Understanding Endoscopy Procedures

A Comprehensive Guide to Diagnostic and Therapeutic Endoscopic Examinations

Gastroenterology

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Last updated: Mar 24, 2025

What is an Endoscopy?

An endoscopy is a minimally invasive medical procedure that uses a specialized instrument called an endoscope to examine the interior of organs and cavities within your body. The endoscope is a long, thin tube with a light and camera attached to its tip.

Types of Endoscopy

  • Upper GI Endoscopy (EGD): Examines esophagus, stomach, and upper small intestine
  • Colonoscopy: Examines the large intestine and rectum
  • Bronchoscopy: Examines airways and lungs
  • ERCP: Examines bile ducts and pancreatic ducts

Why is Endoscopy Performed?

Diagnostic Purposes:

  • Investigate symptoms
  • Confirm diagnoses
  • Screen for cancer
  • Monitor existing conditions

Therapeutic Uses:

  • Remove polyps
  • Take tissue samples (biopsies)
  • Stop bleeding
  • Place stents

Preparation

  1. Fasting: Usually 6-8 hours before procedure
  2. Medication adjustments: Some medications may need to be temporarily stopped
  3. Bowel preparation: Required for lower GI procedures
  4. Transportation arrangement: You'll need someone to drive you home

During the Procedure

  • Duration: 15-60 minutes typically
  • Sedation or anesthesia usually provided
  • Minimal discomfort
  • Vital signs monitored throughout

After the Procedure

Recovery

  • Short monitoring period (30-60 minutes)
  • Mild throat soreness possible
  • Resume normal activities within 24 hours

Follow-up

  • Results discussion with healthcare provider
  • Follow-up appointments as needed
  • Report any concerning symptoms

Risks and Complications

  • Bleeding (rare)
  • Infection (very rare)
  • Perforation (extremely rare)
  • Reaction to sedation (uncommon)

When to Seek Help

Contact your healthcare provider if you experience:

  • Severe abdominal pain
  • Fever
  • Difficulty breathing
  • Persistent bleeding

Success Rates

Endoscopy is generally safe and effective, with complications occurring in less than 1% of cases.

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