What is An EGD?
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- Опубликовано: 1 ноя 2021
- Many patients ask - what is an EGD? An Esophagogastroduodenoscopy (EGD) is a common and safe procedure performed by a GI doctor to evaluate diseases of the upper GI tract.
In this video, we discuss what an EGD is, where you would have one, and why it is an important procedure to have, its risks, and what to expect during and after the procedure.
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.
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Thank you! I have an EGD with dilation next week and I’ve been worried about it. I feel so much better now. You’re very comforting.
Dr. Cooper thank you. I am going in for an EGD tomorrow afternoon and a lot of the questions you answered were never brought up to me for discussion. Perhaps it was my inability to ask the correct questions, but you answered all of the worrisome questions I had. Thank you, and Godspeed.
You very comforting, Thank you
I'm having my Endoscopy tomorrow morning 😢
Thanks for sharing. I hope it went well.
I understand that as a doctor, you're removed from the billing side. But when I had this procedure done, I was quoted a price for the Esophagogastroduodenoscopy. When it was determined that a biopsy would need to be done, I was charged double because "the doctor had to go back in a second time". THEN... I was sent a separate bill, almost as much as the procedure, for the anesthesia. Because having anesthesia for this is "Optional". What's your take on that, Doc?
Thanks for the help getting over my pre-procedure anxiety.
Thanks for sharing and good luck.
So helpful!! Thank you!
I have had at least 15 of these done. They have to do them in the OR b/c I have a stenosis and food is always backed up in my esophagus, so they have to do suction before the procedure, and then the dilation. Might have to have additional surgery. I've had a gastroplasty and have been having a lot of post surgical issues, Big Time!
Thank you for this. I'm finally about to have one done after three weeks and multiple ER visits, and I was terrified. I think I'll be okay now.
Same here! 4 er visits and extreme dysphagia
@@605freedom Sounds like me!
I'm getting scoped this Tuesday.. hopefully be able to eat normally soon.. it's the most frightening thing I've ever experienced
@@605freedom Me, too! And, yeah, it's terrifying. Hang in there 🤘
Could u guys please update abt your experience....
Is it common for patients to have discomfort in their esophagus near the bottom of the sternum when swallowing something after an EGD? Even lasting for 3-4 days?
Hello Dr. Mark, I went to a GI for some stomach issues back in May and they recommended this procedure to see if anything's going on. But I first had to get ok'd by a cardiologist for chest pain issues. That took a while and now my symptoms have gone away. I'm also getting a colonoscopy at the same time. Should I cancel the endoscopy since I'm doing good, or go ahead and treat this as a precautionary procedure/checkup? Just wondering what your opinion is.
A lot of that depends on your age and factors of where you live and lifestyle that influence risk for stomach cancer or h pylori. In the United States I think upper endosocpy can probably be skipped if you’re now feeling better.
My doctor saw duodenal polyp(multiple small session lesion), he took biopsy and they were beningn. He did nothing and said see u in 10 years. Gave some ppi and allegra. Should i get those removed?
I need to have my EGD completed due to having a family member who passed away from gastric cancer in June 2010.
Hello Dr Mark, I have a question for you as an experience endoscopist. With the advances in technology, if you have the opportunity to define the next generation endoscope, what features would you like to see?
Thanks for asking if you’re interested in my insights into the industry please reach out to me via LinkedIn - Thanks!
I have a question. Is it routine to take biopsies for celiac disease ? Just curious if my doctor seen evidence of it or if a normal Egd calls for a biopsy for celiacs. Thanks
Depends on why you’re having the exam. If a person has low iron or diarrhea then it’s reasonable to biopsy, even when the appearance is normal.
What is the most common thing you see with people with daily gerd when you do these? Common things and what are some normal typical treatments after some meds work on and off?
Thanks for watching. It’s common to have a normal esophagus or mild inflammation.
I’m curious, you mentioned being filled with gas so they can get a better look. How is that gas released? Do they do it in the operating room or is that something that slowly is released like normal gas?
A lot is suctioned out as the exam concludes. Because it’s often carbon dioxide it’s rapidly absorbed, reaches your lungs, and you breathe it out. Some is also passed. Thanks for watching!
What can,be done during this procedure if medications for h pylori isnt working after multiple times taken it. But now having this procedure. Can it help determine why medication isnt working or if differnt meds will work. I never heard of that but seems difficult to deal with
The biopsy can be used to culture the bacteria but needs to be put in non formalin media to maintain its integrity.
Hi, not sure if you'll be able to see this but if an infection occurs. What type of antibiotics would you likely prescribe? I am doing a PowerPoint based on this procedure!:)
If an infection occurs its most likely a pneumonia from aspiration. In that case amoxicillin/clavulanate is preferred or moxifloxacin for those with a penicillin allergy.
@@MarkCooperMD Awesome, thank you so much your time!
Hi doctor with this procedure would any abnormalities be spotted in the throat as the tube is passed down, thanks
Maybe very large abnormalities but it’s being passed through the throat and doesn’t give good visuals until we are in the esophagus. ENT uses different size scopes that are optimal for viewing their territory. GI can’t get a good look with our equipment.
Is an EGD indicated for a 70 year-old obese (including abdominal truncal obesity) female with a 12 year history of GERD, treated for 12 years with Omeprazole x 2 before bedtime; and a history of 12 years of 2-400 mg of Advil to treat arthritis pain? Patient has no problems with swallowing, but recently experiencing some occasional mild nausea (no vomiting), 1 month cough (probably from bronchitis or allergy), and occasional unpleasant taste that seems like it's coming somewhere from mid to lower esophageal area when patient coughs, accompanied by discolored sputum. Is Barrett's esophagus a possibility with this background? No bleeding, very rare abdominal pain or discomfort. Thank you...
Hypothetically speaking if I saw a patient with these symptoms in the office I would likely proceed with an EGD. However many factors can apply and alternative diagnostics can be considered too.
I had a EGD with dilation yesterday. I wanted to have one, because i was having some pain when eating and drinking. Or sometimes a pill woukd get stuck in my throat. I had never heard of a dilation. The Dr said i had a Schatzi ring! What the heck is that. A day later, my throat I s still irritated. Is there anybody
else that had this done.
This is all quite common. It’s not worrisome and is essentially a ring of tissue that I compare to a callus. I sometimes biopsy them half for the tissue sample, but as much to disrupt the ring.
Sorry to hear your throat is irritated-that doesn’t uniformly occur but isn’t atypical. When the throat is irritated it usually improves over 2-3 days. I usually suggest my patients eat soft foods for a few days and otherwise treat it as a sore throat - lozenges and Tylenol.
Do low hemoglobin count delay the EGD procedure?
It depends on the circumstances and how low the count is.
I never knew that my doctor did a biopsy from my stomach in my endoscopy and I am scared like hell now! I heard stories that it would lead to spread of bad cells and heaven forbids Cancer! Is that true? I don't even know why my doctor took biopsy while I did not have many symptoms and it was more of my family Doctor recommendation to do a Colonoscopy and Endoscopy together to ensure it is my hemorrhoid that causes occasional bleeding! I don't feel good to have done any of them! As I ended up removing one sigmoid area 3mm hyperplastic polyp and Nothing in the endoscopy biopsy + Hemorrhoid which I knew I had! All those unnecessary steps that led me to feel bad to have caused trauma to my organs for a fit 38-year-old individual, nonsmoker and with no family history! It's been 3 months since the procedures and I can't sleep at night thinking what will happen to me as a result of my procedures! I don't even know why my doctor asked me to come back for a Colonoscopy when I am 50! I mean whyyy? why should I have this nightmare stress until then?!! AM I NOT DEEMED LOW RISK and HEALTHY?!!!
Why would you presume that everything done for you was wrong? By the sound of it, everything done was reasonable. If anything you should have a repeat screening sooner than 50 based on current evidence (though where you live influences that).
Taking a biopsy of the inner lining of the stomach during an EGD does not spread cancer, especially if there is no cancer to spread.
So I wouldn’t expect anything to happen to you from these procedures. Hopefully you sleep better and don’t read more healthcare stories. I find most of the stories reported in the news make major factual errors that make the story sound much scarier and much more likely to happen to you too. Sensationalism of healthcare is dangerous.
@@MarkCooperMD I appreciate your explanation, however, I am still not convinced why they did the biopsy when I did not have abnormalities! they said for a thorough examination and specially H bacteria, though, it would better not to do it when I did NOT have any symptoms given potential risks and dangers in long term. I don't know if it is my mind or not but I have had a minor nausea since last week when I want to start eating and I can't stop thinking what I have cancer! All I can say, better NOT be proactive if you have no risk factors at all or you'll end up caged in fear
I think it’s your own choice to be caged in fear and something that may be worth seeking help to free yourself from it.
A biopsy does not cause cancer. You have misinterpreted something you read.
Is an endoscopy necessary after testing positive for celiac disease?
It’s recommended to confirm the diagnosis and look for any substantial damage from the disease. Of course there’s always the option not to - I think the serology (blood test) is reasonably accurate and the intervention (go gluten free) is arguably without side effect (but costly and limiting to have to find GF) that I think its a patient choice that depends on how much they feel committed to being gluten free based on blood work alone.
❤❤❤🙏🙏🙏
Here in the uk your awake I’d rather not thank you
My sister just had this done, yesterday. She had deep sedation as was very nervous. She doesn't remember anything about it. Just has sore throat today. We're in Northern Ireland.
@@myapinion7532 my daughter had it done and doesn’t remember all of it, but you hear such horror stories, I’m terrified to have anything done awake, mind I don’t thing sedation would help me as I have seizures and when I’m half asleep there worse , I refused one, hope your sister is doing ok x