What Is an EGD?

An esophagogastroduodenoscopy ( EGD ), much referred to as an upper endoscopy, is an incursive procedure that can help in evaluating and managing several conditions that involve the amphetamine gastrointestinal ( GI ) tract—which is composed of the esophagus, stomach, and upper dowry of the small intestine. Using the mouth and throat for access, a fiber-optic endoscope equipped with a camera is used to visualize your upper GI tract, obtain a biopsy, or treat gastrointestinal conditions .

what to expect during an EGD
Verywell / Emily Roberts

Reading: What Is an EGD?

What Is EGD ?

An EGD can be an interposition, a diagnostic instrument, or both. This operation may be part of your medical caution if your healthcare supplier needs access to your amphetamine GI tract ‘s lumen, which is the inside of this continuous GI tube. Children and adults can have this procedure .

An EGD utilizes an endoscope that is advanced from the sass down to the GI nerve pathway. The endoscope is thin and flexible, and it has a camera and microsurgical tools attached. The camera is used to view the inner lining of the lumen, and your healthcare supplier might besides take pictures or record a video of the area to help with diagnosis and future treatment planning. The surgical tools can be used to remove and repair defects and disease .

Your EGD may include one or more of the follow components :

  • Esophagoscopy: Reaches inside of the esophagus
  • Gastroscopy: Extends to the inside of the stomach
  • Duodenoscopy: Accesses the inside of the duodenum, the first part of the small intestine

An EGD does not visualize the upper GI system from the outside and does not provide authentic information about the lungs, liver, irascibility, or other nearby organs .

Contraindications

Your healthcare provider might recommend that you postpone having an upper endoscopy if you have an active agent pneumonic disease such as asthma, severe exacerbations of COPD or severe heart disease that make anesthesia difficult, or an infection in the nose, throat or pneumonic system, specially if the operation is being done for diagnostic purposes. Cancer of the neck or oral pit may hinder the setting ‘s passage into the esophagus—but having cancer does n’t prevent one from undergoing a EGD .

electric potential Risks

broadly, complications are meek and become apparent during the procedure or within a few days. An EGD may result in serious complications, but they are uncommon .

abrasion or a pluck of the inner line of your esophagus, stomach, or little intestine can cause bleed. This can heal on its own if the abrasion is modest. If it is larger, it can cause blood loss and might need to be repaired during your EGD routine or late on .

The intervention can besides cause a puncture in your upper GI tract, which could lead to dangerous shed blood or a dangerous gastric fluid leak that would require pressing repair .

Cardiac or respiratory effects of the anesthesia are besides possible, particularly for people who have severe underlie center or lung disease.

Complications are more probably if you already have a major upper GI disorder anterior to the procedure, such as a bleed ulcer or a large tumor. additionally, a remedy EGD causes more tissue break than a diagnostic EGD and is more probable to cause complications.

Purpose of an EGD

An EGD may be done for diagnostic or remedy reasons, depending on your condition .

Your healthcare provider may recommend an EGD if you have any of the pursuit symptoms :

  • Swallowing difficulties (dysphagia)
  • Painful swallowing (odynophagia)
  • Excessive or persistent vomiting
  • Hematemesis (vomiting blood) or hemoptysis (coughing up blood)
  • Heartburn
  • Excessive or unusual burping
  • A bitter taste in your mouth
  • Indigestion
  • Abdominal pain
  • Chest pain
  • Weight loss
  • Unexplained anemia (low red blood cell function)

Visualizing the lumen can help identify their cause, which may be differently unclear based on presentation entirely .

You may besides need to have an EGD if you ‘ve already had an abdominal x-ray, sonography, or computed imaging ( CT read ) suggesting an abnormality of your upper GI tract lumen. typically, imaging tests can visualize the anatomic structure of the amphetamine GI system and nearby organs, but they do not provide a view of the appearance of the inner lining itself. This makes an upper endoscopy a utilitarian adjunct when used along with image tests .

EGD is besides considered when the aesculapian history and physical examination suggest the hypothesis of a lesion in the lumen that could not be well-visualized with a less invasive test ( like an image test ) .

additionally, if you ‘ve ingested a alien body or a acerb meaning, then EGD may be indicated .

As a diagnostic joyride, EGD is besides useful when it ‘s the easy and safest way to obtain a biopsy. During the operation, your healthcare supplier may collect one or more tissue samples so they can be examined under a microscope .

Conditions that may be diagnosed or treated with EGD include :

  • Peptic ulcer
  • Esophageal varices (enlarged blood vessels susceptible to bleeding)
  • Achalasia (impaired movement) of the upper GI tract
  • Narrowing of areas of the GI trace
  • Gastroesophageal reflux disease (GERD)
  • Ulcerations
  • Hiatal hernia
  • Inflammation
  • Chronic diseases such as celiac disease or Crohn’s disease
  • Infections
  • Cancer

When being done for treatment purposes, your healthcare provider may do any of the following depend on the condition you have :

  • Cut away a growth (like cancer)
  • Repair an open lesion (like an ulcer)
  • Tie off esophageal varices
  • Use heat or cold to destroy an abscess
  • Use a balloon device or laser therapy for dilatation (widening) your upper GI tract

EGD has besides been used in the treatment of austere fleshiness as one of the alternatives to other types of weight loss operating room. This routine involves techniques such as reducing the size of the abdomen using an endoscopic approach to place sutures preferably than by using an abdominal incision .

How to Prepare

Before your EGD, your healthcare provider may decree imaging tests ahead of fourth dimension to help plan your procedure .

location

An EGD is typically done in an endoscopy suite, which is a special procedure room. It may be located in the hospital, a surgical center, or an outpatient clinic .

You should be prepared to spend several hours at your EGD date and to rest for the end of the day after your operation .

What to Wear

You will need to change into a gown, so what you wear to the appointment wo n’t affect your procedure. however, since you might feel a fiddling bloat after your EGD, you may want to consider wearing clothes that are not restrictive on your abdominal area .

food and Drink

You will be asked to stop feed and drink for approximately eight hours anterior to your EGD. You may be permitted to drink net liquids up to five hours prior to your appointment, and your aesculapian team will give you more detail instructions if there are particular considerations that you need to be mindful of based on your specific condition .

Medications

If you are taking blood thinners, your healthcare supplier may give you instructions to stop taking them for a few days before the trial. And you might besides be given instructions to adjust the venereal disease of steroids or other anti-inflammatory medications that you might be taking .

cost and Health Insurance

Your health policy design may require a pre-authorization to approve payment, and the facility where you will have the procedure will take worry of that step .

You may have to pay a co-pay, and you can find out your helping of the monetary value from your health policy ship’s company and the facility where you will have your procedure done .

If you are paying for your EGD out of pocket, you can expect the cost to range between $ 1,000 and $ 3,000 .

What to Bring

You should bring your EGD order form that was given to you by your healthcare supplier, your health indemnity poster, a form of personal designation, and a means to pay your dowry .

Because you will need to have sedation for your EGD, you should make certain that you have person who will drive you home after the operation .

Pre-Op Lifestyle Changes

Your healthcare supplier might advise dietary modifications for respective weeks anterior to your EGD. For model, you might be instructed to avoid gluten if there is a business that you could have coeliac disease .

What to Expect on the Day of Your EGD

When you check-in for your EGD, you will be asked to fill out some forms, including a consent form, authority for requital, and a patient privacy form .

An EGD is normally performed by a gastroenterologist, a healthcare supplier specialized in treating diseases of the gastrointestinal system. A harbor or technician will assist with the routine .

Before the procedure

sometimes, there is a pre-operative sphere where you can change into a gown before your routine. But often, patients do this in the routine cortege. If you have them, dentures or partial plates should be removed sol the numbing medicate can reach all areas of the mouth and to avoid damage from the endoscope .

Your heart rate, blood pressure, respiratory rate, and oxygen level will be monitored throughout your operation. You will have a pulse oximeter placed on your finger that measures oxygen saturation and pulse, and a blood pressure cuff will be placed on your arm.

You will need to have intravenous ( IV ) sedation american samoa well as local numbing music administered to your throat to prevent discomfort and gagging.

A nurse will place an IV line in your hired hand or branch ; you should feel an initial crimp, but no pain thereafter. The IV medicine will then be injected, which will make you sleepy and relaxed. While the drug itself wo n’t put you to sleep, it ‘s not rare to fall asleep during this operation .

Your throat will then be sprayed with the medicine, which will have a numb effect for about 30 to 45 minutes .

You will be given a protective device to put into in your mouth to protect your teeth from the endoscope. You will then be positioned therefore that you lie on your leave side .

During the operation

When you are adequately relax, you will be asked to swallow once or twice during the initial time period of insertion of the endoscope. The tube will not interfere with your ability to breathe and is only mildly uncomfortable following the initial interpolation .

You should not feel any discomfort during your EGD, and you should n’t be able to feel any annoyance or notice incisions from techniques such as biopsy or tumor resection .

You may experience a palpate of fullness in your abdomen as the healthcare provider injects a moderate come of air to expand your digest, allowing for better visual image. Pictures or videos may be taken of the inside of your digestive tract to monitor abnormalities and for treatment planning .

A biopsy may be taken for examination. If then, you will have stitches placed in the hoist to stop bleed and induce curative .

If you are having your EGD for treatment of a gastrointestinal condition, electrosurgical instruments attached to the endoscope will be used as planned .

You might have diagnostic and curative aspects of your EGD. And your healthcare supplier may decide on some curative approaches during your procedure based on the observations made while you are having your EGD .

After the operation

After the endoscope is removed, your medical team will let you know that your procedure is complete. You may not recall the procedure because of the effect of the sedation .

You will need to recover and wait until you are wake up and alert before being discharged. In the interim, you might have vital signs like your lineage coerce and pulse monitored .

Be sure to let your aesculapian team know if you have discomfort or annoyance .

Your healthcare supplier will either discuss the results of your upper berth endoscopy with you immediately after the procedure or may schedule another appointment to do sol and devise a plan, specially if you had a biopsy. This may take several days or weeks. Be indisputable you ‘re well-defined on the timeline before leaving .

recovery

You should expect to feel groggy for several hours after your EGD. You may have a slenderly sore throat after the procedure, which should last for approximately 24 hours .

Follow your healthcare supplier ‘s instructions for resuming eating and drink following the procedure. When you do, it ‘s a good theme to eat or drink slowly. Cool liquids and soft foods are good ; avoid anything highly hot or piquant .

Advance your diet slowly and do n’t push yourself to eat more than you can handle besides soon. You should be able to tolerate regular food within a week .

Healing

recovery from the endoscopy should take no more than a few days. If your throat discomfort lasts for longer than that, if you experience worsening annoyance or trouble swallow, or if you develop swelling in the rear of your throat, call your healthcare provider .

Get emergency aesculapian care if you develop strange or severe abdominal pain or shed blood following the operation. dark-colored stools or cough, spitting, or vomiting rake are signs to watch for. Lightheadedness or dizziness can signal severe rake loss and besides requires pressing medical care .

Long-Term Care

You should n’t need long-run worry because of an EGD operation specifically. But you may need treatments to manage issues that are detected during an EGD .

Treatments might include chemotherapy and radiation therapy for cancer, surgery for a hernia, or anti-inflammatory medication for Crohn ‘s disease .

possible future Surgeries

In general, you should not need to have EGD procedures routinely repeated. But if your symptoms by chance worsen or you develop modern symptoms, your healthcare provider may want you to have another EGD to investigate the cause—which could be yet nameless .

life style Adjustments

Depending on your condition, you might have to make some dietary changes. For model, your healthcare provider or a dietician may recommend avoiding acidic foods that exacerbate an ulcer. Or you might need to limit your meals to little amounts if you have a chronic problem with amphetamine GI constriction .

And if you ‘ve had an EGD for the treatment of fleshiness, you will need to limit calories to maintain the benefits long term .

Keep in mind that each GI circumstance is managed by its own especial diet. There is no one-size-fits-all strategy .

A Word From Verywell

An EGD can be an authoritative region of the diagnosis and management of diseases of the upper GI nerve pathway. The procedure is generally well tolerated with a recovery that does n’t normally take longer than a few days .

If you have a short-run or chronic amphetamine GI condition that requires an EGD, do n’t hesitate to ask your healthcare supplier and your medical team to explain the results of your EGD so you can understand what is going on with your health .

Frequently Asked Questions

  • How long does an EGD test take?

    It takes approximately 30 to 60 minutes for your doctor of the church to examine the esophagus, stomach, and duodenum during EGD endoscopy .
    Learn More :
    Signs You May Have a Hiatal Hernia

  • Are there side effects after an EGD?

    For up to 24 hours after the operation, you have a balmy sensitive throat, some bloat, boast, or rebuff hamper. Some people besides feel nauseated by the anesthesia. If these symptoms last more than a day, contact your doctor .
    Learn More :
    What to Expect When You Get anesthesia

  • How soon can you eat or drink after an endoscopy?

    Your doctor will give you specific directions based on your operation. In most cases, you can return to eating lighter food shortly after the endoscopy. If you have throat pain or residual effects of local anesthetic anesthesia, you may need to wait until pain or apathy passes before you eat .
    Learn More :
    Guide to Local Anesthesia

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