Esophagastroduodenscopy EGD EndoscopyEDG Upper Endoscopy Cortlandt Manor NY

Esophagogastroduodenoscopy (EGD) is a test to examine the lining of the esophagus (the tube that connects your throat to your stomach), stomach, and first part of the small intestine. It is done with a small camera (flexible endoscope) that is inserted down the throat.

How is the procedure performed?

Performed with the state-of-the-art Fujinon scope. Our evolution of technology brings a new level of form and function to gastroscopes and the practice of gastroenterology. Extremely lightweight controls, super slim insertion tube diameters, and unsurpassed imaging technology are brought together for the ultimate performance.

You will receive a sedative and a painkiller (analgesic). You should feel no pain and not remember the procedure. A local anesthetic may be sprayed into your mouth to prevent you from coughing or gagging when the endoscope is inserted. A mouth guard will be inserted to protect your teeth and the endoscope. Dentures must be removed.

In most cases, a needle (IV) will be inserted into a vein in your arm to give you medications during the procedure.

You will be instructed to lie on your left side.

After the sedatives have taken effect:

  • The endoscope is inserted through the esophagus (food pipe) to the stomach and duodenum. Air is put into the endoscope to make it easier for the doctor to see.
  • The lining of the esophagus, stomach, and upper duodenum is examined. Biopsies can be taken through the endoscope. Biopsies are tissue samples that are looked at under the microscope.
  • Different treatments may be done, such as stretching or widening a narrowed area of the esophagus.

After the test is finished, you will not be able to have foods and liquids until your gag reflex returns (so you don't choke). The test lasts about 5 - 20 minutes.

How to prepare for the test

You will not be able to eat anything for 6 - 12 hours before the test. You must sign an informed consent form. You may be told to stop taking aspirin and other blood-thinning medicines for several days before the test.

Why is the test performed

EGD may be done if you have symptoms that are new, cannot be explained, or are not responding to treatment, such as:

  • Black or tarry stools or vomiting blood
  • Bringing food back up (regurgitation)
  • Feeling full sooner than normal or after eating less than usual
  • Feeling that food is stuck behind the breastbone
  • Heartburn
  • Low blood count (anemia) that cannot be explained
  • Pain or discomfort in the upper abdomen
  • Swallowing problems or pain with swallowing
  • Weight loss that cannot be explained
  • Nausea or vomiting that does not go away

Your doctor may also order this test if you:

  • Have cirrhosis of the liver, to look for swollen veins (called varices) in the walls of the lower part of the esophagus, which may begin to bleed
  • Have Crohn's disease
  • Need more follow-up or treatment for a condition that has been diagnosed

The test may also be used to take a piece of tissue for biopsy.

Video Education

What To Expect – Upper Endoscopy

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