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Your doctor will use a thin, flexible tube called an endoscope, which has its own lens and light source, and will view the images on a video monitor. You might hear your doctor or other medical sta. refer to upper endoscopy as upper GI endoscopy, esophagogastroduodenoscopy \(EGD\) or panendoscopy.\000) /K 54 /P 115 0 R /Pg 26 0 R /S /Span /T () >> endobj 184 0 obj << /ActualText (Upper endoscopy helps your doctor evaluate symptoms of persistent upper abdominal pain, nausea, vomiting or difficulty swallowing. It's the best test for finding the cause of bleeding from the upper gastrointestinal tract. It's also more accurate than X-ray flims for detecting inflammation, ulcers and tumors of the esophagus, stomach and duodenum.\000) /K 55 /P 117 0 R /Pg 26 0 R /S /Span /T () >> endobj 185 0 obj << /ActualText (Your doctor might use upper endoscopy to obtain a biopsy \(small tissue samples\). A biopsy helps your doctor distinguish between benign and malignant \(cancerous\) tissues. Remember, biopsies are taken for many reasons, and your doctor might order one even if he or she does not suspect cancer. For example, your doctor might use a biopsy to test for Helicobacter pylori, the bacterium that causes ulcers.\000) /K 56 /P 118 0 R /Pg 26 0 R /S /Span /T () >> endobj 186 0 obj << /ActualText (Your doctor might also use upper endoscopy to perform a cytology test, where he or she will introduce as mall brush to collect cells for analysis.\000) /K 57 /P 119 0 R /Pg 26 0 R /S /Span /T () >> endobj 187 0 obj << /ActualText (Upper endoscopy is also used to treat conditions of the upper gastrointestinal tract. Your doctor can pass instruments through the endoscope to directly treat many abnormalities. This will cause you little or no discomfort. For example, your doctor might stretch \(dilate\) a narrowed area, remove polyps \(usually benign growths\) or treat bleeding.\000) /K 58 /P 120 0 R /Pg 26 0 R /S /Span /T () >> endobj 188 0 obj << /ActualText (An empty stomach allows for the best and safest examination, so you should have nothing to eat or drink, including water, after midnight before the examination.\000) /K 59 /P 122 0 R /Pg 26 0 R /S /Span /T () >> endobj 189 0 obj << /ActualText (Your doctor might start by spraying your throat with a local anesthetic or by giving you a sedative to help you relax. You'll then lie on your side, and your doctor will pass the endoscope through your mouth and into the esophagus, stomach and duodenum. The endoscope does not interfere with your breathing, most patients consider the test only slightly uncomfortable, and many patients fall asleep during the procedure.\000) /K 9 /P 124 0 R /Pg 27 0 R /S /Span /T () >> endobj 190 0 obj << /ActualText (You will be monitored until most of the effects of the medication have worn o.. Your throat might be a little sore and you might feel bloated because of the air introduced into your stomach during the test. You will be able to eat after you leave unless your doctor instructs you otherwise.\000) /K 10 /P 126 0 R /Pg 27 0 R /S /Span /T () >> endobj 191 0 obj << /ActualText (If you have been given sedatives during the procedure, someone must drive you home and stay with you. Even if you feel alert after the procedure, your judgment and reflexes could be impaired for the rest of the day.\000) /K 11 /P 128 0 R /Pg 27 0 R /S /Span /T () >> endobj 192 0 obj << /ActualText (Although complications can occur, they are rare. Bleeding can occur at a biopsy site or where a polyp was removed, but it's usually minimal and rarely requires follow-up. Perforation \(a hole or tear in the gastrointestinal tract lining\) may require surgery but this is a very uncommon complication. Some patients might have a reaction to the sedatives or complications from heart or lung disease.\000) /K 12 /P 130 0 R /Pg 27 0 R /S /Span /T () >> endobj 193 0 obj << /ActualText (Although complications after upper endoscopy are very uncommon, it's important to recognize early signs of possible complications. After the test, if you have a fever, if you have trouble swallowing, or if you notice increasing throat, chest or abdominal pain or bleeding, including black stools, contact your doctor immediately at 718-270-4772. Note that bleeding can occur several days after the procedure. If a serious problem develops, you should go to the ƹƵ Downstate Medical Center Emergency Room and ask the doctor there to contact the GI doctor on call.\000) /K 13 /P 131 0 R /Pg 27 0 R /S /Span /T () >> endobj 194 0 obj << /A 226 0 R /K << /MCID 0 /Pg 24 0 R /Stm 227 0 R /Type /MCR >> /S /Figure /T () >> endobj 195 0 obj << /K 3 /P 176 0 R /Pg 26 0 R /S /Lbl /T () >> endobj 196 0 obj << /K 5 /P 182 0 R /Pg 26 0 R /S /Lbl /T () >> endobj 197 0 obj << /K 18 /P 175 0 R /Pg 26 0 R /S /Lbl /T () >> endobj 198 0 obj << /K 25 /P 177 0 R /Pg 26 0 R /S /Lbl /T () >> endobj 199 0 obj << /K 28 /P 177 0 R /Pg 26 0 R /S /LBody /T () >> endobj 200 0 obj << /K 29 /P 178 0 R /Pg 26 0 R /S /Lbl /T () >> endobj 201 0 obj << /K 33 /P 179 0 R /Pg 26 0 R /S /Lbl /T () >> endobj 202 0 obj << /K 36 /P 179 0 R /Pg 26 0 R /S /LBody /T () >> endobj 203 0 obj << /K 37 /P 180 0 R /Pg 26 0 R /S /Lbl /T () >> endobj 204 0 obj << /K 40 /P 180 0 R /Pg 26 0 R /S /LBody /T () >> endobj 205 0 obj << /K 41 /P 181 0 R /Pg 26 0 R /S /Lbl /T () >> endobj 206 0 obj << /K 43 /P 181 0 R /Pg 26 0 R /S /LBody /T () >> endobj 207 0 obj << /K 50 /P 182 0 R /Pg 26 0 R /S /LBody /T () >> endobj 208 0 obj << /ActualText (If you take insulin, diabetes medications, clopidogrel \(Plavix\) or warfarin \(Coumadin\), please follow your doctor\220s specific instructions regarding these medications.\000) /K 51 /P 223 0 R /Pg 26 0 R /S /Span /T () >> endobj 209 0 obj << /ActualText (Do not eat or drink anything after midnight the night before the exam.\000) /K 52 /P 224 0 R /Pg 26 0 R /S /Span /T () >> endobj 210 0 obj << /ActualText (Diabetics: Do not take your morning dose of insulin. 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