EGD (Upper Endoscopy)

EGD / EGD with Bravo / EDG with Dilitation

An esophagogastroduodenoscopy (EGD, also known as an upper endoscopy, upper GI endoscopy or panendoscopy) is a procedure that enables your physician to examine the lining of the upper part of your gastrointestinal tract, which is the esophagus (swallowing tube), stomach and duodenum (the first portion of the small intestine). This is done by using a thin flexible tube with its own lens and light source.

 

What to Expect

Your doctor will review with you why upper endoscopy is being performed, whether any alternative tests are available and possible complications from the procedure. You will 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, esophagus, stomach and duodenum. The endoscope does not interfere with your breathing during the test and you will be asleep during the procedure.

 

Applicable Conditions

 

Click Here to View EGD Prep Instructions

 

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). This is done by 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.

 

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.

 

Why do I need arrangements to get home after the test?

You will need to arrange to have someone to accompany you home from the examination because sedatives may affect your judgement 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. You will 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 and you will be 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, such as perforations (a tear in the lining of the GI tract that might require surgery for repair), are very uncommon.

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What They Are Saying

Mark
Entire staff was kind and informative about the process/procedure.
Sandra T.
I recently had a colonoscopy performed by Dr. Donat at the Center for Digestive Health in Troy and I was very impressed with the staff, nurses and Dr. Donat. My procedure was painless and I was treated so kindly and I was very comfortable. After the procedure I was given a copy of the pictures of my colon explaining what the Dr. performed and he did come to me in the recovery room and explained everything, leaving me very relieved and informed. The nurses and Anesthesiologist were so kind and comforting. I would recommend this center to all my family and friends for all their surgical needs.
Valerie M.
Dr John Webber is an excellent G.I. doctor. He always make me feel at ease prior to my Colonoscopy!
Pam W.
Everyone was wonderfully kind ❤️
Gjon D.
Dr.Donat is a pro. He listens and cares. Hard to find. Keep up the good work.
frank P.
Incredibly quick in getting you checked in, set up and ready to go for your procedure. Also very friendly while prepping you. Everyone from top to bottom was clear in what to expect while there and then following up with you after to ensure you know what to expect before, during and after procedure. So easy and nice when having a procedure that can be uncomfortable to you as the patient.
Lori L.
Dr Noelle was very thorough and helpful
cherri M.
Brooke was so kind and took her time and explained what tests she was ordering.
Robert B.
Everyone was very professional and friendly. The process was great, it went as they stated. Thank you.
Vernon S.
Scheduled a colonoscopy and staff was very nice. Procedure was very quick.
A C.
The staff was very professional and friendly and the procedure was done very quickly. No delays.
Fernando M.
Good attention and great service, professionalism through the entire procedure, quick and effective discharge. Area of improvement on reception and waiting time (1.5 hr after my appointment)
Michael T.
The provider's and staff at the center for digestive health they are professional in every way highly recommend Dr Donat for your colonoscopy procedure.
Sue O.
Dr. Bakken is amazing. Very thorough, engaged and knowledgeable.
Jimandericka R.
Comfortable, straightforward good treatment I enjoyed speaking to everyone, especially my Dr Dr. Bologna
Terri S.
Very nice facility with friendly, efficient staff.
Larry S.
Everything went very well. Front office staff was welcoming and checking in was very easy. The ladies in my prep was very nice and made me feel comfortable. Dr Bologna and his staff for my procedure was also very professional
Jim A.
Dr Webber and his team are outstanding. They made me feel comfortable the entire time. I strongly recommend them.
Perry H.
Fantastic. It was a pleasure to finally visit a medical facility that my expectation were met. The staff and doctors were professional & passionate, yet personal. Every step of the procedue was thouroughly explained and your very accurate. Your team should be a model for all health care to follow. Thank you
Mary T.
Everyone was so nice. Everything was explained from prep through procedure very clearly. Highly recommend!
Mary S.
I’ve been a patient at Center for Digestive Health for over 25years and have had nothing but exceptional care with Dr Nandi and the Nurse Practitioners Nicolette and other NPs in the practice. Front staff and medical staff are all professional and friendly. My questions are answered and I don’t feel rushed when the NP or physician are with me during an office visit. All have very good communicative skills with patients which is a huge plus.
Stephen S.
The center is run efficiently with well trained staff.
Lorrie G.
Dr Partha S Nandi, my Dr is …. Very knowledgeable, caring, empathetic and understanding. Takes the time to actually LISTEN to his patient’s concerns and suffering. Very prompt & enthusiastic to help as quickly as possible. On a daily mission to help others and have someone the Patients can FINALLY call their Health Hero! 🦸🏻‍♂️🤗🥰 The Center itself and rest of the staff from front desk to procedure room to recovery room were just amazing people. Polite, caring, great bedside manner and even comical at times. Very pleasant experiences for both my procedures. You come out thinking, well, that wasn’t so bad! 😆👍
Lori B.
This was my first procedure, so I have to say the staff made me feel extremely comfortable and explained everything. I would recommend Dr. Donat
David K.
Staff was very friendly and professional. The office was well organized and clean. One negative, The restroom in the office, could use a little better quality toilet paper other than 1-ply, being that all your patients sitting in that office have just gone through a day of prep for a colonoscopy.
Sandra V.
From the beginning at registration , to Debbie walking me out . Everyone was so kind and friendly. I would recommend this place for any digestive needs or procedures. Thank you to all who helped me.
Mary L.
All the staff are very personable.
Chris M.
Staff was great. Very attentive. Dr Willie is fantastic.
Christine P.
Working with this practice was smooth and easy. From booking to my escorted walk to my ride, everyone was kind and friendly. Appointment was timely and efficient.

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Partha S. Nandi

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD

Christina N. Brown, MD

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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