Upper endoscopy, also termed as the EGD, is the examination of the person’s upper gastrointestinal tract with the use of a flexible, long, and thin scope. The thin scope contains a camera at its tip that allows the doctor to look inside the esophagus, stomach, and the duodenum of the patient. With little or no discomfort to the person undergoing the examination, this medical procedure allows the physician to clearly see the parts of the patient’s upper gastrointestinal tract.
Why Upper endoscopy is Done
If you are wondering why Upper endoscopy is done, the reason is that it will help the doctor to diagnose and even treat conditions affecting the upper part of the digestive system, such as the stomach, duodenum or the beginning of the small intestine, and the esophagus. Performing the upper endoscopy is necessary to investigate symptoms, treat, and diagnose. This is usually conducted as an
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It can also assist in identifying tumors, ulcers, and inflammation. Upper endoscopy is known to be more accurate than X-rays in identifying abnormal growths in the body, specifically the upper digestive system.
The Upper Endoscopy Procedure
The upper endoscopy procedure begins by arranging an appointment with the doctor’s office or an endoscopy center. This is necessary because special written guidelines or instructions will be provided to the patients to prepare them for the procedure. These instructions may include stopping specific medications and fasting. Following the instructions will help minimize the risk of aspirating the contents of the stomach towards the lungs and will also help the doctor obtain good quality examination result.
After the completion, a doctor or a nurse will speak to you and your family member who accompanies you if a follow-up procedure is necessary.
What are the Upper Endoscopy
Moreover, I will let the patient become familiar with any instruments such as a speculum, and demonstrate the tools that will be used to obtain tissue samples that would be used during the examination. Explaining the procedure is also a significant step; this will allow the patient have a sense of control during the examination as we ask and answer questions about their current state, that would help disseminate any concern they may have. Meanwhile, they can learn about what may happen, related to any body sensations or feelings they can experience during the procedure, all while the provider continues to develop rapport and patient’s trust
This health care team have to make sure that this patient have normal GI functioning, and they have to make sure that this resident pass gas or they can check for bowel sounds to make sure that this person is ready to make the transition before he can start enteral feeding (DeBruyne & Pinna, 2012). As soon as this person starts with oral feeding, Clear liquid diet will be given first, then gradually the intestine will able to accept solid food. Once the patient is able to consume enough nutrients, then parenteral feeding will be discontinued (DeBruyne & Pinna,
There are several test that can be performed to diagnose Kaposi Sarcoma including: physical exams, chest x-rays, and biopsies. For physical exams doctors will exam the body to check for general signs of health. This includes checking the skin and lymph nodes for sighs of disease, like lumps. A chest x-ray is done of the organs and bones of the chest, to look for Kaposi Sarcoma in the lungs. A biopsy is the removal of cells or tissue so it can be viewed through a microscope to be checked for cancer. An endoscopy or bronchoscopy may be done to check for Kaposi sarcoma lesions in the gastrointestinal tract or lungs.
requiered to determine treatment. Lab tests or imaging is often requiered as well. It’s chronic,
If the patient has signs and symptoms that suggest Crohn's disease but other diagnostic tests are negative, their doctor may perform capsule endoscopy. The camera takes pictures are checked for signs of Crohn's disease. An endoscopy with biopsy is often still needed to confirm the diagnosis of Crohn's disease and to exclude other causes of their symptoms (NDDIC, n.d.).
nephrostomy tube because it involves assessment of the tube, the area of skin and assessment of
In addition to an endoscopy, a biopsy may be recommended. During a biopsy, a small piece of tissue is removed from an inflamed area. This piece of tissue is then examined in pathology in order to determine whether either disease is present or not.
...ect the patients body, to allow them to watch for and avoid those foods if at all possible (Crohns and Colitis Foundation of America, 2012). Diet can also be affected by shortening of the bowel during surgery, causing absorption issues which may indicate needing more food or special nutrition to make up for what is being otherwise lost.
Depending on the time of surgery, the nurse may admit and discharge the same patient within the timeframe of his or her shift. The nurse obtains a history and physical (H&P) along with the progress notes from the operating surgeon or another licensed personnel written within the last twenty-four hours. The nurse sets the patient up with a peripheral intravenous line before surgery. He or she will interview the patient regarding the last time they ate and/or drank, what medications they take, and when the last medication dose was taken. The nurse also assesses the patient to see if he or she understands the procedure they are there for and asks if they have any questions or concerns. Depending on the health of the patient and what surgical procedure they will be subjected to, either a focused or full health assessment is performed. The nurse also makes sure that all labs pertinent to the patient have been obtained. These labs include a negative pregnancy test (or proof of a negative test within the last seven days) for any patient that could possibly be pregnant, even if the patient is currently menstruating, a finger-stick blood sugar test for all diabetic patients, a blood test for potassium levels for patients with end stage renal disease, and a prothrombin time or international normalized ratio test for patients on Coumadin. The nurse also makes sure that
Upper gastrointestinal endoscopy, UGI, is a procedure that allows surgeons to look at the inside lining of the esophagus, stomach, and duodenum. The tip of the endoscope is inserted through the mouth and moved down the throat into the esophagus, stomach, and duodenum. An UGI may be performed to find: inflammation of the esophagus, ulcers, cancer, hiatal hernia, or a narrowing of the esophagus. It may be done in a doctor’s office, clinic, or hospital
This turn of events could prove fatal for the patient. Another grave risk associated with rapid sequence intubations is that the patient’s blood pressure and heart rate could crash on the paramedic if the endoscope blade would happen to hit the vagus nerve in the back of the throat. In theory, if the patient is hypotensive, then the paramedic should avoid rapid sequence intubations, but if the paramedic had already started the procedure, he or she
4. Enterostomy: Includes gastrostomy or jejunostomy- here feeding tube is inserted directly into stomach or jejunum either endoscopically or surgically and brought out through the peritoneal cavity. Complications include displacement or infection. It is often preferred in patients requiring nutritional support for more than a month.
Nutrition is normally delivered through the enteral method, also known as tube feeding, when a patient is able to digest nutrients in their gastrointestinal tract but may have an issue swallowing, chewing, or ingesting food. The tube is placed in the stomach or intestines for delivery of nutrients. Complications, such as pulmonary aspiration or clogged tubing, may occur. Pulmonary aspiration can be prevented by making sure the head of the bed is positioned at an angle of at least 30° and an assessment of the gastric fluids should be done intermittently by the nursing staff. When the tubing clogs, there is a high probability that the patient does not
Nearly every medical facility has an X-Ray machine. These machines give an outline of you bones and organs using X-rays. People argue the pros and cons of using X-rays.