Tuesday, September 24, 2019

Upper GI Endoscopy

  1. Patient Instructions before UGI Endoscopy 

  1. The patient will need to stop drinking and eating up to eight hours before your endoscopy to ensure his/her stomach is empty for the procedure.
  2. Patient s should not have gross coagulopathy and Platelet count should be >70,000 INR <2 
  3. Pre-procedure investigations:  CBC, INR, Viral markers HBsAg, Anti HCV &HIV serology
  4. Be careful regarding fasting in  Diabetes Mellitus patients. 
  5. Start IV fluids if not contraindicated   

INDICATIONS OF UGI :
Upper endoscopy is currently one of the most frequently performed procedures. The most common indications for 
        Diagnostic EGD include 
  • Dyspepsia unresponsive to medical therapy 
  • or associated with systemic signs, 
  • dysphagia or odynophagia, 
  • persistent gastroesophageal reflux symptoms, 
  • occult gastrointestinal bleeding, and 
  • surveillance for malignancy.                                            
  • Therapeutic upper endoscopy 
  • acute gastrointestinal bleeding, 
  • foreign body removal and 
  • stricture dilatation.