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Test Description
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Upper Gastrointestinal Endoscopy

Endoscopy allows the doctor to look at the interior lining of the esophagus, stomach, and first part of the small intestine through an endoscope (a thin, flexible viewing instrument). The tip of the endoscope is inserted through the mouth and then gently advanced down the throat into the esophagus, stomach, and upper small intestine (duodenum).

Since the entire upper gastrointestinal (GI) tract can be examined during this test, the procedure is sometimes called esophagogastroduodenoscopy (EGD).

Through the endoscope, your doctor can look for ulcers, inflammation, tumors, infection, or bleeding. Tissue samples can be collected (biopsy), polyps can be removed, and bleeding can be treated through the endoscope. Endoscopy can reveal problems that do not show up on X-ray tests, and it can sometimes eliminate the need for exploratory surgery.

Upper Gastrointestinal Endoscopy
Results

Your doctor may be able to discuss some of the findings with you immediately after the procedure. However, the medications given to help relax you may impair your memory, so your doctor may wait until the medication wears off completely.

Upper gastrointestinal endoscopy

Normal:

The esophagus, stomach, and upper small intestine appear normal.

Abnormal:

Stomach ulcers or inflammation of the esophagus (esophagitis), stomach (gastritis), or duodenum are seen. Inflammation can be caused by conditions such as gastroesophageal reflux disease (GERD), inflammatory bowel disease (IBD), or peptic ulcer disease.

Bleeding caused by inflammation, an ulcer, a tumor, a tear in the esophagus, or dilated veins (esophageal varices) is present.

A hiatal hernia or narrowing (stricture) or widening (dilation) of the esophagus may be seen.

Samples can be taken of suspected tumors and ulcers to find out whether they are cancerous. A biopsy may also be taken to see if you are infected with a type of bacteria called Helicobacter pylori. Lab results may not be available until several days after your test.

 
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