Upper gastrointestinal endoscopy, also known as esophagogastroduodenoscopy (EGD), is a minimally invasive procedure used to examine the upper digestive tract, including the esophagus, stomach, and duodenum. At SHIFAA PAN African Hospitals, our Gastroenterology Department utilizes state-of-the-art equipment and experienced gastroenterologists to perform EGD procedures with precision and safety, aiming to diagnose and manage various gastrointestinal conditions effectively.

Procedure Overview:

During an upper gastrointestinal endoscopy, the patient is typically sedated to ensure comfort throughout the procedure. A thin, flexible endoscope, equipped with a light and camera, is inserted through the mouth and gently advanced into the esophagus, stomach, and duodenum. The endoscope allows the gastroenterologist to visualize the lining of the upper digestive tract in real-time, enabling the detection of abnormalities, such as inflammation, ulcers, tumors, or bleeding.

Diagnosis:

Upper gastrointestinal endoscopy is employed for both diagnostic and therapeutic purposes. It enables the evaluation of symptoms such as abdominal pain, difficulty swallowing, heartburn, nausea, vomiting, or unexplained weight loss. Common indications for EGD include the investigation of gastroesophageal reflux disease (GERD), peptic ulcers, gastritis, Barrett’s esophagus, esophageal varices, or suspected gastrointestinal bleeding. Additionally, EGD allows for tissue sampling (biopsy) and the removal of polyps or foreign objects as necessary.

Preparation:

Preparation for an upper gastrointestinal endoscopy may involve fasting for a specified period before the procedure to ensure a clear visualization of the digestive tract. Patients may also receive instructions regarding the cessation of certain medications, particularly blood thinners, to reduce the risk of bleeding during the procedure. Adequate hydration and compliance with pre-procedure guidelines are essential for the success of EGD. Procedure Safety: Upper gastrointestinal endoscopy is generally considered safe and well-tolerated. However, as with any medical procedure, there are potential risks and complications, including perforation, bleeding, infection, or adverse reactions to sedation. Patients undergoing EGD are closely monitored by the medical team to promptly address any complications and ensure optimal outcomes.

Post-procedure Care:

Following an upper gastrointestinal endoscopy, patients may experience temporary throat discomfort, bloating, or mild nausea, which typically resolves quickly. It is essential to follow post-procedure instructions provided by the healthcare provider, including restrictions on eating and drinking until the effects of sedation wear off. Patients are advised to have a responsible adult accompany them home after the procedure, as driving is not recommended while under the influence of sedation. Upper gastrointestinal endoscopy offers high diagnostic accuracy and allows for direct visualization of the upper digestive tract, facilitating the timely diagnosis of gastrointestinal conditions and guiding appropriate management strategies. Early detection of abnormalities through EGD can lead to improved treatment outcomes and better patient prognosis. The performance of upper gastrointestinal endoscopy involves collaboration between gastroenterologists, nursing staff, anesthesiologists, and support personnel to ensure patient safety and procedural success. A multidisciplinary approach ensures comprehensive evaluation, personalized care, and seamless coordination throughout the entire EGD process. Patient education plays a crucial role in preparing individuals for upper gastrointestinal endoscopy, alleviating concerns, and promoting active participation in their healthcare journey. Providing clear information about the procedure, potential risks, benefits, and post-procedure care instructions empowers patients to make informed decisions and optimize their overall experience.

 

What is an upper gastrointestinal endoscopy (EGD)?

An upper gastrointestinal endoscopy, or EGD, is a procedure used to examine the lining of the esophagus, stomach, and duodenum using a thin, flexible endoscope.

 

Why is an EGD performed?

EGD is performed to evaluate symptoms such as abdominal pain, difficulty swallowing, heartburn, or unexplained weight loss, and to diagnose conditions such as GERD, ulcers, gastritis, or gastrointestinal bleeding.

 

How is upper gastrointestinal endoscopy performed?

During EGD, the patient is sedated, and a flexible endoscope is inserted through the mouth and advanced into the upper digestive tract, allowing the gastroenterologist to visualize the lining of the esophagus, stomach, and duodenum in real-time.

 

Is upper gastrointestinal endoscopy safe?

Upper gastrointestinal endoscopy is generally safe and well-tolerated, but like any medical procedure, there are potential risks and complications, including perforation, bleeding, or infection.

 

What should I expect after an EGD procedure?

After EGD, patients may experience temporary throat discomfort, bloating, or mild nausea, which typically resolves quickly. It is important to follow post-procedure instructions provided by the healthcare provider.

 

How soon can I resume normal activities after EGD?

Most patients can resume normal activities, including eating and drinking, shortly after EGD, once the effects of sedation wear off. However, it is recommended to have a responsible adult accompany you home after the procedure.

 

When will I receive the results of my upper gastrointestinal endoscopy?

The results of an upper gastrointestinal endoscopy are typically available shortly after the procedure, and the gastroenterologist will discuss the findings with you and provide further recommendations or treatment plans as needed.