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

09_ Upper Endoscopy - Martin

Pdf Summary

Upper GI endoscopy, also known as esophagogastroduodenoscopy (EGD), is a procedure used to examine the upper gastrointestinal (GI) tract. It involves inserting a flexible tube with a camera through the mouth or nose to visualize the esophagus, stomach, and duodenum. The procedure can be both diagnostic and therapeutic, allowing for the evaluation of various conditions and the performance of interventions such as biopsies, hemostasis for bleeding, and dilation of strictures. <br /><br />When considering the procedure, informed consent should be obtained, which includes discussing the indication, risks, benefits, and alternatives. The consent process should involve the patient or their representative and provide an opportunity for questions. <br /><br />The term "upper GI endoscopy" encompasses several procedures, including esophagoscopy, esophagogastroscopy, EGD, push enteroscopy, and balloon enteroscopy. It also includes the use of additional tools such as endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) for specific indications. <br /><br />Indications for upper GI endoscopy include evaluating conditions such as gastroesophageal reflux disease (GERD), dysphagia, abdominal discomfort, gastrointestinal bleeding, and screening or surveillance for certain conditions like Barrett's esophagus and intestinal metaplasia of the stomach.<br /><br />During the procedure, considerations for patient preparation, sedation, and potential adverse events should be addressed. Adequate post-procedure follow-up is essential to review findings, provide instructions, and address any concerns or adverse symptoms.<br /><br />There are potential risks associated with upper GI endoscopy, including cardiopulmonary events, bleeding, perforation, and infection. However, the overall adverse event rate is low, and major complications are rare in diagnostic procedures. Antibiotic prophylaxis is typically not required except for specific cases.<br /><br />It is crucial to have proper communication with the patient and the treatment team throughout the entire process to ensure the highest clinical value and safety. Informed consent, patient education, and adherence to best care practices are vital for successful upper GI endoscopy.

Keywords

Upper GI endoscopy

Esophagogastroduodenoscopy

GI tract examination

Flexible tube with camera

Diagnostic procedure

Therapeutic procedure

Informed consent

Indications for upper GI endoscopy

Patient preparation

Adverse events