

General Preparation Instructions for Gastrointestinal Procedures

Each gastrointestinal procedure requires specific preparations to ensure your safety and the success of the treatment. Here are some general guidelines:

• Fasting: Avoid food and drinks, including water, for several hours, or more as instructed by your healthcare provider.
• Medications: You may need to adjust or pause certain medications. Follow the specific directions given by your doctor.
• Bowel Prep: Some procedures require clearing the intestines using either a liquid solution or pills containing laxatives. Procedures like colonoscopy, flexible sigmoidoscopy, and PillCam capsule endoscopy typically require this type of preparation.

Please consult your doctor for detailed preparation instructions tailored to your health needs and the specific procedure.

Schedule an Appointment

Scheduling your appointment is through your gastroenterologist or by physician referral to one of our gastroenterologists.

Please contact your Gastroenterologist's office to schedule an exam/appointment. Contact us at 909.865.9141 for inquiries or questions.

If you do not have a primary care physician, please visit our website, mypvhc.com, to schedule an appointment with a primary care physician.