Linda Butler
Esophagogastroduodenoscopy or EGD
Esophagogastroduodenoscopy, or EGD, is an endoscopic examination of the esophagus, stomach and duodenum (the uppermost part of the small intestine) for hiatal hernias, ulcers, bleeding sources, tumors or other problems. The procedure can also offer a number of therapeutic interventions such as control of bleeding, manometry, or dilation. The procedure’s medical name is actually a combination of the names of three different procedures that are usually performed collectively:
Esophagoscopy—looking inside the esophagus for hiatal hernias, polyps, strictures, etc.
Gastroscopy—looking inside the stomach for ulcers, polyps, inflammation, etc.
Duodenoscopy—looking inside the duodenum for inflammation, diverticulitis, etc. Together, the three procedures are referred to as EGD, or Upper Endoscopy. The EGD procedure is usually done by a GI doctor (gastroenterologist).
Signs and symptoms
The GI doctor might order an EGD if the patient is displaying persistent dysphagia (difficulty swallowing), if the patient is bleeding either when coughing or passing stool, have GERD (acid reflux disease) or unexplained abdominal or chest pains. If the patient is vomiting severely, the procedure may also be able to find an underlying cause.
Some of the diseases and conditions that are investigated, identified, or treated using EGD include: abdominal pain achalasia, a defect in the muscular opening between the esophagus and the stomach
Barrett's esophagus, a precancerous condition of the cells lining the esophagus
Crohn's disease and inflammatory disease of the small intestine esophageal cancer gastroesophageal reflux disease (GERD), a condition caused by excess stomach acid hiatal hernia irritable bowel syndrome rectal bleeding stomach cancer stomach ulcers swallowing problems
Preoperative care
Certain medications (such as aspirin and the anti-inflammatory drugs called NSAIDs) should be