ASGE Annual GI Advanced Practice Provider Course (On-demand) (Day One)

Video Transcription

Video Summary

Upper GI endoscopy is broader than “EGD.” It refers to endoscopic examination of the esophagus, stomach, duodenum, and sometimes beyond the ligament of Treitz via enteroscopy (e.g., single- or double-balloon). It is usually performed through the mouth but can also be done transnasally with a thin scope. By convention, it does not include video capsule endoscopy.<br /><br />Key indications include evaluation of esophageal (not oropharyngeal) dysphagia, reflux-related symptoms, upper abdominal symptoms, celiac disease evaluation, and diagnostic assessment of upper GI bleeding. Screening/surveillance roles include Barrett’s esophagus and variceal surveillance in portal hypertension. Therapeutic uses include hemostasis, stricture dilation, Barrett’s ablation, and other interventions.<br /><br />The scope’s components include light transmission, CO₂/air insufflation, suction/working channel for accessories, and lens/field irrigation. Best practice emphasizes appropriate indication, informed consent as a process, awareness that risks are low but not zero (often cardiopulmonary), limited antibiotic prophylaxis per guidelines, thorough documentation with photos, and robust post-procedure follow-up and patient instructions.

Asset Subtitle

John A. Martin, MD, FASGE

Keywords

upper GI endoscopy

esophagogastroduodenoscopy (EGD)

enteroscopy (single- or double-balloon)

Barrett’s esophagus surveillance

endoscopic hemostasis for upper GI bleeding