First Year Fellows Endoscopy Course (Aug 8-9) | 2021-2

2_How to Guide to Upper Endoscopy

Pdf Summary

This document is a how-to guide for performing upper endoscopy. It outlines the objectives, indications, and techniques for performing upper endoscopy. <br /><br />The document starts by listing the indications for upper endoscopy, such as upper abdominal symptoms, iron deficiency anemia, and dysphagia. It also mentions the alarm symptoms that should prompt an upper endoscopy, including unintended weight loss and hematemesis. <br /><br />The guide emphasizes the importance of learning to perform upper endoscopy, stating that the learning curve is around 100 cases. It also highlights the need for both technical and cognitive skills in order to become competent. Ergonomics is discussed as well, with recommendations for the positioning of the monitor and examination table.<br /><br />The technique of inserting the endoscope is explained, including the importance of proper sedation, direct visualization, and examining specific areas like the hypopharynx and UES. The guide also provides tips for examining the esophagus, stomach, and duodenum, with instructions for maneuvering the scope and avoiding over insufflation. The document also covers retroflexion and when and where to perform biopsies during upper endoscopy.<br /><br />The importance of a systematic approach and continuous practice is emphasized throughout the document. It encourages practitioners to refine their precision and technique through routine cases and highlights the fact that there is always room for improvement. Overall, this guide provides a comprehensive overview of upper endoscopy, including indications, techniques, and tips for success.

Keywords

upper endoscopy

how-to guide

indications

techniques

learning curve

sedation

esophagus

stomach

duodenum

biopsies