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egd esophagogastroduodenoscopy
EGD stands for esophagogastroduodenoscopy
What is an EGD?
This is a test or procedure that is usually done as an out patient. A flexible tube with a light and a video camera at the end is inserted through the patients mouth. With this test, we can visualize the inside lining of the esophagus, stomach and first part of small bowel which is known as the duodenum.
 
Animated Video
 
Will I be asleep?
Usually, patients are asleep for this test. There are always some exceptions. This is not anesthesia but is called "conscious sedation". So, there is a slight chance, patients may remember the test or have some discomfort.
 
Why is it usually done and what can you do during the test?
Your doctor may choose to do the test for a lot of reasons. They include
Evaluation of upper abdominal pain
For evaluation of long term reflux disease to rule out a pre cancerous condition called Barretts.
Evaluation of chest pain IF the heart is thought NOT to be the cause of the pain
Difficulty swallowing
Patients who may have black stools or bleeding
During the test, your physician can :
Look for ulcers, pre cancerous conditions
Remove small polyps
Stop bleeding by injecting applying heat or injecting the bleeding site with medications
Take biopsies
 
What are the side effects of the test?
The test is generally very safe. Complications are generally uncommon. Complications that can happen include
Bleeding or if the person is already bleeding, it may not always be possible to stop the bleeding. Some patients may require surgery in that situation.
Infection. Some patients, if they throw up can develop pneumonia.
Perforation or poking a hole. This would be serious and can require surgery.
Side effect to the medications.
Infection at the IV site.
Missing an ulcer, mass or polyp is also a possibility.
Patients who have other underlying diseases can have complications of the underlying disease during the test.
Overall, the test is extremely safe and complications are rare.
 
Do I need a ride after the test?
Yes. We also recommend not working or making any significant decisions after the test. The medicines that we give for the test, often makes the patient forgetful. Patients should also have someone with them at home for the rest of the day.
 
When will I know my test results?
There is some information the physician can give right away. If a biopsy has been taken, it may take up to a week to get those results back.
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