Upper Endoscopy (EGD)

What is an EGD?

An EGD is a procedure where under mild sedation an endoscope is introduced through the mouth to evaluate the Esophagus, Stomach (Gastrum), and first part of the small bowel (Duodenum) – EGD. It is similar to a colonoscopy in regards to use of a long flexible video scope but does not require a tedious prep and is better tolerated.

Why is it performed?

There are numerous reasons an EGD may be performed including evaluating anatomy for other procedures such as bariatric surgery, looking for a hiatal hernia for reflux, identifying abnormal structures, obtaining a biopsy for pathologic evaluation, or more.

How long does it take?

Performing an EGD can take from 5-20 minutes depending on the intent and complexity of the procedure. However, the preoperative time, time to be transferred into the procedure room and made comfortable, and recovery can add up to about 2-3 hours.

What are the risks?

The risks include those related to the anesthesia (i.e. aspiration, pneumonia, cardiopulmonary complications) and those related to the procedure (i.e. bleeding, injury to nearby structures, or perforation – which are exceedingly rare).

What do I need to know afterward?

Most commonly, you can return to your regular activities and pre-procedure diet the day of the endoscopy. We do not recommend driving until the following day. Your doctor will clarify if you need to (continue) holding any medications, though normally you can return to your normally scheduled medications.

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