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

Barrett’s Esophagus
Celiac Disease
Gastroparesis
GERD
H. Pylori Infections
Peptic Ulcer

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

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Excellent

Center For Digestive Health, Rochester Hills4.8

Based on 6231 reviews

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David

Very friendly made me feel comfortable and told me what they were doing step by step. Highly recommend.

Susan S.

Everyone was so kind. I really appreciate it. Thank you staff and Dr Bologna!

Marsha G.

Everyone on the team that I interacted with was pleasant, patient, and professional.

Joel J.

Dr. Willie and the Team at Troy Gastro are a well oiled machine.

Frank S.

Colonoscopy prep information, guidance, supplies and follow up texts during prep time were a nice touch. Very efficient visit for the procedure. Was out 1 hour and 5 minutes past my appt.

Jayne L.

This office is the absolute best. Always have a positive experience. Everyone is very professional and caring!

Anthony G.

My procedure with Dr. Bologna went great. Couldn't have asked for a better experience. The entire staff were all very compassionate. As a physician myself, I was very comfortable having my procedure at Center for Digestive Health, and would recommend them to anyone.

Rose A.

I am grateful for the care by staff, nurses, nurse anesthetists and Dr. Richard Wille. Prior to the colonoscopy, Dr. Wille discussed with me my concerns. Afterwards, the center followed up for any problems or questions. The center runs efficiently from start to finish. Very satisfied !

Marianella A.

I continue see Dr Bakken for all this past 10 yrs, after too many bad experience with other doctors, she was the one to found my stomach problems, now I check with her all the time, she is very patient but go directly with you .Her office and nurses staff are very nice.

James B.

Very efficient and organized.

Angie K.

Dr. Quallich is the best! Very helpful, kind and patient. Always up to date on new treatment options.

Domenica B.

Wonderful people and atmosphere! Took my nerves away

John W.

Very professional team and extremely talented

David H.

Great overall experience. Efficient, pleasant, courteous and professional staff at each step of the process. I feel that I received great service along with professional treatment, and I am confident in the quality and integrity of the services provided. I highly recommend Troy Gastroenterology.

janet V.

Dr Webber is a great doctor. I’ve been a patient of his for a long time. Highly recommend him and The Center for Digestive Health. Excellent care.

Carol H.

Very organized and excellent workers!

Steven R.

I went to the center of digestive health for a colonoscopy and Dr. Donat and his office staff and nurses were the best ! When I arrived the waiting room was packed .I had never been there before and feared a long wait . To my surprise in a few minutes they called my name to go back to pre op and the whole process from entering pre op to leaving home after my procedure was less than a hour !!’ I can not say enough on how well I was treated through my stay there !! I would highly recommend them !!

Michael C.

This was a great experience. Quick, professional and well organized. Successful

Paul B.

Extremely efficient operation. Basically in and out in just over an hour for a colonoscopy. Detailed report received, extremely professional staff!

Karol B.

Check in was welcoming and quick. All the nurses were very friendly. Experience was very good.

Joanne M.

I really appreciate the ability to connect easily and quickly with Dr. Wille through his staff by text and phone messages. I find his staff to be professional and their assistance is very helpful. Dr. Wille is a great listener and answers my questions and concerns without making me feel uncomfortable which I appreciate. I know I am getting the best care. He really cares about his patients.

Pamela L.

Great experience, easy to connect to the tele health. Love DR Willie!!

Al C.

Very professional.

arnold D.

On time telehealth. Very relax experience. PA took time to ask lots of questions. All concern well addressed. Thanks.

Cindy W.

Recently underwent a fourth procedure here at the Center with Dr. Nandi. The entire staff is professional, caring and skilled in their work and patient concerns. Dr. Nandi is skilled and caring and takes time to listen to his patients. The staff works well together which helps put the patient at ease.

The Center for Digestive Health4.8

Based on 6236 reviews

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Debby L.

Friendly professional staff made me feel comfortable and not nervous at all for a colonoscopy. The office ran efficiently and was very organized and timely the day of my procedure.

donna F.

Dr. Bologna is one of the kindest people who will do anything to help you.

Tina B.

Dr Webber is absolutely the kindest Dr I've ever been a patient of. I can imagine that the medical profession is very demanding and I've been in offices where the Dr's have been short and barely stay in the room 2 minutes and I'm left with more questions than I walked in with but not with Dr Webber, I was the last appointment of the day and I'm sure he was ready for his day to be over but he stayed in there and answered every question that I had and was so kind and caring. I highly recommend Dr Weber and his staff which were also completely amazing. Thank you for showing that you actually care about your patients.

Francesca D.

All the staff… from the clerical staff, the nurses, the anesthesiologist, and the doctor, were very professional, caring and courteous. I was very comfortable and they answered any and all questions that I had. I felt safe in their hands. Dr. Bakken is awesome!

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.

Amir Abadir MD, FRCPC

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

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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