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UGI Endoscopy

Overview

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Upper Gastrointestinal (UGI) Endoscopy, also known as Esophagogastroduodenoscopy (EGD), is a diagnostic procedure that allows physicians to visualize the upper part of the gastrointestinal tract, including the esophagus, stomach, and duodenum. It involves the use of a flexible tube with a camera, called an endoscope, which is inserted through the mouth and advanced to the duodenum.

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How is UGI Endoscopy done?

Pre-Procedure Instructions:
  • Fasting: Patients are usually required to fast for at least 6 to 8 hours before the procedure. This helps ensure the stomach is empty for better visibility.
  • Medication Review: Patients should inform their doctor about any medications they are taking, especially blood thinners, as they may need to be temporarily stopped.
  • Allergies: Discuss any known allergies, particularly to sedatives or anesthetics.
Pre-Procedure Evaluation:
  • A thorough medical history and physical examination are conducted.
  • Patients may need to undergo blood tests or imaging studies if required.
Transportation:
  • Due to sedation, patients should arrange for someone to drive them home after the procedure.

Sedation:
  • Patients are typically given a sedative to relax them and minimize discomfort during the procedure.
Insertion of Endoscope:
  • The endoscope is gently inserted through the mouth and advanced down the esophagus, into the stomach, and then into the duodenum.
  • Air may be introduced to expand the area for better visibility.
Visualization and Intervention:
  • The physician examines the lining of the esophagus, stomach, and duodenum for any abnormalities.
  • Biopsies may be taken or other therapeutic interventions performed, such as polyp removal or treatment of bleeding.
Duration:
  • The procedure typically lasts between 15 to 30 minutes.

Although UGI endoscopy is generally safe, potential complications can include:
  • Bleeding: Especially if biopsies are taken or if there are existing lesions.
  • Perforation: Rare but can occur if the endoscope punctures the wall of the gastrointestinal tract.
  • Infection: Risk of infection at the site of any interventions.
  • Adverse Reactions to Sedation: Such as respiratory issues or allergic reactions.
  • Throat Discomfort: Some patients may experience a sore throat post-procedure.
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What are the benefits UGI Endoscopy?
  • Diagnostic Accuracy: Provides direct visualization of the upper GI tract, allowing for accurate diagnosis of conditions such as ulcers, tumors, and inflammation.
  • Therapeutic Options: Enables treatment of various conditions during the same procedure, such as the removal of polyps or treating bleeding.
  • Minimally Invasive: Compared to surgical interventions, it is less invasive and associated with shorter recovery times.
  • Biopsy Capability: Allows for tissue sampling for further pathological examination.

Infrastructure & Facilities

  • Endoscopy Suite: Equipped with specialized endoscopic equipment, including high-definition cameras, monitors, and light sources.
  • Recovery Area: A designated space where patients can recover from sedation, monitored by healthcare staff.
  • Sterilization Facilities: Proper cleaning and sterilization equipment for endoscopes and tools to prevent infections.
  • Anesthesia Services: Availability of trained anesthesia personnel for sedation management.
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FAQs

Most patients experience minimal discomfort due to sedation. A sore throat may occur after the procedure.

Recovery time can vary, but most patients can leave the recovery area within 30 minutes to 2 hours after the procedure.

Patients may experience bloating or a sore throat. They should be monitored for any signs of complications.

The frequency depends on individual health conditions and the recommendation of your healthcare provider.

It is typically advised to start with clear liquids and gradually return to a normal diet as tolerated.

Yes, it can identify suspicious areas that may indicate cancer, and biopsies can confirm the diagnosis.

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