ARTICLE 2: Endoscopy – Diagnosing the Upper GI Tract with Precision

What is Endoscopy (EGD)?

Esophagogastroduodenoscopy (EGD) allows visualization of the esophagus, stomach, and duodenum using a flexible scope with a camera.

Indications:

• Persistent GERD with alarm symptoms (dysphagia, bleeding, weight loss)
• Barrett’s surveillance in long-standing reflux
• Chronic nausea, vomiting, abdominal pain

Guideline Standards:

• ASGE 2025 clinical guideline requires photo documentation, EGJ assessment, biopsies per protocol
• Lippincott/Society guidelines emphasize proper scope handling and accessory management

Procedure Overview:

• Fast ≥6 hours before
• Conscious sedation or anesthesia
• Examine, document, biopsy, and treat (dilation, bleeding control)
• Duration: ~15–30 minutes; low risk (complication <1%)

Conclusion:

EGD is the gold-standard for diagnosing and treating upper GI conditions. Schedule your EGD at GAMIT Clinic today.