ESOPHAGOGASTRODUODENOSCO

PY
Esophagogastroduodenoscopy
(EGD)
is
a
procedure during which a small flexible endoscope
is introduced through the mouth (or, with smallercaliber endoscopes, through the nose) and
advanced through the pharynx, esophagus,
stomach, and duodenum. An enteroscope, a longer
endoscope, can be introduced beyond the ligament
of Treitz into the jejunum.

Periprocedural Care
Patient education and consent
xplain the indications, nature, and relevant details of
the procedure to the patient. Risks, benefits,
alternatives, and complications should also be
presented to the patient. The consent form should
be signed and dated by the patient and endoscopist
and must be witnessed by other personnel and
placed in the patient record.

Preprocedural evaluation
Obtain a complete history and perform a
physical examination to determine whether
EGD is appropriate.

 Document findings in the patient's medical

record. Direct special attention to certain
illnesses that might bear a direct effect on
endoscopy, such as cardiovascular and
pulmonary diseases.
Obtain a history of drug allergies and
previous abdominal surgeries.

Preprocedural testing might include, but

is not limited to, a complete blood count
(CBC), blood crossmatching, coagulation
studies, a chemistry panel, urinalysis,
pregnancy testing, electrocardiography
(ECG), and chest radiography.

Patient preparation
Anesthesia
May be topical or sedative
Topical anesthesia such as lidocaine are most
commonly used for EGD, although it may cost
less and time efficient, it may cause patient
discomfort and problems in patients who cannot
manage to stay still for the entire procedure.
Sedatives are used commonly if its a pediatric
or geriatric patient; constant monitoring of the
vital signs is a must when this type of anesthesia

is used since it may cause respiratory or cardiac

arrest, and in worse cases, death.

Positioning
The patient is usually placed in the left lateral
position for this procedure.

Monitoring and follow-up

Observe for signs and symptoms of GI

bleeding, fever, and abdominal pain.
A follow-up appointment with the primary care
physician and/or the endoscopist is usually
arranged prior to patient's discharge from the
endoscopy unit.
Yusuf, T. E. (2015, June 24). Esophagogastroduodenoscopy: Overview,
Periprocedural Care, Technique. Retrieved from
http://emedicine.medscape.com/article/1851864-overview#a4 Retrieved on:
September 12, 2016