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Endoscopy — Overview, Symptoms, Treatments, and Other Resources.
Upper GastrointestinaI Tract Endoscopy (also known Upper Endoscopy, Upper GI Endoscopy, Esophagogastroduodenoscopy (EGD), and Capsule Upper GI Endoscopy
Comprehensive Guides
Information on Upper GI Endoscopy at The National Digestive Diseases Information Clearinghouse
Upper GI endoscopy is a procedure that uses a lighted, flexible endoscope to see inside the upper GI tract. The upper GI tract includes the esophagus, stomach, and duodenum—the first part of the small intestine. Read more at The National Digestive Diseases Information Clearinghouse, National Institutes of Health .

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Information on Endoscopy at MayoClinic.com
MayoClinic.com Endoscopy Information

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Information on Preparing for an Upper GI Endoscopy from the American Gastroenterological Association
Regardless of why upper GI endoscopy has been recommended for you, there are important steps you can take to prepare for and participate in the procedure. Read more at the American Gastroenterological Association website.

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Videos and Podcasts
Video Video: Preparing for an Upper GI Endoscopy - from the American Gastroenterological Association
Watch the American Gastroenterological Association video.

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Video Video: What to Expect from your Upper GI Endoscopy
Video overview of the procedure with Dr. Neena Abraham; Baylor College of Medicine, member of the ASGE, as presented by ASGE.org.

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Clinical Practice Guidelines
Role of endoscopy in the management of GERD.
Objective(s): To discuss the use of endoscopy for the diagnosis and management of gastroesophageal reflux disease (GERD) and Barrett's esophagus (BE)See National Guideline Clearinghouse major recommendations.

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The role of endoscopy in dyspepsia.
To define the role of upper endoscopy in the diagnostic evaluation and management of patients with dyspepsia. See National Guideline Clearinghouse major recommendations.

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ASGE guideline: modifications in endoscopic practice for the elderly.
Objective(s:)To provide guidance regarding endoscopic practice issues in the elderly. See National Guideline Clearinghouse major recommendations.

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Complications of upper GI endoscopy; A statement by the Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy
Upper GI endoscopy is a very commonly performed procedure used as a diagnostic tool to evaluate patients with a wide range of problems and complaints. Complications are rare. Based on a 1974 survey conducted by the American Society for Gastrointestinal Endoscopy related to diagnostic evaluations based on over 200,000 (EGD) examinations was 0.13% and carried an associated esophagogastroduodenoscopy mortality of 0.004%. Read complete statement from the ASGE.

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Position statement: nonanesthesiologist administration of propofol for GI endoscopy
This statement on the use of nonanesthesiologist administered propofol (NAAP) for GI endoscopy is issued jointly by The American Association for the Study of Liver Diseases, American College of Gastroenterology, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy.

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Important Articles from Medical Journals
Unsedated transnasal small-caliber esophagogastroduodenoscopy in elderly and bedridden patients.
AIM: To evaluate the safety of unsedated transnasal small-caliber esophagogastroduodenoscopy (EGD) for elderly and critically ill bedridden patients. Full text available free through PubMed.

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Transnasal esogastroduodenoscopy (EGD): comparison with conventional EGD and new applications.
Technical improvements have allowed to significantly reduce the diameter of endoscopes used to examine the upper gastrointestinal tract. Hence, transnasal introduction of endoscopes used to perform a standard esogastroduodenoscopy (EGD) has become possible. Full text available free through Swiss Medical Weekly.

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Abstract: Propofol versus traditional sedative agents for gastrointestinal endoscopy: a meta-analysis.
BACKGROUND & AIMS: Even though propofol has better recovery profile than traditional agents, its use is limited because of the perception of increased complication rates. Because an adequately powered trial comparing risk of propofol with traditional agents is lacking, we performed a meta-analysis of the current literature. See abstract at PubMed.

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Abstract: Screening for esophagitis and Barrett's esophagus with wireless esophageal capsule endoscopy: a multicenter prospective trial in patients with reflux symptoms.
BACKGROUND AND AIM: Esophageal capsule endoscopy (ECE) is a new technology that allows noninvasive investigation of the esophagus. Our aim was to evaluate prospectively the diagnostic yield of ECE in patients with chronic reflux symptoms. See Abstract at PubMed.

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Abstract: Flexible upper videoendoscopy through a modified endoscopy mask in infants and young children.
Esophagogastroduodenoscopy (EGD) is considered an essential diagnostic and therapeutic procedure in the pediatric population. Although generally safe, EGD has the potential for airway complications. We routinely use general anesthesia to carry out EGD in patients younger than 10 years. In the past, these patients received oxygen either through a nasal cannula or were intubated; both modalities have drawbacks and may be associated with complications. Here we report our experience using a modified endoscopy mask, devised primarily for bronchoscopy, for upper endoscopy in children under general anesthesia. See abstract at PubMed.

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Abstract: Pediatric endoscopic injuries: incidence, management, and outcomes.
BACKGROUND: Endoscopy has assumed a significant role in the management of gastrointestinal disorders. However, endoscopic-related injuries are poorly reported. METHODS: Review of our surgical database (1980-2006) identified all patients age 18 years or younger with an endoscopic-related injury managed at our institution. See abstract at PubMed.

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Current issues in endoscope reprocessing and infection control during gastrointestinal endoscopy
The purpose of this article is to review the evidence regarding transmission of infection during gastrointestinal endoscopy, factors important in endoscope reprocessing and infection control, areas to focus on to improve compliance, and recent developments and advances in the field. Full text available free from the World Journal of Gastroenterology.

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Upper GI Tract

Normal stomach through the endoscope

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