Medical Student Forums > Clinical Rotations

Upper GI Endoscopy

(1/1)

Diagnostic:
Indication:

* Dyspepsia (especially ages over 55 years)
* Upper abdominal pain
* Atypical chest pain
* Dysphagia
* Vomiting, weight loss
* Acute or chronic GI bleeding
* Duodenal biopsy in the investigation of malabsorption
Contraindications

* Atlantoaxial subluxation as in rheumatoid arthritis
* Severe shock
* Recent myocardial infarction, unstable angina, cardian arrhythmia
* Severe repiratory disease
Complications

* Aspiration pneumonia
* Perforation
* Bleeding
Procedure

* Explain to the patient the nature of procedure
* Get written consent
* Tell the patient that pain due to air inflation may occur and therefore IV sedation may be given
* Fasting for at least 4 hours
* Throat is sprayed with lignocaine (Xylocaine)
* IV sedation for very anxious patient
* The instrument (endoscope) is passed into the pharynx under direct vision, the down the esophagus into the stomach and duodenum.
* NPO for 90 minu after procedure
"Summerized from Short Textbook of Medical Diagnosis and Management"
Diagnostic

Navigation

[0] Message Index