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Instructions

INSTRUCTIONS FOR ESOPHAGOGASTRODUODENOSCOPY(EGD)

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CHECK LIST
Please contact our office immediately if you have any questions or concerns about the procedure.

Please answer the following questions:

  • Do you take any medication in the morning?
  •     Yes, please ask our procedure coordinator which medication to hold and which one to take the morning of the procedure.
  •     No, please start your preparation as instructed.
  • Are you on Blood thinner?
  •     Yes, please let us know immediately before your procedure. Approval must be obtained prior to stop taking the medication.
  •     No,please start your preparation as instructed.
  • Marijuana, alcohol and/or substance use?
  •     Yes, please do not use it on the day of the procedure.
  •     No,please start your preparation as instructed.
  • Are you taking Ozempic, Wegovy, Mounjaro, Rybelsus and or other Glucagon like peptide-1 (GLP1)
  •     Yes,please let us know immediately before your procedure. Approval must be obtained prior to stopping taking the medication. For patient that is currently on GLP1, patient is recommended to have light lunch the date before the procedure and no dinner.
  •     No, please start your preparation as instructed.
  • Do you currently have any cardiac, pulmonary and/or blood clotting disorder?
  •     Yes, please let us know immediately before your procedure. Approval must be obtained prior to the procedure.
  •     No, please start your preparation as instructed.

Preparation
You will be undergoing an esophagogastroduodenoscopy (EGD). An EGD is a test to look at your esophagus, stomach, and duodenum (first part of your small intestine). You will be given IV (intravenous) anesthesia for this procedure.

Five to Seven Days before Your Procedure

  • DO NOT take any aspirin, products containing aspirin, non-steroidal anti-inflammatories/NSAIDS (e.g. Aleve, Motrin, ibuprofen, naproxen), COX-2 Inhibitors (e.g. Celebrex), Pentoxyfylline (Trental), Nabumetone (Relafen)
  • DO NOT take iron supplements, vitamins or herbal supplements.
  • DO NOT take clopidogril (Plavix), dipyridamole (Aggrenox, Persantine), or warfarin (Couinadin).

    • If you cannot stop taking these medications, please discuss this with your provider.


Note: Acetaminophen products (e.g. Tylenol) are safe to use before your procedure. Arrange for transportation as you will not be allowed to drive after the procedure.


Day of EGD

  • Do NOT eat or drink anything after midnight (minimum of 8 hours before your procedure). If you must take your medication, you may take it with a few small sips of water.
  • If you are DIABETIC , do not take your medication the morning of the procedure. If you must take your medication, take only half of your regular dose. Continue to check your blood sugars as you normally do.
  • You may brush your teeth.
  • Please arrive at the facility on time.
  • You should not wear jewelry to the procedure.
  • You will not be allowed to drive home. You may have a relative or friend drive you home. You may also go home in a taxi or by bus and must be accompanied at all times even upon arrival home.

Please ensure you have a follow up appointment to discuss the test results with your provider. Feel free to call our office with any questions or concerns. Good luck!

A minimum of 48 hours notice is required for cancellations for all procedures and office visits.

What is an esophagogastroduodenoscopy (EGD test)? esophagogastroduodenoscopy

EGD stands for “esophagogastroduodenoscopy." Phew! Let’s break that down.

Working backward through the word, “scopy” means an examination with a visual instrument. A “scope” is that instrument (as in “telescope” or “microscope”). During an EGD test, medical examiners use something called an endoscope to examine the inside of your body. It’s a small, lighted camera on the end of a long, flexible tube.

After you're given medication to make you comfortable, an endoscope is passed down your throat, through your esophagus (swallowing tube) and into your stomach. The camera sends images to a computer screen showing your esophagus, stomach and duodenum (the upper part of your small intestine).
That’s where the rest of the word comes from. “Duodeno” means the duodenum, “gastro” means the stomach, and “esophago” means the esophagus.

What is the difference between an esophagogastroduodenoscopy and an endoscopy?

There are many types of endoscopy procedures. Esophagogastroduodenoscopy is just one of them. All endoscopies use the same tool — the endoscope — to examine different parts of the body. The exams are named differently to describe the different parts they are looking at.

An EGD test looks at what healthcare providers sometimes call the upper gastrointestinal (GI) tract: the esophagus, stomach and duodenum. This is the part of your digestive system that the endoscope can reach from the top down. Sometimes an EGD is also called an upper endoscopy.

Why is an esophagogastroduodenoscopy performed?

An EGD is primarily a diagnostic procedure, but it can also be used therapeutically, to treat problems that are found during the exam.

Possible complications of Esophagogastroduodenoscopy

Esophagogastroduodenoscopy is usually safe, but there is a risk of:

  • Bleeding.If a polyp is removed or a biopsy is done during the Esophagogastroduodenoscopy, you might notice some blood in your stool for a day or two after the test. Serious bleeding is uncommon, but in rare cases, bleeding might need to be treated or can even be life-threatening.
  • Perforation (puncture the wall)This is rare, but it can be a life-threatening complication, and the hole may need to be repaired with surgery.
  • Reactions to anesthesia.


*****After procedure, if you are experiencing some bloating, abdominal pain, chill, fever, nausea, vomiting… please call our office or seek medical help right away. Be sure you understand these instructions.*****

You have been scheduled for gastrointestinal endoscopy (also called EGD, Esophagogastroduodenoscopy or panendoscopy).

Why am I having this test?

Your doctor has arranged this test for a look at your esophagus, stomach and duodenum to see if there are any abnormalities of the upper digestive tract.

What occurs during the examination?

The doctor will use a small, lighted flexible tube thinner than most of the food you swallow to examine the lining of the upper digestive tract.

We will numb your mouth and throat and use Tranquilizers to relax you. We don't obstruct breathing passages. We make a special effort to keep you comfortable. In fact, most patients don't even remember the procedure.

Are there any possible complications?

EGD is safe and is associated with a very low risk. Complications can occur but are rare.

    Possible complications include:

  • Hemorrhage (bleeding)
  • Perforation (tearing) of the esophagus or stomach
  • Pneumonia, or an adverse reaction to one of the medications.

You must tell us of allergies or peculiar reactions you have had to medicines, particularly novacaines and medicines that dentists use for deadening teeth, also tranquilizers and pain killers. In very rare circumstances death could result from a complication; however, we have had no deaths. It should be emphasized that complications are extremely rare. This is a routine procedure in our hands and we are extremely careful.

After the procedure:

  • Expect a mild sore throat lasting one or two days. You can use lozenges for relief.
  • Do not eat or drink for one hour (your throat will be numb and we don't want anything to go down the wrong "pipe").
  • Do not drive for 24 hours after the procedure.

sgc-egd

List of Aspirin or Aspirin Related Drugs


4-Way Cold Tablets

Adprin - B Tablets

A.S.A. Enseals

A.S.A. Tablets

Aches-N Pain Tablets

Advil

Alcohol

Aleve Tablets

Alka-Seltzer Products

Amigesic capsules

Anacin Tablets and Capsules

Anaprox, Anaprox DS Tablets

Anodynos Tablets

Ansaid Tablets

APC

Argesic Tablets

Artha-G Tablets

Arthralgen Tablets

Arthritis Bayer Timed Release Aspirin

Arthritis Pain Formula Tablets

Arthritis Strength Buffering Tablets

Arthropan Liquid

Arthrotec

Ascodeen

Ascriptin, All products

Asperbuf Tablets

Aspergum [chewing gum]

Aspirin

Asprimox Tablets

Axdone

Axotal Tablets

Bayer, All products

BC Tablets and Powder

Brufen

Buf-Tabs

Buff-A Comp No. 3 Tablets with codeine

Buff-A Comp Tablets and Capsules

Buffaprin Tablets

Bufferin, All products

Buffets II Tablets

Buffex Tablets

Buffinol Tablets

Cama Arthritis Pain Relieve

CataFlam Tablets

Cephalgesis

Cheracol

Children Aspirin

Children's Advil Suspension

Children's Motrin Suspension

Congesprin

Cope Tablets

Coricidin

Coumadin

Darvon Compound Pulvules

Darvon with A.S.A. Pulvules

Darvon Compound-65

Darvon-N with A.S.A.

Dasin Capsules

Daypro Tablets

DiFlunisal

Disalcid Capsules

Doan’s Pills

Dolobid Tablets

Dristan

Duoprin-S Syrup

Duradyne Tablets

Easprin

Ecotrin Tablets

Emagrin Tablets

Empirin Tablets

Emprazil

Endodan Tablets

Epromate Tablets

Equagesic Tablets

Equazine M Tablets

Etodolac

Excedrin Tablets and Capsules

Feldene Capsules

Fenoprofen Tablets

Fiorgen PF Tablets

Fiorinal Tablets

Fluriprofen Tablets

Gelpirin Tablets

Gensan Tablets

Goody's Headache Powder

Halfprin Tablets

Haltran Tablets

Ibu-Tab Tablets

Ibuprin Tablets

Ibuprohm Tablets and Caplets

Indochron E-R Capsules

Indocin Capsules/Suspension/ Suppositories

Indocin-SR Capsules

Indomethacin Capsules

Indomethacin Suspension

Isollyl Improved Tablets & Capsules

Ketrolac Tablets

Ketoprofen Capsules

Lanorinal Tablets

Lodine Capsules /Tablets

LodineXL

Lortab

Magan Tablets

Magnaprin Arthritis Strength Captabs

Magsal Tablets

Mamal Capusles

Marthritic Tablets

Maximum Bayer Aspirin

Measurin Tablets

MecloFenamate Capsules

Meclomen Capsules

Medipren Tablets and Caplets

Menadol Tablets

Meprogesic Tablets

Micrainin Tablets

Midol 200 Tablets

Midol, All products

Mobidin Tablets

Mobigesic Tablets

Momentum Tablets

Motrin Tablets

Nalfon Capsules/Tablets

Nalfon Pulvules

Naprosyn Tablets/Suspension

Naproxen Tablets

Neocylate Tablets

Norgesic & Norgesic Forte Tablets

Norwich Extra-Strength Tablets

Nuprin Tablets and Caplets

Orphengesic

Orudis Capsules

Oruvail Capsules

Pabalate

Pabalate-SF Tablets

PAC Tablets

Pamprin-IB Tablets

Pepto-Bismol Tablets and Suspension

Percodan and Percodan Demi Tablets

Phenaphen

Piroxicam Capsules

Ponstel Capsules

Presalin Tablets

Relafen Tablets

Robaxisal Tablets

Rufen Tablets

S-A-C

Saleto Tablets Capsules,

Saleto-200 Tablets

Saleto-400,600,800 Tablets

SalFlex Tablets

Salocol Tablets

Salsalate Tablets

Salsitabs Tablets

Sine-Aid

Sine-Off

SK-65 Compound Capsules

Soma

Soma CMD

St. Joseph Adult Chewable Aspirin

St. Joseph Cold Tablets for Children

St. Joseph Aspirin for Children

Sulindac Tablets

Supac

Synalgos Capsules

Synalgos-DC Capsules

Talwin Compound Tablets

Tolectin 200,600 Tablets

Tolectin DS Capsules

Tolmetin Tablets/Capsules

Toradol

Injection/Tablets

Trendar Tablets

Tricosal Tablets

Tri-Pain Tablets

Trigesic

Trigesic Tablets

Trilisate Tablets and Liquid

Vanquish Caplets

Verin

Voltaren Tablets

Zactin

Zorprin Tablets

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