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

Video Transcription

Video Summary

In this video, the speaker provides a guide to upper endoscopy, discussing various steps, considerations, and challenging areas. They begin by discussing the indications for upper endoscopy, such as dyspepsia, new onset GERD in older patients, persistent vomiting, dysphagia or odynophagia, iron deficiency anemia, esophageal varices, abnormal imaging, food impaction or foreign body removal. The speaker emphasizes the importance of performing upper endoscopy for the right reasons. They also highlight red flags or alarm symptoms that may necessitate upper endoscopy, including unintentional weight loss, dysphagia, hematemesis, melena, refractory acid reflux, and persistent vomiting. The speaker then discusses the learning curve for upper endoscopy, emphasizing the importance of both procedural skills and cognitive skills in interpreting findings. They also provide tips on preparing for a case, ergonomics during the procedure, and the importance of not cutting corners. The speaker highlights the need for careful examination of the esophagus, stomach, and duodenum, and the importance of biopsies in suspicious cases. They conclude by emphasizing the need for practice and continuous improvement in endoscopy skills.

Keywords

upper endoscopy

indications

dyspepsia

GERD

vomiting

dysphagia