Upper GI Endoscopy
(Upper Gastrointestinal Endoscopy; Esophagogastroduodenoscopy [EGD])
|Upper GI Endoscopy|
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Reasons for Test
- Abdominal pain
- Severe heartburn
- Persistent nausea and vomiting
- Difficulty swallowing
- Blood in stool or vomit
- Abnormal x-ray or other examinations of the gastrointestinal tract
- Abnormal narrowing
- Damage to the esophagus, stomach, or intestine
- Respiratory depression (reduced breathing rate and/or depth)
- Reaction to sedatives or anesthesia
- Age: 60 or older
- Smoking, alcoholism, or drug use
- Recent illness
- Heart or lung problems
- Bleeding disorders
- Use of certain medicines
What to Expect
Prior to test
- Your doctor may instruct you to take antibiotics.
- Arrange for a ride home after the test. Also, arrange for help at home.
- The night before, eat a light meal. Do not eat or drink anything for 6-10 hours before the test.
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, such as:
- Anti-inflammatory drugs (such as aspirin)
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
Description of the Test
- Rest when you get home.
- Ask your doctor if you can resume your normal diet. In most cases, you will be able to.
- Sedatives can slow your reaction time. Do not drive or use machinery for the rest of the day.
- Avoid alcohol for the rest of the day.
- Be sure to follow your doctor's instructions.
How Long Will It Take?
Will It Hurt?
Call Your Doctor
- Signs of infection, including fever and chills
- Severe abdominal pain
- Hard, swollen abdomen
- Difficulty swallowing or breathing
- Any change or increase in your original symptoms
- Bloody or black tarry colored stools
- Nausea and/or vomiting
- Cough, shortness of breath, or chest pain
The American Gastroenterological Association http://www.gastro.org
American Society for Gastrointestinal Endoscopy http://www.asge.org
Canadian Digestive Health Foundation http://www.cdhf.ca
Health Canada http://www.hc-sc.gc.ca/index-eng.php
Davila M, Keeffe E. Complications of Upper Endoscopy. In: Feldman M, Friedman L, Sleisenger M. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 7th ed. Philadelphia, PA: Saunders; 2002:539-543.
Endoscopy. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/endoscopy/MY00138. Updated July 2008. Accessed July 27, 2009.
Pasricha PJ. Gastrointestinal Endoscopy. Cecil Textbook of Medicine. 21st ed. Philadelphia, PA: WB Saunders Company; 2000: 649-653.
Understanding upper endoscopy. American Society for Gastrointestinal Endoscopy website. Available at: http://www.asge.org/patientinfoindex.aspx?id=378&terms=understanding+upper+endoscopy. Accessed July 27, 2009.
What is upper GI endoscopy? The American Gastroenterological Association website. Available at: http://www.gastro.org/wmspage.cfm?parm1=5388. Accessed July 27, 2009.
Your upper GI. Emory University School of Medicine website. Available at: http://medicine.emory.edu/gi/tests/pdfs/Your%20Upper%20GI%20Endoscopy%20At%20Emory.pdf. Updated May 2004. Accessed July 27, 2009.
- Reviewer: Daus Mahnke, MD
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -