Procedures

EGD - Upper Endoscopy - (Esophagogastroduodenoscopy)

The doctors of Gastroenterology of Southern Indiana must often perform routine procedures for the evaluation and treatment of many digestive tract problems. For detailed information regarding a specific procedure, simply click on the procedure listed below. The information about the following procedures is meant as a reference only and should not be used as diagnostic treatment.

 

EGD - Upper Endoscopy (Esophagogastroduodenoscopy)

 

Upper Endoscopy is also known as an EGD (esophagogastroduodenoscopy).  This procedure uses a fiber optic instrument that is placed into the stomach after intravenous analgesics have been administered.  Thus, with the fiber optic scopes, a visual evaluation of the upper gastrointestinal tract can be done.  The areas studied with this test are the esophagus, the stomach, and the upper duodenum.

 

EGD - Ulcer

Reasons For Exam

 

There are many disorders which can involve the upper GI tract which can be diagnosed or followed using endoscopy.  Common symptoms which may lead to endoscopy are heartburn, pains in the stomach or chest, gastrointestinal bleeding, difficulty in swallowing, nausea and vomiting.

 

Equipment

EGD - Erosive Esophagitis

The endoscope is a thin flexible lighted tube which is passed through the mouth and is capable of seeing the upper GI tract.  It contains a minute optically sensitive computer chip in the tip which transmits the signal onto a video screen.  Dials permit the physician to steer the instrument in every direction.  A channel through the instrument permits suctioning or the collection of samples.  Other instruments can be passed through this channel to take biopsies, remove polyps, or stop bleeding.  Only the most state-of-the-art equipment is used.

 

Benefits

 

EGD is the most accurate means of identifying abnormalities in the upper GI tract.  It can be performed safely and with minimal discomfort for you.  In addition to providing a diagnosis, in many cases it enables the physician to perform specific treatment.  Bleeding can be controlled, polyps removed, and obstructions relieved.  Abnormalities that may be detected include:

 

  • Ulcers—breakdowns in the lining of the organs
  • Esophagitis—inflammation of the esophagus
  • Gastritis—inflammation of the stomach
  • Infections
  • Tumors or cancer
  • Obstructions—blockage or narrowings
EGD - Ulcers

 

Risks & Side Effects

 

No test is 100% accurate and infrequently EGD can miss abnormalities which are present.  A mild sore throat occasionally follows the procedure.  You may have a feeling of bloating which is also temporary.  Complications are very uncommon.  Bleeding can occur following a biopsy or removal of a polyp, but it is usually minimal and rarely requires a blood transfusion or surgery.  Oversedation occurs infrequently and almost always can be reversed.  A localized irritation of the vein can occur at the IV site resulting in a tender lump which may last for several weeks.  Application of hot moist towels may relieve the discomfort.  Other risks include complications of underlying heart or lung disease and reactions to one of the sedatives.  Perforation (a tear in one of the organs) is exceedingly rare and occurs in approximately 1 in 4,000 cases.  Any of these complications could involve hospitalization, emergency surgery, or in an exceptionally rare case, death.

 

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