First Year Fellows Endoscopy Course (Aug 1-2) | 2021-2

2_How to Guide to Upper Endoscopy

Pdf Summary

This guide is a summary of the ASGE First Year Fellows’ Endoscopy Course on upper endoscopy. It covers the indications for upper endoscopy, such as upper abdominal or GI symptoms, iron deficiency anemia, and food impaction. Alarm symptoms, including unintentional weight loss and refractory acid reflux, are also discussed.<br /><br />The guide emphasizes the importance of learning to perform upper endoscopy through practice and a systematic approach. It states that competency requires both technical and cognitive skills. Ergonomics and proper positioning of the patient are also highlighted.<br /><br />The guide provides step-by-step instructions for the insertion of the endoscope, from visualizing the hypopharynx to examining the esophagus. Techniques for advancing to the pylorus and examining the stomach and duodenum are also described.<br /><br />Retroflexion, where the scope is turned towards the wall of the stomach, is used to examine the incisura, cardia, and fundus. It is important to be thorough and systematic during the examination and to consider appropriate biopsy sites.<br /><br />The guide concludes by emphasizing the importance of a deliberate and systematic approach, the use of torque and body positioning, and the need for practice to improve skills in upper endoscopy.

Keywords

upper endoscopy

indications

GI symptoms

iron deficiency anemia

food impaction

alarm symptoms

competency

patient positioning

retroflexion

biopsy sites