First Year Fellows Endoscopy Course (July 29 - 30) | 2022-2

2_How to Guide to Upper Endoscopy

Pdf Summary

This document is a how-to guide for performing upper endoscopy. It first lists the indications for upper endoscopy, which include upper abdominal or GI symptoms, dyspepsia in patients over 60 years old, persistent reflux symptoms despite treatment, persistent vomiting of unknown cause, dysphagia, suspected upper GIB, and diagnosis and/or treatment of esophageal varices. The document also mentions alarm symptoms such as unintentional weight loss, odynophagia, dysphagia, hematemesis/melena, refractory acid reflux, and persistent vomiting. It emphasizes the importance of competency in both technical and cognitive skills and provides guidelines for privileging and credentialing to perform GI endoscopy. Ergonomics tips for performing endoscopy are also discussed.<br /><br />The document provides a step-by-step guide on how to perform upper endoscopy. It covers the techniques of entering the stomach, examining the esophagus, stomach, and duodenum, and traversing the pyloric channel. It also explains the technique of retroflexion and when and where to biopsy. The guide emphasizes the importance of being systematic and thorough during the examination, as well as practicing and refining the technique. The document ends with a recap of the steps and key points of performing upper endoscopy.<br /><br />Overall, this document serves as a comprehensive guide for understanding the indications, techniques, and best practices for performing upper endoscopy. It provides valuable information for medical professionals looking to improve their skills in this procedure.

Keywords

upper endoscopy

indications

dyspepsia

reflux symptoms

dysphagia

esophageal varices

alarm symptoms

competency

step-by-step guide

biopsy