Upper GI Endoscopy
(Upper Gastrointestinal Endoscopy; Esophagogastroduodenoscopy [EGD])
by Rosalyn Carson-DeWitt, MD
Click here to view an animated version of this test.
An upper GI endoscopy is a test that allows the doctor to see inside the body. It is used to look at the throat, esophagus, and stomach. The upper part of the small intestines may also be examined.
Reasons for Test
Upper GI endoscopy may be done to look for reasons behind:
An upper GI endoscopy may also be done to look for suspected problems such as:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Some factors that may increase the risk of complications include:
What to Expect
Prior to test
Leading up to the test:
Description of the Test
To get you ready the care team may give you:
You may be asked to lie on your left side. Monitors will track your breathing and heart rate. A tube may also be placed under your nose to provide extra oxygen.
A special mouthpiece will help keep your mouth open. During the test, a small suction tube will clear saliva and fluids from your mouth. The endoscope is a long tube with a light and camera at the end of it. A lotion will be placed on the tube to help it move easier through the digestive tract. The doctor will place the tube in your mouth. You will be asked to try to swallow it. The doctor will carefully and slowly continue to pass the tube down the tract. A nearby screen will show images of the tract as the tube is passing through.
Air may be passed through the scope. The air can press open the tract and smooth the normal folds in the tissues. This will make it easier to see the tract. Special tools may be passed through the tube. They can be used to take a sample of tissue for testing or do other procedures.
After the test, you will be observed for an hour. Then, you will be able to go home.
For the rest of the day:
How Long Will It Take?
About 10-15 minutes
Will It Hurt?
You will have discomfort during the test. Your throat will be sore. The air that is used can also make you feel bloated. This should pass over the next couple of days.
You and your doctor will talk about the results. It may help to explain your symptoms or just rule out other conditions.
Call Your Doctor
It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
If you think you have an emergency, call for emergency medical services right away.
American Gastroenterological Association
American Society for Gastrointestinal Endoscopy
Canadian Digestive Health Foundation
Davila M, Keeffe E. Complications of Upper Endoscopy. In: Feldman M, Friedman L, Sleisenger M. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 7th ed. Philadelphia, PA: Saunders; 2002:539-543.
Understanding upper endoscopy. American Society for Gastrointestinal Endoscopy website. Available at: https://www.asge.org/list-pages/patient-informations/understanding-upper-endoscopy. Accessed October 3, 2017.
Upper GI endoscopy. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/diagnostic-tests/upper-gi-endoscopy. Updated July 2017. Accessed October 3, 2017.
Last reviewed September 2018 by EBSCO Medical Review Board Daus Mahnke, MD
Last Updated: 9/30/2013
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