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Upper Endoscopy

GI-North  >  Upper Endoscopy

Upper Endoscopy


An EGD is an examination of the esophagus, stomach, and first portion of the small intestine (duodenum) which is performed with a flexible instrument called an endoscope. An upper endoscopy is used to diagnose a number of conditions of the upper gastrointestinal tract including acid reflux, Barrett’s esophagus, hiatal hernia, peptic ulcer gastrtis, H. Pylori infection, esophageal varices, and upper GI bleeding. Your physician will be able to make treatment recommendations based on the endoscopy findings.


Upper Endoscopies Explained by Dr. Simon Cofrancesco

Excellence Is Our Speciality

Learn what to expect on endoscopy prep and the day of the procedure.

When you arrive at the endoscopy center.

You will be greeted by our nursing staff, who will review your medical history and will insert an IV. You will then have a chance to discuss any questions with your doctor before the procedure starts.

Immediately before the procedure, you will be given sedative medications which will be administered by an anesthetist. Once you are adequately sedated, the endoscope will be used to examine the lining of the esophagus, stomach, and duodenum, and biopsies may be taken at the time of the procedure.

An upper endoscopy is a very safe procedure.

There is a rare (1 in 5,000) risk of perforation (puncture) of the lining of the esophagus, stomach, or duodenum which may require surgery to repair. Other rare complications include bleeding, pneumonia, and cardiac complications related to the anesthesia.

You will have time to review the risks and benefits of the procedure with your physician both at your initial office visit and immediately before the endoscopy.  If biopsies were obtained, call the office a week after your procedure to review the results and for further follow-up.

Upper Endoscopy Prep Instructions: (EGD)

Prep directions: Nothing to eat or drink after midnight unless additional instructions have been given by your Doctor.

The procedure generally lasts 10-15 minutes, and you will awaken in the recovery room. Your gastroenterologist will then review the endoscopic findings with you and may make new treatment recommendations. You are permitted to return to work and all normal activities the following day.

The upper GI tract must be empty before an upper endoscopy. Generally, no eating or drinking is allowed for four to eight hours before the procedure. Smoking and chewing gum are also prohibited during this time.

You should tell your doctor about all health conditions you have, especially heart and lung problems, diabetes, and allergies, as well as all medications you are taking.

You may be asked to temporarily stop taking medications that affect blood clotting or those that interact with sedatives, which are often given during an upper endoscopy.

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