EGD Procedure

“Esophagogastroduodenoscopy”

(Exam of esophagus, stomach & duodenum portion of small intestine)

-Given to determine cause of GI bleed, difficulty swallowing (dysphasia), epogastric pain, unexplained weight loss

-Takes 20-30 min.

Pre-Op:

-Explain procedure, get written, informed consent

-NPO after midnight

During:

-Baseline VS taken upon arrival

-Done under conscious sedation

-Spray throat with Lidocaine to numb & depress gag reflex

-On oxygen

-Scope is passed from esophagus to duodenum

-Scope is capable of taking pictures, pumping air, and taking biopsies

Post-Op:

-VS taken per protocol

-Check gag reflex before feeding or giving fluid

Complications:

-bleeding

-proliferation

-drop in BP

-IV phlebitis

-over-sedation (give Narcan to reverse the effects of over-sedation)