ENDOSCOPY
Upper GI Endoscopy
Procedure of examining upper gastrointestinal tract from food-pipe (esophagus) to initial part of small intestine (2nd part of Duodenum)
Indications:
Diagnosis
❖ Long Standing Dyspepsia (Belching, bloating, epigastric pain and/or burning, heartburn, abdominal fullness and heaviness)
❖ Dysphagia (difficulty in swallowing)
❖ Recurrent or continuous vomiting, coffee colored vomitus or fresh blood in vomiting
❖ Reflux symptoms (heartburn, acid reflux, chronic undiagnosed cough, chronic un-controlled asthma, recurrent upper respiratory tract infection)
❖ Unexplained Upper Abdominal Pain
❖ Liver Cirrhosis Patient
❖ To diagnose cancer of esophagus and stomach
❖ After acid/corrosive ingestion
Therapuatic
❖ Dilatation of stricture (narrowing)
❖ Removal of foreign body like coin, button battery, safety pin, denture etc.
❖ Upper Gl bleeding (blood vomiting)
❖ Polypectomy
❖ For feeding tube insertion (Naso-gastric or naso-jejunal tube)
Pre-procedure preparation:
Stop drinking and eating 8 hours before the endoscopic examination. Plain water can be taken up to 4 hours before the procedure. Do not anti-diabetic medicines in the morning of the endoscopy.
Method:
Endoscope is a flexible tube containing camera, light bulb with suction and air-water facility and separate channels for accessories. It is attached to processor. It shows image on monitor. Patient is given left lateral position. Sedation is optional. Most diagnostic endoscopies are done without sedation. Before endoscopy, gargles of lignocaine liquid or spray is given to numb the oral cavity, so the patient will not feel any discomfort. Predominantly this procedure is done on out-patient basis. The healthcare staff will monitor your vitals and keep you comfortable during as well as post procedure. UGIE is done by insertion of this endoscope into patients’ mouth and passing through esophagus, stomach and up to second part of duodenum. Biopsies can be taken and therapeutic work can be done by passing accessories through the channel.
Complications & Drawbacks: RARE
❖ Perforation, bleeding
❖ Anesthesia related complications.
DEPT OF MEDICAL GASTROENTEROLOGY
DR. K. K. RAWAL (MD, DM – GASTRO)
DR. AVVAL K. SADIKOT (MD, DNB-GASTRO)
DR. CHINTAN H. KANSAGRA (MD,DNB – GASTRO)
DR. CHINTAN M. MORI (MD,DNB – GASTRO)
