First Year Fellows Endoscopy Course (July 31 - August 1) | 2022-2

2_How to Guide to Upper Endoscopy

Pdf Summary

This document is a how-to guide for performing upper endoscopy. It discusses the indications for upper endoscopy, including upper abdominal or upper GI symptoms, dysphagia, odynophagia, iron deficiency anemia, and suspected upper gastrointestinal bleeding, among others. It also covers alarm symptoms that may warrant an upper endoscopy, such as unintentional weight loss, refractory acid reflux, and persistent vomiting.<br /><br />The document emphasizes the importance of competency in performing upper endoscopy, which requires both technical and cognitive skills. It recommends practicing a deliberate, systematic approach and taking the time to carefully examine lesions, as they can be subtle. It also highlights the significance of ergonomics during the procedure, including positioning the monitor directly in front of the endoscopist and maintaining a comfortable posture.<br /><br />The guide provides step-by-step instructions for inserting the endoscope and examining various parts of the upper gastrointestinal tract, including the hypopharynx, esophagus, stomach, and duodenum. It emphasizes the importance of proper sedation for the patient, direct visualization, and using torque and body positioning to steer the scope.<br /><br />The document also discusses technique tips for examining the stomach and duodenum, such as removing fluid from the fundus and avoiding over-insufflation. It emphasizes the need for thorough examination, including retroflexion to examine the incisura, cardia, and fundus.<br /><br />Finally, the guide mentions the importance of performing biopsies when necessary and provides specific guidelines for biopsy locations for various conditions. It also emphasizes the significance of communication with the pathologist.<br /><br />In summary, this document provides a comprehensive guide for performing upper endoscopy, covering indications, technique, ergonomics, and biopsy procedures. It emphasizes the importance of competency, systematic approach, and practice in achieving successful outcomes.

Keywords

upper endoscopy

upper abdominal symptoms

dysphagia

odynophagia

iron deficiency anemia

upper gastrointestinal bleeding

competency

lesion examination

ergonomics

biopsy procedures