When you feel you can do so, start slow by sipping water or other cool liquids. Over the next hours, eat small meals consisting of soft, easily-digestible foods like soups, eggs, juices, pudding, applesauce, etc. You should also avoid consuming alcohol for at least 24 hours after your procedure. Contact your local GI doctor for answers to more specific questions or schedule an appointment with one of our gastroenterologists.
March 14, John McAlpin. What do I need to bring the day of my procedure? Your insurance card s. A list of your current medications.
Co-pay or deductible as determined by your insurance company. Leave valuables and jewelry at home. Wear comfortable, loose fitting clothes. Plan to arrive at the center 45 minutes prior to the procedure. You should expect a stay of approximately one hour and 45 minutes to two hours total. If you are an adult who is unable to sign the consent, you must have someone with you who is authorized to sign on your behalf. You will not be permitted to drive, take a taxi alone or leave the center without an adult chaperone.
How long will the procedure take? How long will I be there after the procedure? Patients remain in the recovery area 30 to 40 minutes after their procedure. Can I drive myself home or take a taxi? Can I take aspirin or arthritis medication? Will I be sleeping during my procedure? Will I have pain following the procedure? Can my family or friends stay with me? May I have visitors? You will need a friend or relative to drive you home.
After signing the consent form you will put on a hospital gown and will remove any glasses, contacts, and dentures. An IV needle will be placed into a vein in your arm or hand. Fluids and medications will be administered through this IV. You will be taken into a special room for the procedure and asked to lie on your right side. A local anesthetic with a bitter taste will be sprayed into your mouth to make it numb and reduce gagging.
Monitoring devices will be placed on your skin to measure blood pressure, heart rate, and blood oxygen during the procedure. After you are sleepy, the doctor will place the thin flexible tube endoscope through the mouthguard. When you swallow he will gently advance the scope down the esophagus. A small video camera on the tip of the scope allows the doctor to see. Special controls allow the doctor to: move the tip of the instrument in certain directions; blow air into the gut; or, to suck secretions and waste residuals out to clear his view.
There is a also small channel in the endoscope to pass special instruments through, which the doctor may need for diagnosis or treatment. Although initially you may feel like gagging this will quickly pass and you will not feel any of the diagnostic maneuvers or treatments which may need to be performed.
The endoscope will not interfere with your breathing in any way. After carefully examining your esophagus, the endoscope will be advanced into your stomach.
A small amount of air will be added to distend your stomach to gain a better view. All areas in your stomach will be examined. Next, the endoscope is advanced through the pylorus the opening between the stomach and duodenum. You may feel some slight pressure here but should not experience any pain. The first portion of your small intestine duodenum is then carefully examined for any abnormalities. After this, any diagnostic or therapeutic maneuvers will be performed and the scope will be gently withdrawn from your mouth.
The entire procedure usually takes between 10—30 minutes. Over the years, advances have made possible the endoscopic treatment of diseases, which in the past have required surgery. There are many useful treatments, which may be employed during EGD. Certain disorders of the gut can result in serious bleeding.
Varices are large "varicose veins" found in the stomach and esophagus especially in patients with liver disease. They can rupture and cause severe bleeding.
They can be treated at the time of endoscopy by injecting them with medicine sclerotherapy or by placing rubber bands on them. Similarly, ulcers in the stomach and duodenum and abnormal blood vessels AVM's can cause bleeding. Once again you cannot feel any of these treatments.
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