First Year Fellows Endoscopy Course (July 30-31) | 2023-2

2_How to Guide to Upper Endoscopy

Pdf Summary

This document is a how-to guide for performing upper endoscopy. It begins with a discussion of the appropriate indications for upper endoscopy, which include upper abdominal symptoms, persistent reflux symptoms, vomiting of unknown cause, dysphagia, iron deficiency anemia, suspected upper gastrointestinal bleeding, and abnormal imaging. The document also lists alarm symptoms that may warrant an upper endoscopy, such as unintentional weight loss, odynophagia, dysphagia, hematemesis/melena, refractory acid reflux, and persistent vomiting. <br /><br />The guide then provides tips for learning to perform upper endoscopy, emphasizing the importance of both technical and cognitive skills. It suggests being prepared for each case, practicing a deliberate and systematic approach, and taking the time to carefully examine the esophagus and stomach for any abnormalities.<br /><br />The document also covers the ergonomics of performing endoscopy, emphasizing the need to be comfortable and ensure proper positioning of the monitor and examination table. It provides step-by-step instructions for inserting the endoscope, examining the esophagus, stomach, and duodenum, and performing a biopsy when necessary. The guide also discusses special considerations, such as Zenker's diverticulum and the presence of an inlet patch.<br /><br />The guide concludes with a recap of the key points, including the importance of a systematic approach, the use of torque and body positioning to direct the tip of the endoscope, and the need for practice to improve skills.

Keywords

upper endoscopy

indications

abdominal symptoms

reflux symptoms

dysphagia

iron deficiency anemia

gastrointestinal bleeding

alarm symptoms

endoscope insertion

biopsy