Video Upper GI Endoscopy
A Personalized Approach to Understanding Your Upper Digestive Tract
Video upper GI endoscopy, also known as an OGD or EGD, allows direct visualisation of the oesophagus, stomach and first part of the small intestine using a thin, flexible camera. It remains one of the most valuable tools in gastroenterology, able to both diagnose a wide range of conditions and, in many cases, treat them during the same procedure.
Persistent heartburn, difficulty swallowing, unexplained weight loss, anaemia, or ongoing abdominal pain are among the most common reasons upper endoscopy is recommended. Beyond diagnosis, the same procedure can be used to take biopsies, stop active bleeding, remove polyps, dilate strictures, or place stents meaning a single examination often moves directly from answering a question to addressing it.
At the practice of Dr. Ashok Choudhury, upper GI endoscopy is performed with careful attention to both diagnostic thoroughness and patient comfort, and always interpreted within the context of each patient’s broader clinical picture.
Upper GI Endoscopy Is a Direct, Detailed Window Into Your Digestive Health
Understanding what it can reveal makes the procedure far less intimidating
Many patients feel some apprehension before their first endoscopy. Understanding what the procedure actually involves, and how routine it is, usually helps considerably.
The next step is to understand:
- Why upper endoscopy is being recommended for your specific symptoms
- What conditions it can diagnose, and what it can treat directly
- What preparation is required beforehand
- What sedation options are available
- What happens during the procedure itself
- How results and any biopsies will be explained to you afterward
The goal is a clear, direct answer to your symptoms and treatment during the same procedure wherever possible.
Our Approach to Video Upper GI Endoscopy
1. Determine the Right Indication
Upper endoscopy is recommended when it will meaningfully clarify or address a specific concern.
- Reviewing symptoms and history Heartburn, swallowing difficulty, bleeding, anaemia or weight loss are assessed to determine whether endoscopy is the appropriate next step.
- Considering red-flag features Certain symptoms, particularly in combination with age or family history, raise the priority and urgency of endoscopic evaluation.
- Reviewing prior testing Existing blood work, imaging or previous endoscopy reports are reviewed to avoid unnecessary repeat testing and to focus the examination.
- Planning for possible intervention Where a therapeutic step, such as biopsy or bleeding control, is likely to be needed, this is planned for in advance.
2. Prepare for a Safe, Comfortable Procedure
Good preparation makes the procedure quicker, safer and more comfortable.
- Fasting instructions Patients are asked to fast for a set period beforehand to ensure clear visualisation and reduce aspiration risk.
- Medication review Blood thinners and certain other medications are reviewed and adjusted as needed in advance.
- Sedation discussion Options for sedation are discussed based on individual preference, medical history and the complexity of the planned procedure.
- Explaining the process What to expect before, during and after the procedure is explained clearly, including arrangements for getting home if sedation is used.
3. Perform a Thorough Examination
The procedure itself is typically brief, performed with a flexible endoscope under direct vision.
- Systematic visualization The oesophagus, stomach and duodenum are examined systematically for inflammation, ulcers, varices, tumours or other abnormalities.
- Biopsy when indicated Small tissue samples are taken where needed, causing no discomfort, to clarify diagnosis.
- Therapeutic intervention when needed Bleeding control, polyp removal, dilation of strictures or other treatment can often be performed during the same session.
- Careful documentation Findings are documented in detail, including images, to inform both immediate decisions and future comparison.
4. Explain Findings and Guide Next Steps
The procedure’s value lies in what happens after the camera comes out.
- Immediate discussion of findings Initial findings are discussed as soon as it is safe to do so, generally once sedation has worn off.
- Biopsy results Where samples were taken, results are followed up and explained clearly once available.
- Treatment planning Findings directly shape decisions about medication, further procedures, or referral to other specialists where needed.
- Follow-up scheduling Depending on findings, a plan for repeat endoscopy or ongoing monitoring is put in place.
Why Thorough, Well-Timed Endoscopy Matters
Many upper gastrointestinal conditions, from reflux disease to early cancers, are far easier to manage when identified clearly and early. A well-performed endoscopy, interpreted carefully within your broader clinical picture, is often the fastest route from uncertainty to a clear, actionable plan.
A Personalized Plan, Not a One-Size-Fits-All Answer
Every patient’s symptoms, risk factors and history are different, and so is the right approach to their endoscopy and its findings. At the practice of Dr. Ashok Choudhury, the focus is on a thorough, carefully interpreted examination and a clear plan for whatever comes next.
If you have ongoing upper digestive symptoms, or want a second opinion on previous endoscopy findings, a consultation is the right place to start.
Disclaimer
This information is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult a qualified healthcare provider regarding your specific condition.