Gastroscopy (upper gastrointestinal endoscopy)
Yugen Care performs gastroscopy in Dubai, a thin and flexible endoscope to assess and address upper gastrointestinal conditions such as reflux, ulcers, and inflammation. This is a modern technique in endoscopy, offering a detailed view of the esophagus, stomach, and upper part of the small intestine in order to diagnose and treat diseases effectively. Our qualified gastroenterology specialists maintain patient comfort and gently examine the entire digestive tract. It guarantees patients of Yugen Care gastroscopy services accurate diagnosis and quick solutions to their digestive complications, hence enhancing their digestive health.
What is it?
Esophagogastroduodenoscopy (EGD) is a diagnostic endoscopic procedure that includes visualization of the oropharynx, esophagus, stomach, and proximal duodenum. It is one of the most common procedures that a gastroenterologist performs.
Procedure Info At A Glance
| Is it painful? | No, done under sedation |
| Is there any downtime? | No |
| How many sessions are needed? | One as diagnostic procedure and maybe more if therapeutic procedure according to each case |
| How long does the procedure take? | 5-10 minutes |
| When can I see the results? | NA |
| How often should I do it? | When doctor recommends |
Diagnostic
Persistent upper abdominal pain or pain associated with alarming symptoms such as weight loss or anorexia.
- Dysphagia, odynophagia or feeding problems.
- Intractable or chronic symptoms of GERD.
- Unexplained irritability in a child.
- Persistent vomiting of unknown etiology or hematemesis.
- Iron deficiency anemia with presumed chronic blood loss when clinically an upper gastrointestinal (GI) source is suspected or when colonoscopy is normal.
- Chronic diarrhoea or malabsorption.
- Assessment of acute injury after caustic ingestion.
- Surveillance for malignancy in patients with premalignant conditions such as polyposis syndromes, previous caustic ingestion, or Barrett oesophagus.
Therapeutic
-
- Foreign body removal.
- Dilation or stenting of strictures.
- Oesophageal variceal ligation.
- Upper GI bleeding control.
- Placement of feeding or draining tubes.
- Management of achalasia (botulinum toxin or balloon dilation).
FAQ
Is there any Contraindications?
Absolute Contraindications
Perforated bowel.Peritonitis.Toxic megacolon in an unstable patient.
Relative Contraindications
Severe neutropenia.
Coagulopathy.
Severe thrombocytopenia or impaired platelet function.
Increased risk of perforation including connective tissue disorders, recent bowel surgery or bowel obstruction.
Aneurysm of the abdominal and iliac aorta.
Is there any specific preparation?
Diet:
Preparation for elective upper endoscopy procedure involves a period of fasting. As per American Society for Anesthesiologists (ASA) guidelines, patients should fast a minimum of 2 hours after ingestion of clear liquids and 6 hours after ingestion of light meals. In emergency situations or in conditions where gastric emptying is impaired, the potential for pulmonary aspiration of gastric contents must be considered to determine (1) level of sedation, (2) whether endotracheal intubation should be considered to protect the airway or (3) whether the procedure should be delayed.
Medications:
Most medications can be continued and are usually taken with a small sip of water before endoscopy, although diabetes medications need to be adjusted due to the period of fasting before the procedure. American Society for Gastrointestinal Endoscopy (ASGE) guidelines should be followed for decisions regarding the management of anti-thrombotic agents or for the use of antibiotic prophylaxis in at-risk patients before the endoscopy.
Is there any complications?
Complications following esophagogastroduodenoscopy (EGD) are rare, occurring in less than 2% of patients. These could be related to sedation, endoscopy, and complications related to diagnostic or therapeutic maneuvers. The most frequent and serious complications of sedation are cardiopulmonary. Adverse events from over sedation include hypoxemia, hypoventilation, hypotension, airway obstruction, arrhythmias, and aspiration. The complications following diagnostic EGD include infection, bleeding, duodenal hematoma, and bowel perforation. The risk of bleeding following EGD with biopsy is 0.3%. Post mucosal biopsy bleeding can occur as intraluminal hemorrhage or intraluminal hematoma. A duodenal hematoma is a rare complication of EGD with an unknown incidence and seems to occur more often in children than adults. Bowel perforation occurs in less than 0.3 % of cases, and infection is rarely reported. Complications typically are identified in the first 24 hours after the procedure. Bleeding presents with hematemesis or bloody output from the gastrostomy tube. Perforation is identified due to fever, tachycardia, abdominal pain or discomfort. An abdominal x-ray should be done to reveal extra-luminal air. Conservative therapy with bowel rest and antibiotics is the typical treatment, although some patients might require surgical repair.