EGD (Esophagogastroduodenoscopy): When You Need It & Why

EGD stands for Esophagogastroduodenoscopy. It is a safe and minimally invasive procedure. Doctors use it to examine the lining of your esophagus, stomach, and the first part of your small intestine (duodenum).EGD helps diagnose acid reflux, ulcers, inflammation, or blockages. During the procedure, your doctor inserts a thin, flexible tube with a small camera through your mouth. As a result, they can clearly see inside your digestive tract and find any issues.

What are the Benefits of EGD?

Having an EGD procedure can be advantageous for many reasons. The exam can allow your gastroenterologist to view the inner structures of the esophagus, stomach, and the first portion of the small intestine (duodenum). Further benefits of an EGD include: 

  • Accurate Diagnosis: EGD provides a clear and direct view of your digestive system, which helps pinpoint issues early. 
  • Relief from Symptoms: It helps diagnose causes of symptoms like heartburn, nausea, or unexplained stomach pain.
  • Early Detection: By identifying GERD, Celiac disease, Crohn’s disease, ulcers, tumors, inflammation, etc., early, EGD can help you avoid more serious complications down the road.
  • Minimally Invasive: The procedure is quick and safe, with minimal discomfort and no major recovery time. 

What are the Risks of EGD?

Like all medical procedures, EGD has some risks, though they are rare. These can include: 

  • Mild throat irritation or bloating after the procedure.
  • In very rare cases, there may be a risk of bleeding or perforation (a small tear) in the digestive tract.
  • Reactions to sedatives may occur, but they should be closely monitored by the medical team to ensure safety. 

Our gastroenterologists will walk you through these risks to help you feel confident and comfortable before the procedure.

What Should I Expect During an EGD?

The procedure typically lasts 15-30 minutes. You will receive sedation to relax, and the doctor will gently guide the endoscope through your mouth into your digestive tract. You may feel slight pressure, but it is generally painless. After the procedure, you’ll rest until the sedative wears off. Most people can go home the same day. However, you should arrange for someone to drive you.

What are the Alternatives?

If EGD isn’t suitable for you, your doctor may suggest alternatives like: 

  • Barium Swallow: An X-ray that tracks how liquid moves through your esophagus and stomach. 
  • CT Scan: It offers a detailed image of your digestive system, but without the direct visibility that EGD provides. 
  • Capsule Endoscopy: You swallow a small capsule with a camera that records images of your digestive system. 

Our gastroenterologists will help determine the best approach based on your symptoms and health needs. 

Forms and Preparation

Before your EGD, you will need to fill out some medical forms and follow specific preparation instructions, including: 

  • What to eat and avoid before the procedure
  • Medication guidelines
  • Transportation

Who might Need an EGD?

Your doctor may suggest an EGD to investigate unexplained symptoms like:

What Conditions can an EGD Diagnose?

With an EGD, doctors can closely examine your upper digestive system. It often offers more precise results than X-rays for diagnosing issues such as:

What does an EGD Treat?

Doctors can also perform certain treatments during an upper endoscopy. For example, they may take a tissue sample (biopsy) for lab testing. By attaching small tools to the endoscope, they can often treat minor issues right away. For instance:

  • Repair holes
  • Manage upper digestive tract bleeding
  • Remove polyps (growths) and tumors
  • Drain pus
  • Remove swallowed objects
  • Open narrow passages
  • Insert medical devices for therapy

FAQs

No, the procedure is typically painless, thanks to sedation. You might feel slight pressure, but no discomfort. 

The actual procedure usually takes between 15 to 30 minutes. However, you should plan to spend a couple of hours at the facility to allow for preparation, sedation, and recovery. 

You will receive sedation that will make you feel relaxed and sleepy. Most patients don’t remember the procedure and feel very comfortable during the entire process. 

In many cases, your doctor will discuss the results immediately after the procedure, but if biopsies are taken, it may take a few days for complete results. 

Yes, EGD is generally safe for older patients, and your doctor will evaluate your overall health to ensure it’s the best option for you. 

Mild side effects like a sore throat, bloating, or gas are common but usually resolve quickly. If you experience any severe symptoms like chest pain, fever, or difficulty swallowing, you should contact your doctor immediately. 

You should rest for the remainder of the day following the procedure. Most patients can return to their normal activities the next day but avoid strenuous activities and driving for 24 hours after sedation. 

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