Esophagogastroduodenoscopy (EGD).

An effective way to manage your Digestive System’s health.

If your doctor is concerned about the health of your digestive system, he may perform an upper gastrointestinal endoscopy. An upper gastrointestinal endoscopy allows your doctor to look for ulcers, tumors, inflammation, infection, or bleeding of the interior lining of your esophagus, stomach, and the first part of your small intestine. An examination of the entire upper gastrointestinal (GI) tract is sometimes called Esophagogastroduodenoscopy (EGD).

An EGD may be able to provide valuable information and allow certain procedures to be completed, including the following:

  • Examine the inside of the stomach and upper small intestine (duodenum) after a surgical procedure
  • Check internal bleeding that may be leading to anemia
  • Look for gastric outlet obstruction (a blockage in the opening between the stomach and intestines)
  • Check for proper healing of stomach ulcers
  • Check for an esophageal injury in emergency situations (i.e., if poison was swallowed)
  • Remove gastrointestinal polyps (growths from inside the esophagus, stomach, or small intestine)
  • Remove foreign objects that have been swallowed
  • Treat upper gastrointestinal bleeding, including esophageal varices
  • Collect tissue samples for laboratory examination

How is the Surgery Performed?

An EGD procedure is most often performed by a gastroenterologist, a doctor who specializes in problems with the digestive system. Some surgeons, physicians, and internists are also trained to perform the procedure. An EGD may be done in a hospital, clinic or doctor’s office.

In preparation for an EGD, your doctor will instruct you to not eat or drink anything for six to eight hours before the procedure. An empty stomach allows your doctor to see your stomach more clearly during the procedure and it reduces your chances of vomiting. There is a small risk that vomiting may result in your stomach contents entering your lungs (aspiration) and so precautions must be taken. If you require an emergency EGD, a tube may be inserted through your mouth or nose in order to empty your stomach.

Your doctor will also advise you to avoid aspirin and non-steroidal, anti-inflammatory drugs (NSAIDS) for several days before your procedure and to stop taking blood-thinning medicine temporarily before the procedure. This is due to the fact that bleeding may occur if biopsy samples are taken or polyps are removed during the test. Bleeding usually stops on its own without treatment.

Before the procedure begins, blood tests may be conducted to check for clotting problems or a low blood count. Your throat will likely be numbed with an anesthetic spray, lozenge, or gargle to relax your gag reflex and make it easier for an endoscope to be inserted into your throat.

During the test, you may be administered a pain medicine and sedative intravenously through your hand or arm. You will likely feel relaxed and drowsy during the test and you will not remember much of what took place during the actual test. You will then be asked to lie on your left side with your head bent forward slightly. The doctor or his assistants will place a mouth guard in your mouth, and then a lubricated tip of the endoscope will be guided into your upper GI tract. The endoscope is no thicker than many foods that you swallow so it will not cause breathing problems. You will not feel what is taking place due to the pain medication. Excess saliva will be removed from your mouth with a suction device or it can drain from the side of your mouth.

A camera attached to the endoscope allows your doctor to examine the walls of your esophagus, stomach, and duodenum. Your doctor will slowly move the endoscope while looking through an eyepiece or watching a video monitor. He may take pictures of your upper GI tract for later study. He may also insert tiny instruments such as forceps, swabs, and loops through the endoscope to remove growths and collect tissue samples. The entire procedure typically takes 30-45 minutes.

The Surgeons at miVIP.

The surgeons at miVIP are highly skilled and have abundant experience at performing EGD surgery and other related surgeries. You can rest assured that you will be treated with the upmost care before, during, and after your procedure.

What to expect after your procedure.

You may return home after you have fully recovered from your procedure, however, you may not drive or operate machinery for 12 hours. Your doctor will advise you on when you can resume your normal activities and diet. You may not drink alcohol for 12-24 hours after your procedure. Although complications from EGD surgeries are rare, you should discuss your specific risks with your doctor.

Cost of Procedure.

The cost of EGD surgery is dependent on your health insurance. Your insurance plan may require you to meet a deductible before providing compensation for your procedure unless you have met your out-of-pocket expenses set by your provider. Our friendly representatives will help you create a financial plan that will allow you to participate in the procedure.

For more information about EGD surgeries or to schedule an appointment, call us at 855.496.4847.