First Year Fellows Endoscopy Course ( August 6-7) | 2023-2

2_How to Guide to Upper Endoscopy

Pdf Summary

This document is a how-to guide for performing upper endoscopy, which is a procedure used to visualize the upper gastrointestinal (GI) tract. The guide highlights the indications for upper endoscopy, which include upper abdominal or upper GI symptoms, iron deficiency anemia, suspected upper gastrointestinal bleeding, and the diagnosis and treatment of esophageal varices. The document also emphasizes the importance of recognizing alarm symptoms such as unintentional weight loss, odynophagia, dysphagia, hematemesis/melena, refractory acid reflux, and persistent vomiting.<br /><br />The guide provides tips on how to perform upper endoscopy effectively. It recommends a minimum of 1301 procedures to assess competency and stresses the need for both technical and cognitive skills. Ergonomics and patient comfort during the procedure are discussed, including the positioning of the monitor at eye level and the examination table at or below elbow height.<br /><br />The document outlines the step-by-step process of inserting the endoscope, examining the esophagus, stomach, and duodenum, and performing retroflexion to examine the incisura, cardia, and fundus. It also covers techniques for traversing the pylorus and visualizing different parts of the duodenum.<br /><br />The guide concludes with a recap of the key points, including the importance of developing a systematic approach, using torque and body positioning to direct the tip of the endoscope, and the need for regular practice to improve skills.<br /><br />Overall, this document provides a comprehensive overview of the indications for upper endoscopy and practical tips for performing the procedure.

Keywords

upper endoscopy

upper gastrointestinal tract

indications

alarm symptoms

competency

patient comfort

esophagus examination

stomach examination

duodenum examination

regular practice