What is An EGD?

[@trevorfahey3819]

If I can offer any aid or any comfort to anyone who comes to watch this video before your procedure, I can tell you with 100% honesty it's nothing. No pain during or after relating to the procedure and as he says in the video, "Some patients wake up and ask if they've started yet". I can tell you that was just about word for word what I said as I came to. Hope this helps, be brave.

[@heathgrider2787]

How long does anesthesia take to wear off

[@trevorfahey3819]

@heathgrider2787 No idea. Just had another EGD yesterday so it's hilarious coincidence for you to comment on this. Super simple, they put a mask with plugs for oxygen to flow over my nose. They have you bite a rubber thing that basically keeps your jaw open for the tube for them and they tell you when they're gonna start the anesthetic. Soon as they started it, I was unconscious in seconds and seriously it felt like I was asleep for 3 seconds before they woke me up like an hour later to tell me to go home. I was a big groggy all day after that but the next day, everything is back to normal. Seriously I think getting a regular check up at the dentist is way scarier than getting an EGD done.

[@redeyereptile5117]

Thank you❤

[@kemberelyhamm880]

Thank you! I have an EGD with dilation next week and I’ve been worried about it. I feel so much better now. You’re very comforting.

[@GoldenAngel-]

You very comforting, Thank you I'm having my Endoscopy tomorrow morning 😢

[@MarkCooperMD]

Thanks for sharing. I hope it went well.

[@BFT88]

Dr. Cooper thank you. I am going in for an EGD tomorrow afternoon and a lot of the questions you answered were never brought up to me for discussion. Perhaps it was my inability to ask the correct questions, but you answered all of the worrisome questions I had. Thank you, and Godspeed.

[@mwinchesterjr6862]

I understand that as a doctor, you're removed from the billing side. But when I had this procedure done, I was quoted a price for the Esophagogastroduodenoscopy. When it was determined that a biopsy would need to be done, I was charged double because "the doctor had to go back in a second time". THEN... I was sent a separate bill, almost as much as the procedure, for the anesthesia. Because having anesthesia for this is "Optional". What's your take on that, Doc?

[@estelleadamski308]

I have had at least 15 of these done. They have to do them in the OR b/c I have a stenosis and food is always backed up in my esophagus, so they have to do suction before the procedure, and then the dilation. Might have to have additional surgery. I've had a gastroplasty and have been having a lot of post surgical issues, Big Time!

[@Sbabcoc24]

Thanks for the help getting over my pre-procedure anxiety.

[@MarkCooperMD]

Thanks for sharing and good luck.

[@JoanneWalker-e3y]

Thank you so much for your informative video. My son has autism and he is having this procedure and your calming demeanor is helpful to relieve anxiety.

[@CLANSON]

I have “mass carpet legions” of polyps in my lower stomach. I am also 13 out of 14 siblings with the rare genetic APC and MUTYH cancer genes resulting in colon cancer. Ten of them have died, thus far. I get routinely checked annually with an EGD-FNA and colonoscopy. At some point in my life, it is inevitable that the lower portion of my stomach and large colon will have to be removed.

[@alanminardo5492]

Awesome great information thank you

[@bruderlein8514]

Thank you for this. I'm finally about to have one done after three weeks and multiple ER visits, and I was terrified. I think I'll be okay now.

[@605freedom]

Same here! 4 er visits and extreme dysphagia

[@bruderlein8514]

@@605freedom Sounds like me!

[@605freedom]

I'm getting scoped this Tuesday.. hopefully be able to eat normally soon.. it's the most frightening thing I've ever experienced

[@bruderlein8514]

@@605freedom Me, too! And, yeah, it's terrifying. Hang in there 🤘

[@snowy-19]

Could u guys please update abt your experience....

[@cephascheng]

Hello Dr Mark, I have a question for you as an experience endoscopist. With the advances in technology, if you have the opportunity to define the next generation endoscope, what features would you like to see?

[@MarkCooperMD]

Thanks for asking if you’re interested in my insights into the industry please reach out to me via LinkedIn - Thanks!

[@peterswires8439]

I'd like to ask you a question, Dr Cooper. Here in the UK they do this procedure without any anaesthesia - they offer sedation, but only if you have someone with you to take you home. I live by myself, so when I had it done this January, it was without sedation. I'm not exaggerating when I say it was the worst experience of my life. Here's my question. I was in such distress that I could not stop writhing about, and trying to spit out the endoscope. I don't think my doing this caused the instrument to damage my upper esophageal sphincter because I ate a large meal an hour after the procedure and didn't notice anything wrong. But ever since then, I've suffered from really bad laryngopharyngeal reflux, and I keep thinking: "was it caused by the viral infection I had then, or by some damage done to the UES by the endoscope?" So, do you think this procedure could damage your digestive tract enough to cause LPR?

[@MarkCooperMD]

No I don’t think it can cause LPR. It might have irritated your throat. But that will heal in a few days. While you had a bad experience the physical trauma of a scope is minimal since the scope is flexible.

[@AmandaAllen-c2q]

I need to have my EGD completed due to having a family member who passed away from gastric cancer in June 2010.

[@momtreadingwatertheimperfe8133]

So helpful!! Thank you!

[@69ztang]

Hello Dr. Mark, I went to a GI for some stomach issues back in May and they recommended this procedure to see if anything's going on. But I first had to get ok'd by a cardiologist for chest pain issues. That took a while and now my symptoms have gone away. I'm also getting a colonoscopy at the same time. Should I cancel the endoscopy since I'm doing good, or go ahead and treat this as a precautionary procedure/checkup? Just wondering what your opinion is.

[@MarkCooperMD]

A lot of that depends on your age and factors of where you live and lifestyle that influence risk for stomach cancer or h pylori. In the United States I think upper endosocpy can probably be skipped if you’re now feeling better.

[@texas4650]

After surgery can you stay over night at the hospital

[@maryroselaurio2784]

Do low hemoglobin count delay the EGD procedure?

[@MarkCooperMD]

It depends on the circumstances and how low the count is.

[@EviilEckO23]

I’m nervous I have mine in 2 days and I have really bad anxiety. I’m so scared and I just want to know what’s wrong with me

[@sarKAZm19]

How did it go?

[@imjustareseller]

I’m getting on done next Wednesday, and I’m so scared. I have a 4 year old at home that can’t go without a father. I’m thinking about canceling it.

[@MarkCooperMD]

The only patients I’ve seen die are ones who came to the ER actively dying and we couldn’t stop the bleeding. I can think of 5 patients who were bleeding so violently I ultimately couldn’t stop it. Your 4 yr old also needs a healthy parent. So take care of yourself. I hope you do what’s best for you.

[@abhidixit11]

My doctor saw duodenal polyp(multiple small session lesion), he took biopsy and they were beningn. He did nothing and said see u in 10 years. Gave some ppi and allegra. Should i get those removed?

[@dionnet2574]

What can,be done during this procedure if medications for h pylori isnt working after multiple times taken it. But now having this procedure. Can it help determine why medication isnt working or if differnt meds will work. I never heard of that but seems difficult to deal with

[@MarkCooperMD]

The biopsy can be used to culture the bacteria but needs to be put in non formalin media to maintain its integrity.

[@BRExteriorPro]

What is the most common thing you see with people with daily gerd when you do these? Common things and what are some normal typical treatments after some meds work on and off?

[@MarkCooperMD]

Thanks for watching. It’s common to have a normal esophagus or mild inflammation.

[@bennyboy6383]

Hi doctor with this procedure would any abnormalities be spotted in the throat as the tube is passed down, thanks

[@MarkCooperMD]

Maybe very large abnormalities but it’s being passed through the throat and doesn’t give good visuals until we are in the esophagus. ENT uses different size scopes that are optimal for viewing their territory. GI can’t get a good look with our equipment.

[@12369ja]

I am having one done this afternoon because I have been choking alot this year

[@jessicahurt2821]

Hi, not sure if you'll be able to see this but if an infection occurs. What type of antibiotics would you likely prescribe? I am doing a PowerPoint based on this procedure!:)

[@MarkCooperMD]

If an infection occurs its most likely a pneumonia from aspiration. In that case amoxicillin/clavulanate is preferred or moxifloxacin for those with a penicillin allergy.

[@jessicahurt2821]

@@MarkCooperMD Awesome, thank you so much your time!

[@clintandbecky7198]

I have a question. Is it routine to take biopsies for celiac disease ? Just curious if my doctor seen evidence of it or if a normal Egd calls for a biopsy for celiacs. Thanks

[@MarkCooperMD]

Depends on why you’re having the exam. If a person has low iron or diarrhea then it’s reasonable to biopsy, even when the appearance is normal.

[@samalam98]

​@@MarkCooperMD Would having a folate deficiency with upper GI distress be reason for a biospy, also?

[@clairetweeter5155]

I’m curious, you mentioned being filled with gas so they can get a better look. How is that gas released? Do they do it in the operating room or is that something that slowly is released like normal gas?

[@MarkCooperMD]

A lot is suctioned out as the exam concludes. Because it’s often carbon dioxide it’s rapidly absorbed, reaches your lungs, and you breathe it out. Some is also passed. Thanks for watching!

[@tehniatmumtaz]

Is an endoscopy necessary after testing positive for celiac disease?

[@MarkCooperMD]

It’s recommended to confirm the diagnosis and look for any substantial damage from the disease. Of course there’s always the option not to - I think the serology (blood test) is reasonably accurate and the intervention (go gluten free) is arguably without side effect (but costly and limiting to have to find GF) that I think its a patient choice that depends on how much they feel committed to being gluten free based on blood work alone.

[@janengland6478]

Is an EGD indicated for a 70 year-old obese (including abdominal truncal obesity) female with a 12 year history of GERD, treated for 12 years with Omeprazole x 2 before bedtime; and a history of 12 years of 2-400 mg of Advil to treat arthritis pain? Patient has no problems with swallowing, but recently experiencing some occasional mild nausea (no vomiting), 1 month cough (probably from bronchitis or allergy), and occasional unpleasant taste that seems like it's coming somewhere from mid to lower esophageal area when patient coughs, accompanied by discolored sputum. Is Barrett's esophagus a possibility with this background? No bleeding, very rare abdominal pain or discomfort. Thank you...

[@MarkCooperMD]

Hypothetically speaking if I saw a patient with these symptoms in the office I would likely proceed with an EGD. However many factors can apply and alternative diagnostics can be considered too.

[@gloriakim5230]

Is it common for patients to have discomfort in their esophagus near the bottom of the sternum when swallowing something after an EGD? Even lasting for 3-4 days?

[@Yoyo.vicki04]

Did it go away after?

[@resourcegyrl]

I had a EGD with dilation yesterday. I wanted to have one, because i was having some pain when eating and drinking. Or sometimes a pill woukd get stuck in my throat. I had never heard of a dilation. The Dr said i had a Schatzi ring! What the heck is that. A day later, my throat I s still irritated. Is there anybody else that had this done.

[@MarkCooperMD]

This is all quite common. It’s not worrisome and is essentially a ring of tissue that I compare to a callus. I sometimes biopsy them half for the tissue sample, but as much to disrupt the ring. Sorry to hear your throat is irritated-that doesn’t uniformly occur but isn’t atypical. When the throat is irritated it usually improves over 2-3 days. I usually suggest my patients eat soft foods for a few days and otherwise treat it as a sore throat - lozenges and Tylenol.

[@FARSHADT-un5yp]

I never knew that my doctor did a biopsy from my stomach in my endoscopy and I am scared like hell now! I heard stories that it would lead to spread of bad cells and heaven forbids Cancer! Is that true? I don't even know why my doctor took biopsy while I did not have many symptoms and it was more of my family Doctor recommendation to do a Colonoscopy and Endoscopy together to ensure it is my hemorrhoid that causes occasional bleeding! I don't feel good to have done any of them! As I ended up removing one sigmoid area 3mm hyperplastic polyp and Nothing in the endoscopy biopsy + Hemorrhoid which I knew I had! All those unnecessary steps that led me to feel bad to have caused trauma to my organs for a fit 38-year-old individual, nonsmoker and with no family history! It's been 3 months since the procedures and I can't sleep at night thinking what will happen to me as a result of my procedures! I don't even know why my doctor asked me to come back for a Colonoscopy when I am 50! I mean whyyy? why should I have this nightmare stress until then?!! AM I NOT DEEMED LOW RISK and HEALTHY?!!!

[@MarkCooperMD]

Why would you presume that everything done for you was wrong? By the sound of it, everything done was reasonable. If anything you should have a repeat screening sooner than 50 based on current evidence (though where you live influences that). Taking a biopsy of the inner lining of the stomach during an EGD does not spread cancer, especially if there is no cancer to spread. So I wouldn’t expect anything to happen to you from these procedures. Hopefully you sleep better and don’t read more healthcare stories. I find most of the stories reported in the news make major factual errors that make the story sound much scarier and much more likely to happen to you too. Sensationalism of healthcare is dangerous.

[@FARSHADT-un5yp]

@@MarkCooperMD I appreciate your explanation, however, I am still not convinced why they did the biopsy when I did not have abnormalities! they said for a thorough examination and specially H bacteria, though, it would better not to do it when I did NOT have any symptoms given potential risks and dangers in long term. I don't know if it is my mind or not but I have had a minor nausea since last week when I want to start eating and I can't stop thinking what I have cancer! All I can say, better NOT be proactive if you have no risk factors at all or you'll end up caged in fear

[@MarkCooperMD]

I think it’s your own choice to be caged in fear and something that may be worth seeking help to free yourself from it. A biopsy does not cause cancer. You have misinterpreted something you read.

[@JohnSmith-xq9we]

Sounds like you need a therapist. Geez...lighten up for Gods sake!​@@FARSHADT-un5yp

[@melk.175]

Does the EGD look at the Pancreas?

[@MarkCooperMD]

No, it’s not directly part of the GI tract.

[@SarahNWA]

Lopez Laura Davis Brian Williams Michael

[@MufinRyeon]

Martin Donald Hernandez Linda Perez Linda

[@samnangyek6568]

❤❤❤🙏🙏🙏

[@micheldawnsummers1452]

Here in the uk your awake I’d rather not thank you

[@myapinion7532]

My sister just had this done, yesterday. She had deep sedation as was very nervous. She doesn't remember anything about it. Just has sore throat today. We're in Northern Ireland.

[@micheldawnsummers1452]

@@myapinion7532 my daughter had it done and doesn’t remember all of it, but you hear such horror stories, I’m terrified to have anything done awake, mind I don’t thing sedation would help me as I have seizures and when I’m half asleep there worse , I refused one, hope your sister is doing ok x

[@vickimingus9281]

I LIKE YOUR VERBAGE