Upper
Gastrointestinal Endoscopy (Figs above)
Objective
Examination and biopsy of esophagus,
stomach and duodenum.
Position
Left lateral or sitting.
Anesthesia
Surface and sedation with IV diazepam.
Procedure
1. Patient
is sedated with intravenous diazepam.
2. Plastic
mouth-guard.
3. Lubricated
fiberscope.
4. Passed
into mouth over the tongue.
5. Patient
asked to swallow.
6. Instruments
advanced.
7. No
force should be used.
• As
instruments enter esophagus examine through eyepiece.
• Advance
instrument under vision into stomach.
Instruments
and Equipments Required
• Suitable
fiberscope (e.g., forward, or side viewing).
• Fiberoptic
light source/diathermy power supply.
• Mouth
guard.
• Biopsy
forceps (these include those suitable for cutting, grasping, taking cytology
specimens, etc).
• Accessories
for endoscopic diathermy (e.g., snares, knives, electrodes).
• Angled
tongue depressor.
• Pharyngeal
spray.
• Topical
anesthetic, e.g. 1 percent lignocaine (xylocaine).
• Lubricant,
e.g. lignocaine (xylocaine) gel.
• Esophageal
bougies and tubes sizes 16 and 18 Charriere gauge may be required water
container/irrigator.
• Medical
vacuum.
• Camera
if required.
Any questions be sent to drmmkapur@gmail.com
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