First Year Fellows Endoscopy Course (July 28-29) | 2023-2

2_How to Guide to Upper Endoscopy

Pdf Summary

This document is a how-to guide for upper endoscopy, specifically aimed at first-year fellows in endoscopy. It provides information on the indications for upper endoscopy, the technique basics, components of a normal examination, and abnormal conditions. <br /><br />The guide identifies several appropriate indications for upper endoscopy, including dyspepsia symptoms in a 65-year-old female, persistent reflux symptoms for 10 years in a 70-year-old obese male, and iron deficiency anemia with melena in a 25-year-old male. Alarm symptoms such as unintentional weight loss, odynophagia, dysphagia, hematemesis/melena, refractory acid reflux, and persistent vomiting are also discussed.<br /><br />The document outlines the minimum number of upper endoscopies recommended for assessing competency (1301), and emphasizes the importance of both technical and cognitive skills. Ergonomics and proper positioning for endoscopy are also addressed, including the positioning of the monitor and examination table.<br /><br />The guide provides step-by-step instructions for the insertion and examination of the endoscope, including specific techniques for examining the esophagus, stomach, and duodenum. The importance of a systematic and thorough approach, as well as the use of torque and body positioning to direct the tip of the endoscope, is highlighted. The document also provides guidance on when and where to perform biopsies and includes a reminder to keep the pathologist informed.<br /><br />Overall, the guide emphasizes the importance of practice and developing a deliberate and systematic approach to upper endoscopy.

Keywords

upper endoscopy

how-to guide

first-year fellows

indications

technique basics

normal examination

abnormal conditions

alarm symptoms

minimum number

systematic approach