Esophagogastroduodenoscopy

esophagousEGD for short – esophagogastroduodenoscopy.

The EGD (it’s a very big word, so we’ll use the acronym for the purpose of describing the procedure) is a diagnostic and treatment tool which allows me to examine your esophagus, stomach and duodenum (the first portion of the small intestine). The flexible tube employed is lighted so I can see what’s going on and detect abnormalities. It’s also equipped with a camera and can collect biopsies.

Through the miracle of EGD technology, I can see areas which are ulcerated or bleeding and treat them, as well.

The process.

Prior to your EGD, you’ll be sedated. An intravenous medication is administered for your comfort. You remain conscious while sedated, but most likely will remember nothing about the procedure, or events which occur immediately after it.

After your EGD, you’ll be out of commission for the remainder of the day. For that reason, you’ll need to arrange a ride home with someone willing to remain with you for at least 4 hours to ensure your recovery from the sedative. Take the opportunity to relax and rest, as you won’t be up to doing much else.

Preparation.

I need to know about any medications you’re taking before we schedule your EGD, as well as dosages. That includes anything you’re taking in the way of over-the-counter drugs.

You’ll be asked to refrain from eating and drink for the 8 hours preceding your EGD. You should not ingest chewing gum or mints. Blood pressure medication is the only drug permitted prior to your procedure, unless the drug has a diuretic effect (water pills).

I’ll also need to know about any surgical interventions you’ve had, or other procedures which may affect the success of your EGD.

If you’re taking any of the following medications, it’s important that you consult with your general practitioner or cardiologist. The use of these medications will either need to be discontinued for the period specified prior to your EGD, or adjusted in dosage:

  • Plavix (Clopidogrel)
  • Effient (Prasugrel)
  • Brilinta (Ticagrelor)
  • Ticlid (Ticlodipine)
  • Coumadin (Warfarin)
  • Eliquis (Apixiban)
  • Aggrenox (Aspirin/dipyridamole)
  • Pradaxa (Dabigatran)
  • Persantine (Dipyridamole)
  • Xarelto (Rivaroxaban)

Insulin use should also be suspended during the 8 hour pre-EGD period.

Who should have an EGD?

Symptoms which indicate the EGD diagnostic and treatment model include heartburn, pain in the upper abdomen, nausea, vomiting, difficulty swallowing, intestinal bleeding and diarrhea.

If you have any of these symptoms or a combination of them, please contact us for an appointment.

Please advise our office of cancellations 48 hours or more prior to the scheduled procedure.
Any cancellation received later than the required notification time will incur a $200 cancellation fee. Please call us if you need to cancel your appointment for any reason.