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Troy Gastroenterology
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Esophagogastroduodenoscopy 


Location - Surgical Centers of Michigan, 4600 Investment Drive, #270, Troy MI  48098 (248) 267-6222. - Please arrive 45 minutes before your procedure.  Preparation Sheet for Surgery Center

Location - Unasource Surgical Center, 4550 Investment Drive, #100, Troy, Michigan 48098. (248) 265-4600  The hospital will call you the day prior to your procedure to confirm the time of the procedure and your arrival time.  Preparation Sheet for Unasource

Location - Beaumont Troy - The hospital will call you the day prior to your procedure to confirm the time of the procedure and your arrival time.   Preparation Sheet for Beaumont Troy

*** PLEASE BE SURE TO BRING A LICENSED DRIVER TO STAY WITH YOU AND DRIVE YOU HOME AFTER YOUR PROCEDURE.  IF YOU DO NOT YOUR PROCEDURE WILL BE CANCELLED***

Please read these instructions in the links above completely. 


Frequently asked questions

FAQs for all procedures

Understanding Upper Endoscopy
Your physician has determined that upper endoscopy is necessary for further evaluation or treatment of your condition. This brochure has been prepared to help you understand the procedure. It includes answers to the questions patients ask most frequently. Please read it carefully, If you have any additional questions, please feel free to discuss them with the endoscopy nurse or your physician before the examination begins.


What is an Upper Endoscopy?
Upper Endoscopy (also known as an upper GI endoscopy, esophagogastroduodenoscopy [EGD], or panendoscopy) is a procedure that enables your physician to examine the lining of the upper part of your gastrointestinal tract, i.e., the esophagus (swallowing tube), stomach, and duodenum (first portion of the small intestine) using a thin flexible tube with its own lens and light source.


Why is Upper Endoscopy Done?
Upper endoscopy is usually performed to evaluate symptoms of persistent upper abdominal pain, nausea, vomiting, or difficulty swallowing.  It is also the best test for finding the cause of bleeding from the upper gastrointestinal tract.
Upper endoscopy is more accurate than x-ray films for detecting inflammation, ulcers, or tumors of the esophagus, stomach and duodenum.  Upper endoscopy can detect early cancer and can distinguish between benign and malignant (cancerous) conditions when biopsies (small tissue samples) of suspicious areas are obtained.  Biopsies are taken for many reasons and do not necessarily mean that cancer is suspected.  A cytology test (introduction of a small brush) to collect cells may also be performed.

Upper endoscopy is also used to treat conditions present in the upper gastrointestinal tract.  A variety of instruments can be passed through the endoscope that allow many abnormalities to be treated directly with little or no discomfort.  For example, stretching narrowed areas, removing polyps (usually benign growths) or swallowed objects and treating upper gastrointestinal bleeding.  Safe and effective endoscopic control of bleeding has reduced the need for transfusions and surgery in many patients.


What Preparation is Required?
For the best (and safest) examination, the stomach must be completely empty.  You should have nothing to eat or drink, including water after midnight the night before your procedure.  Your doctor will be more specific about the time to begin fasting, depending on the time of day that your test is scheduled.

It is best to inform your doctor of your current medications as well as any allergies several days prior to the examination.  You should alert your doctor if your require antibiotics prior to undergoing dental procedures, since you may need antibiotics prior to upper endoscopy as well.

Possible Medication Adjustments
Before the test, be sure to discuss with the doctor whether you should adjust any of your usual medications before the procedure, any drug allergies you may have, and whether you have any other major diseases such as a heart or lung condition that might require special attention during the procedure.


What if I need to Cancel and Reschedule my Procedure?
If it is before 5:00 p.m., please contact the Scheduling Department at (248) 844-9710.  If it is after 5:00 p.m., please call the Answering Service at (248) 656-6252.


Arrangements to Get Home After the Test
You will need to arrange to have someone accompany you home from the examination because sedatives may affect your judgment and reflexes for the rest of the day.  If you received sedation, you will not be allowed to drive after the procedure even though you may not feel tired.


What can be expected during the Upper Endoscopy?
Your doctor will review with you why upper endoscopy is being performed, whether any alternative tests are available and possible complications from the procedure.  Practices may vary among doctors, but you may have your throat sprayed with a local anesthetic before the test begins and may be given medication through a vein to help you relax during the test.  While you are in a comfortable position on your side, the endoscope is passed through the mouth and then in turn through the esophagus, stomach and duodenum.  The endoscope does not interfere with your breathing during the test.  Most patients consider the test to be only slightly uncomfortable and many patients fall asleep during the procedure.


What happens After Upper Endoscopy?
After the test, you will be monitored in the endoscopy area until most of the effects of the medication have worn off.  Your throat may be a little sore for a while, and you may feel bloated right after the procedure because of the air introduced into your stomach during the test.  You will be able to resume your diet after you leave the procedure area unless you are instructed otherwise.
In most circumstances, your doctor can inform you of your test results on the day of the procedure; however, the results of biopsies or cytology samples taken will take several days.


What are the Possible Complications of Upper Endoscopy?
Endoscopy is generally safe.  Complications can occur, but are rare when the test is performed by physicians with specialized training and experience in this procedure.  Bleeding may occur from a biopsy site or where a polyp was removed.  It is usually minimal and rarely requires blood transfusions or surgery.  Localized irritation of the vein where medication was injected may rarely cause a tender lump lasting for several weeks, but this will go away eventually.  Applying heat packs or hot moist towels may help relieve discomfort.  Major complications, e.g., perforation (a tear that might require surgery for repair) are very uncommon.


To the Patient
Because education is an important part of comprehensive medical care, you have been provided with this information to prepare you for this procedure.  If you have any questions about your need for upper endoscopy, alternative tests, the cost of the procedure, methods of billing, or insurance coverage, do not hesitate to speak to your doctor or doctor's office staff about it.  Our endoscopists are highly trained specialists and welcome your questions regarding their credentials and training.  If you have questions that have not been answered, please discuss them with the endoscopy nurse or your physician before the examination begins.


Clear Liquid Diet
A "clear liquid" means that you can see through it. It should not be dark colored (e.g. cola) and it should not have pulp (e.g. orange or grapefruit juice or any juice that is described as "with pulp" or with "bits of fruit"). 
You may not have any drinks that are red, blue, or purple. Solid food, milk and milk products are NOT allowed.

Clear liquids include:
* Strained fruit juices, without pulp - Apple, White Grape, Lemonade
* Water
* Clear broth or bouillon
* Coffee or tea - without milk or non-dairy creamer
* Gatorade - not red, blue, or purple colored
* Kool-aid or other fruit flavored drinks - not red, blue, or purple colored
* Plain Jell-O without added fruit or topping - not red, blue, or purple colored
* Ice popsicles - not red, blue, or purple colored
* Clear Soda

 

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