Understanding Gastroscopy

A Comprehensive Guide to Upper Gastrointestinal Endoscopy

Gastroenterology

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Last updated: Mar 24, 2025

What is a Gastroscopy?

A gastroscopy (also called upper endoscopy) is a medical procedure that allows doctors to examine the upper part of your digestive system using a thin, flexible tube with a camera (endoscope).

Areas Examined

  • Esophagus (food pipe)
  • Stomach
  • First part of small intestine (duodenum)

Why is it Performed?

Common Reasons:

  • Investigating persistent stomach pain
  • Difficulty swallowing
  • Persistent heartburn
  • Unexplained nausea or vomiting
  • Screening for stomach cancer

The Procedure

Before the Procedure

  1. Fast for 6-8 hours
  2. Inform doctor about medications
  3. Arrange transport home

During the Procedure

  • Duration: 15-30 minutes
  • Local anesthetic throat spray
  • Optional sedation
  • Endoscope insertion through mouth

After the Procedure

  • Recovery time: 1-2 hours
  • Temporary throat numbness
  • Can usually go home same day

Possible Complications

Rare but may include:

  • Sore throat
  • Bleeding
  • Infection
  • Perforation (very rare)

Results and Follow-up

  • Immediate basic results available
  • Biopsy results: 1-2 weeks
  • Follow-up appointment as needed

When to Seek Help

Contact your doctor if you experience:

  • Severe chest or abdominal pain
  • Difficulty breathing
  • Fever
  • Black, tarry stools

Preparation Tips

  1. Follow fasting instructions strictly
  2. Bring list of medications
  3. Wear comfortable clothing
  4. Remove jewelry and dentures
  5. Arrange transportation

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