Best of GIE | December 2021-Upper Endoscopy Tips

Pdf Summary

Upper endoscopy, also known as esophagogastroduodenoscopy (EGD), is a valuable tool in diagnosing and managing various pathologies of the upper gastrointestinal tract. However, studies have shown that a significant number of cancers are missed during endoscopy, highlighting the need for high-quality procedures. In this article, Dr. Prateek Sharma provides 10 practical tips for performing a high-quality EGD.<br /><br />The first tip is to collect the patient's medical history, focusing on their main symptoms and current therapies. This helps in formulating a differential diagnosis and anticipating what to expect during the procedure. It is also important to obtain informed consent and review the risks, benefits, and alternatives to the procedure.<br /><br />Proper use of endoscopic maneuvers is crucial. This includes standing comfortably, following appropriate intubation techniques, and effectively using torque to navigate the upper GI tract. It is also important to take the time to clean the surface mucosa before the procedure to ensure clear visualization.<br /><br />During the EGD, it is essential to spend enough time inspecting the mucosa and carefully examining all areas of interest. Following guidelines for biopsy sample removal is also important, ensuring the appropriate number of samples are obtained based on the indication.<br /><br />Retroflexion should be performed to carefully inspect the cardia and fundus. High-quality images of key landmarks and abnormal findings should be obtained and documented using standardized classification systems.<br /><br />The signs and symptoms of possible adverse events should not be ignored, and appropriate action should be taken if they arise. Finally, an appropriate endoscopy surveillance schedule should be set, avoiding both underuse and overuse of the procedure.<br /><br />By following these practical tips, endoscopists can improve the effectiveness and safety of EGD procedures and enhance patient outcomes.

Asset Subtitle

Complete title: Top 10 tips for performing a high-quality upper endoscopy (with videos)

Meta Tag

Organ & Anatomy Esophagus

Organ & Anatomy Stomach

Organ & Anatomy Duodenum

Procedure Upper Endoscopy (EGD)

Keywords

Upper endoscopy

esophagogastroduodenoscopy

diagnosing

managing

pathologies

cancers

high-quality procedures

practical tips

endoscopic maneuvers

patient outcomes