What you need to know about:

Upper GI endoscopy

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Recovery Period:
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Time it takes:
15 - 30 minutes
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Anesthetize:
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Overview of

Upper GI endoscopy

in Thailand

An upper GI endoscopy or EGD (esophagogastroduodenoscopy) is a procedure that is carried out for diagnosing and treat problems in your upper GI (gastrointestinal) tract. The upper GI tract includes your esophagus, stomach, and the first part of your small intestine, called the duodenum. This procedure is done using a long, flexible tube called an endoscope. The tube contains a tiny light and video camera on one end. The tube is inserted into your mouth and throat and is slowly advanced down your esophagus and stomach, and into your duodenum. Video images from the tube are seen on a monitor to help give the doctor a view of your upper GI.

Goals of

Upper GI endoscopy

The high quality picture from the endoscope is shown on a TV monitor; it gives a clear, detailed view. In many cases, upper a GI endoscopy is a more precise examination than X-ray studies.

An upper GI endoscopy can be used to diagnose and treat problems in your upper GI tract. It is often used to find the cause of unexplained symptoms such as:  

-Trouble swallowing (dysphagia)

-Unexplained weight loss

-Upper belly pain or chest pain that is not heart-related

-Continuous vomiting for an unknown reason (intractable vomiting)

-Bleeding in the upper GI tract  

Disorders that can be identified by an upper GI endoscopy include;  

-GERD (gastroesophageal reflux disease)

-Narrowing (strictures) or blockages

-Larger than normal veins in your esophagus (esophageal varices)

-Redness and swelling (inflammation) and sores (ulcers)

-Tumors, either cancerous (malignant) or not cancerous (benign)

-The stomach moving upward, either into or next to your esophagus (hiatal hernia)

-Damage caused by swallowing very harmful (caustic) substances, such as household detergents and chemicals

-Celiac disease

-Crohn's disease of the upper GI tract

-Infections of the upper GI tract

Price of

Upper GI endoscopy

Average Cost

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Pros and cons of

Upper GI endoscopy

Pros

-An upper GI endoscopy is the best diagnostic tool for the doctor to see what is going on in your GI tract. It will allow him / her to diagnose any conditions that may be suspected  

Cons

-Patients may find the procedure a bit uncomfortable as the endoscope is passed down the esophagus. This can be overcome by medication and sedation.

How it works:

Upper GI endoscopy

An IV line will be started in your arm or hand to administer a sedative to help you relax during the procedure. The procedure will begin by you lying down on your left side on the X-ray table. A Numbing medicine may be sprayed into the back of your throat to help stop you from gagging as the tube is passed down your throat into your stomach. You will not be able to swallow the saliva that may collect in your mouth during the procedure. A mouth guard will be placed in your mouth to help keep you from biting down on the tube protect your teeth. Once your throat is numbed and the sedative has relaxed you, your provider will insert the tube into your mouth and throat. He or she will guide the tube down your esophagus, through your stomach, and into your duodenum.  You may feel some pressure or swelling as the tube advances into your gastrointestinal tract. If needed, samples of fluid or tissue can be taken at any time during the test. Other procedures, such as removing a blockage, may also done while the tube is in place. After the exam and procedures are done, the tube will be taken out.

Preparation before

Upper GI endoscopy

Pre - treatment

Your doctor will give you specific instructions to prepare for your endoscopy.

In some cases your doctor may ask that you:  

-Fast before the endoscopy. You will need to stop drinking and eating four to eight hours before your endoscopy to ensure your stomach is empty for the procedure.  

-Stop taking certain medications. You will need to stop taking certain blood-thinning medications in the days before your endoscopy. Blood thinners may increase your risk of bleeding if certain procedures are performed during the endoscopy. If you have chronic conditions, such as diabetes, heart disease or high blood pressure, your doctor will give you specific instructions regarding your medications.

Recovery after

Upper GI endoscopy

Post - treatment

After the procedure, you will be taken to the recovery room to be watched. Once your blood pressure, pulse, and breathing are stable and you are awake and alert, you will be taken to your hospital room. Or you may be discharged to your home. If you are going home, someone must drive you. You will not be allowed to eat or drink anything until your gag reflex returns. This is to prevent you from choking. You may have a sore throat and pain for a few days when you swallow. This is normal. You may feel gassy after the procedure. You may go back to your normal diet and activities, unless you have other instructions.

Risks & side effects

Some possible complications that may occur with an upper GI endoscopy are:  

-Infection

-Bleeding

-A tear in the lining (perforation) of the duodenum, esophagus, or stomach

FAQs:

Upper GI endoscopy

Are Upper Endoscopy procedures painful?

You will be anesthetized before the procedure, either by an intravenous sedative or a topical numbing agent. You shouldn’t be able to feel anything during the procedure, and if you do feel something, you will be able to alert your doctor.

What does the doctor see during an endoscopy?

An upper GI endoscopy will allow to see everything inside your digestive system lumen that stems from your esophagus, stomach and first portion of your small intestine known as the duodenum. It will provide a clear view of the lesions inside you such as bleeding, or abnormal masses.

What will happen if the doctor sees something abnormal?

If the doctor sees any abnormal areas in the gastrointestinal lining during the endoscopy, instruments can be passed down the endoscope to biopsy them.  Some types of cancers, like stomach cancer can start deep within the stomach wall, which can make them hard to biopsy with standard endoscopy. If the doctor suspects cancer might be deeper in the stomach wall, he or she might request an endoscopic ultrasound (described below) to help guide a thin, hollow needle into the wall of the stomach to get a biopsy sample.

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