Next, the endoscope is advanced through the pylorus (the opening between the stomach and duodenum). All areas in your stomach will be examined. A small amount of air will be added to distend your stomach to gain a better view. The endoscope will not interfere with your breathing in any way.Īfter carefully examining your esophagus, the endoscope will be advanced into your stomach. ![]() There is a also small channel in the endoscope to pass special instruments through, which the doctor may need for diagnosis or treatment.Īlthough initially you may feel like gagging this will quickly pass and you will not feel any of the diagnostic maneuvers or treatments which may need to be performed. Special controls allow the doctor to: move the tip of the instrument in certain directions blow air into the gut or, to suck secretions and waste residuals out to clear his view. A small video camera on the tip of the scope allows the doctor to see. When you swallow he will gently advance the scope down the esophagus. Monitoring devices will be placed on your skin to measure blood pressure, heart rate, and blood oxygen during the procedure.Īfter you are sleepy, the doctor will place the thin flexible tube (endoscope) through the mouthguard. A local anesthetic (with a bitter taste) will be sprayed into your mouth to make it numb and reduce gagging. You will be taken into a special room for the procedure and asked to lie on your right side. Fluids and medications will be administered through this IV. An IV needle will be placed into a vein in your arm or hand. You will need a friend or relative to drive you home.Īfter signing the consent form you will put on a hospital gown and will remove any glasses, contacts, and dentures. Because of these medications you will not be able to drive yourself and should not sign legal documents until the next day. You may not remember anything about the procedure itself. ![]() ![]() Most of the time EGD is performed under "conscious sedation." You will be given a combination of intravenous medications, which make you very relaxed and sleepy during the procedure. Do not take any antacids, aspirin, or ibuprofen (Advil, Motrin, Alleve). It is obviously important to have an empty stomach for this test so you should not have anything to eat or drink (except small sips of water to take any oral medications with) for at least 6 hours prior to your procedure. You will then be asked to sign a consent form indicating your agreement to proceed with the test. You will be asked about any allergies or general health problems that you may have. Upon arrival for your test your doctor will again review the procedure and answer any of your questions.
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