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    upper gi endoscopy (3)

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    SUDHARANI SHIVASHANKAR GOTYAL
    Upper GI endoscopy

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    upper gi endoscopy (3)

    Uploaded by

    SUDHARANI SHIVASHANKAR GOTYAL
    7 views16 pages
    Upper GI endoscopy

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    © © All Rights Reserved

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    Upper GI endoscopy

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    7 views16 pages

    upper gi endoscopy (3)

    Uploaded by

    SUDHARANI SHIVASHANKAR GOTYAL
    Upper GI endoscopy

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    UPPER GI ENDOSCOPY

    (Esophagogastroduodenoscopy)

    Roll no : 79
    Roll no : 17
    Upper Gl endoscopy is a procedure that uses a lighted,
    flexible endoscope to see inside the upper GI tract. The
    upper Gl tract includes the esophagus, stomach, and
    duodenum- the first part of the small intestine.
    Upper Gl endoscopy can detect
    • Ulcer
    • abnormal growths
    • Precancerous conditions
    • bowel obstruction
    • inflammation
    • hiatal hernia
    • Indication
    • Upper abdominal pain
    • Foreign body

    • Oesophageal varies

    • Acute chronic upper GI bleeding


    • Vomiting,Nausea
    • Dysphagia,Dyspepsia
    • gastric reflux disease
    • unexplained weight loss
    • anemia
    THERAPEUTIC INDICATIONS
    • Treating bleeding: Upper Gl endoscopy can treat bleeding from ulcers and other
    conditions
    • Removing growths: Upper Gl endoscopy can remove polyps, tumors, or swallowed
    objects
    • Dilating strictures: Upper Gl endoscopy candilate strictures
    • Foreign-body removal: Upper Gl Endoscopic biopsies can be used to:• Diagnose
    stomach ulcers• Identify inflammation, infections, and early signs of cancer• Assess
    conditions like duodenitis and malabsorptive disorders can remove foreign objects

    ENDOSCOPY BIOPSY :
    biopsy during an endo- scopy is a procedure that involves removing tissue samples
    from an organ or body cavity for examination
    Endoscopic biopsies can be used to
    • Diagnose stomach ulcers
    • Identify inflammation, infections, and early signs of cancer
    • Assess conditions like duodenitis and malabsorptive disorders
    COMPONENTS OF ENDOSCOPE
    How to Prepare for Upper GI Endoscopy

    • The upper Gl tract must be empty before upper Gl endoscopy.


    fasting for 4-6 hr
    • Iv access may be used
    • Patients should tell their doctor about all health conditions they
    have-especially heart and lung problems, diabetes, and allergies
    and all medications they are taking.
    • Patients may be asked to temporarily stop taking medications that
    affect blood clotting or interact with sedatives, which are often given
    during upper Gl endoscopy
    • Medications and vitamins that may be restricted before and after
    upper Gl endoscopy include nonsteroidal anti-inflammatory drugs
    such as aspirin, ibuprofen , and naproxen.
    • blood thinners
    • blood pressure medications
    • Antidepressants
    • dietary supplements
    • Driving is not permitted for 12 to 24 hours after upper Gl
    endoscopy to allow sedatives time to completely wear off.
    PROCEDURE
    • Take patient consent and explain procedure briefly to the
    patient
    • Safety precaution follow by hand washing, wearing gloves etc
    • Patients may receive a local, liquid anesthetic that is gargled or
    sprayed on the back of the throat. The anesthetic numbs the
    throat and calms the gag reflex. (lidocaine 10%)
    • An intravenous (IV) needle is placed in a vein in the arm if a
    sedative will be given. Sedatives help patients stay relaxed and
    comfortable. While patients are sedated, the doctor and medical
    staff monitor vital signs. (Midazolam3mg)
    PATIENT POSITION
    Patient position
    • The patient lies on the examination trolley/stretcher on the left
    side with the intravenous access line preferably in the right arm.
    The height of the stretcher may be adjusted for comfort of the
    endoscopist.
    • The patient's head is supported on a small, firm pillow, so as to
    remain in a comfortable neutral position
    • An endoscope is carefully fed down the esophagus and into the
    stomach and duodenum until 2nd part of duodenum. A small
    camera mounted on the endoscope transmits a video image to a
    video monitor, allowing close examination of the intestinal lining.
    • Air is pumped through the endoscope to inflate the stomach and
    duodenum, making them easier to see. Special tools that slide
    through the endoscope allow the doctor to perform biopsies, stop
    COMPLICATIONS
    • abnormal reaction to sedatives
    • bleeding from biopsy
    • accidental puncture of the upper Gl tract
    ENDOSCOPIC RETROGRADE
    CHOLANGIOPANCREATOGRAPHY (ERCP)
    Endoscopic retrograde cholangiopancreatography (ERCP) is a
    technique that combines the use of endoscopy and fluoroscopy
    to diagnose and treat certain problems of
    • the duodenum
    •the papilla of Vaterthe
    •Bile ducts
    • the gallbladder and the pancreatic duct.

    •THERAPEUTIC USES OF ERCP


    •Endoscopic sphincterotomy (both of the biliary and the
    pancreatic sphincters)
    • Removal of stones
    •Insertion of stent(s)
    •Dilation of strictures (e.g. primary sclerosing cholangitis,
    anastomotic strictures after liver transplantation)
    Contraindication

    contraindicated by in patients of

    • Acute pancreatitis
    • Previous pancreatoduodenectomy
    •Coagulation disorder if sphincterotomy planned
    • Recent myocardial infarction
    •history of contrast dye anaphylaxis

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