Complication & Preparation of Esophagogastroduodenoscopy (EGD), Dallas


Esophagogastroduodenoscopy is a procedure during which a small flexible endoscope is introduced through the mouth and advanced through the pharynx, esophagus, stomach, and duodenum.
EGD is used for both diagnostic procedures and therapeutic procedures.
· You should feel no pain and not remember the procedure.
· A local anesthetic may be sprayed into your mouth to prevent you from coughing or gagging when the scope is inserted. 
· A mouth guard is used to protect your teeth and the scope. Dentures must be removed before the procedure begins.
· You then lie on your left side.
· Air is put through the scope to make it easier for the doctor to see.
· Different treatments may be done, such as stretching or widening a narrowed area of the esophagus.
Complications of an EGD test
In general, an EGD is a safe procedure. There’s a very slight risk that the endoscope will cause a small hole in your esophagus, stomach, or small intestine.
Some people also may have a reaction to the sedatives and painkillers used throughout the procedure. These could include:
Difficulty breathing or an inability to breathe
A person who is having difficulty breathing feels short of breath, has trouble inhaling or exhaling, or feels as though they cannot get enough oxygen.
Low blood pressure
Low blood pressure occurs when blood pressure is much lower than normal. This means the heart, brain, and other parts of the body do not get enough blood. Normal blood pressure is mostly between 90/60 mmHg and 120/80 mmHg.
Slow heartbeat
If you have slow heartbeat and you have certain symptoms along with the slow heart rate, then it means your heartbeat is too slow. A normal resting heart rate for most people is between 60 and 100 beats per minute
Excessive sweating
Normally, your sweat glands produce perspiration that’s carried to the skin’s surface when the air temperature rises, you develop a fever, you’re exercising, or you’re feeling anxious, nervous, or under stress. 
Preparation of an EGD test
Some of the medicines you take may need to be stopped or adjusted before your procedure.
· Your medicine dose may need to be adjusted because of the diet restrictions required for the procedure.
· Take all other medications ordered by your doctor. On the day of your procedure, take your medications with a sip of water.
· Bring a list of all your medications with you on the day of your procedure
Preparation for an upper Endoscopy
· Tell your healthcare provider if you are sensitive to or allergic to any medicines, latex, tape, and anesthesia medicines 
· Tell your provider if you are pregnant or think you may be pregnant.
· Let your provider know if you are taking any blood-thinning medicines, aspirin, ibuprofen, or other medicines that affect blood clotting. You may need to stop taking these medicines before the procedure.
· Your healthcare provider will give you instructions on how to prepare your bowel for the test.
· You may be asked to take a laxative, an enema, or a rectal laxative suppository.
· This may be recommended in certain situations, such as when dilation is being performed. It is not needed for a standard upper endoscopy.
· You will be awake during the procedure, but you will take medicine to relax you before the test. Someone will have to drive you home afterward.
Treatment Reference

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