A diagnosis may be made when certain abnormalities occur when looking at an upper GI tract. But, it’s usually necessary to take small biopsies (sample of the tissue) to assist in or verify the diagnose. The specimens are taken using special forceps for biopsy and can’t feel them once you take them. Special brushes are able to collect other cells from the upper GI tract to be used for the cytology test.
If there is inflammation or erosion of the esophagus (esophagitis) or stomach (gastritis) and duodenum (duodenitis) is observed biopsies may be useful in determining the root of the problem. If ulcers or inflammation are found within the duodenum or stomach biopsies can be taken to determine evidence of particular bacteria (Helicobacter pylori) that has been found to cause ulcers in some patients and is treatable with antibiotics in the event of a diagnosis. These problems can be cured by egd procedure.
In the same way, if nodules (bumps) or masses or tumors are detected biopsies can be used to determine if they’re benign (non-cancerous) or malignant (cancerous). Sometimes, additional biopsies are performed even when the stomach appears to be normal to check for microscopic evidence of a disease of the gut that may cause certain manifestations, or check for specific diseases.
Through the years, technological advances have allowed for the treatment of diseases using endoscopy that in the past had required surgery. There are many effective treatment options that could be utilized during EGD. Certain digestive disorders can cause severe bleeding. Varices are huge “varicose veins” found in the stomach and esophagus, particularly for those suffering from liver disease. They can break and cause bleeding to be severe. They are treatable during an endoscopy, by injecting them with medicines (sclerotherapy) and putting rubber bands around the affected areas. Additionally, ulcers within duodenum and stomach as well as irregular blood vessels (AVM’s) may cause bleeding.
The treatment is injecting medication into them, or by applying electricity and heat to them using an specialized catheter (plastic tube) at the end of the endoscope in order to treat them. You will never experience any procedures. Foreign objects (batteries or coins, fish or chicken bones or fish bones, etc.) which have been deliberately or accidental ally swallowed could eliminated from the upper digestive tract through upper endoscopy without necessity of surgery. Colon cancer treatment is also done by endoscopy.
If any strictures or narrowing occur in the stomach, esophagus or duodenum, these could typically be reduced (stretched) with balloons or other devices for dilating. In extreme instances, typically involving cancers that are inoperable, splinting devices are referred to as “stents” can be left in place. Stents are made of metal and plastic mesh tubes, that expand after they are installed to keep the blockages from the stomach open. Additionally, for patients who are unable to eating in the traditional way an endoscopic percutaneous gastrostomy (PEG) tube may be put in place during EGD.
This tube of feeding is introduced through the skin and then into the stomach, under control of an endoscopic. There are many other treatments that can be done during the course of EGD and you must talk to your doctor about these options prior to the procedure.
While upper endoscopy is one of the most commonly used methods to diagnose and treat various GI conditions There is no way to be entirely safe. There are risks associated during upper endoscopy. There is a risk of experiencing a reaction the medication used to induce sedation or any antibiotics that could be administered in advance of the surgery.
The patient will be closely monitored throughout the procedure. There are medicines that help to reverse the negative consequences of the drugs employed during the procedure, should it be necessary. There is a chance of getting sick. This risk is minimal that antibiotics aren’t routinely provided in advance of the operation. For certain situations, like heart valve problems, previous cardiac infections (endocarditis) or previously-placed artificial joints or liver diseases, your doctor could decide to prescribe antibiotics prior to the procedure in order to lower the risk of infection.
There is a slight possibility of bleeding following the procedure. It is not often required to provide blood transfusions or any other procedure, like surgery. The majority of bleeding is controlled by the endoscope. Another common complication of EGD can be perforation. This happens when the endoscope’s tip passes through a weak part inside the intestinal wall, resulting in a gap. The majority of cases require surgery to repair the problem, but it is not a common result of EGD.
When you insert a percutaneous endoscopic gastrostomy (PEG) tube, the chances of infection and bleeding is somewhat higher. In addition, antibiotics are generally prescribed prior to the procedure.
Because there are a variety of different factors to consider that it’s hard to determine the precise risk of EGD in different settings It is crucial to consult your doctor regarding your specific risk prior to undergoing any procedure. If, following an EGD you experience intense abdominal discomfort, fever, more stool blood or vomit, severe lightheadedness or dizziness, you should not hesitate to speak to your doctor as early detection of any post-operative issues greatly increases the chance of success.