First Year Fellows Endoscopy Course (July 30-31) | 2021-2

2_How to Guide to Upper Endoscopy

Pdf Summary

This document provides a how-to guide for performing upper endoscopy. It starts by outlining the indications for upper endoscopy, which includes upper abdominal or upper GI symptoms, iron deficiency anemia, and abnormal imaging. The document emphasizes alarm symptoms such as unintentional weight loss, dysphagia, and hematemesis/melena.<br /><br />The guide then discusses the learning process for performing upper endoscopy, stating that competency requires both technical and cognitive skills, and that a deliberate, systematic approach should be practiced. The importance of ergonomics is highlighted, including the positioning of the monitor and examination table.<br /><br />The insertion of the endoscope is described, with specific instructions to ensure the patient is properly sedated and to visualize the hypopharynx and UES. Techniques for examining the esophagus, stomach, and duodenum are also outlined, including tips for advancing and withdrawing the endoscope.<br /><br />The document emphasizes the importance of thorough examination and biopsy when necessary, and provides specific guidance on when and where to perform biopsies in different clinical scenarios.<br /><br />In conclusion, the guide emphasizes the need for a systematic approach, the use of torque and body positioning to direct the endoscope, and the importance of practice and refinement of technique.

Keywords

upper endoscopy

indications

alarm symptoms

learning process

ergonomics

endoscope insertion

biopsy guidance

thorough examination

clinical scenarios

practice