Esophagogastroduodenoscopy

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In medicine, esophagogastroduodenoscopy, (EGD) is an endoscopic procedure for examining the esophagus, stomach, and duodenum. The endoscope may allow viewing only, or interventions such as biopsies or retrieval of foreign objects.

Adequately trained nurses may be able to perform this procedure as well as doctors[1], although the cost savings are small[2].

Local anesthesia is always used. In the U.S., this is usually supplemented with moderate or conscious sedation. Regardless of where it is performed, clinical judgment must be used to identify difficult patients for which general anesthesia is appropriate. [3]

References

  1. Williams J, Russell I, Durai D, et al (2009). "Effectiveness of nurse delivered endoscopy: findings from randomised multi-institution nurse endoscopy trial (MINuET)". BMJ 338: b231. PMID 19208714. PMC 2643440[e]
  2. Richardson G, Bloor K, Williams J, et al (2009). "Cost effectiveness of nurse delivered endoscopy: findings from randomised multi-institution nurse endoscopy trial (MINuET)". BMJ 338: b270. PMID 19208715. PMC 2643438[e]
  3. Tony E Yusuf and Manoop S Bhutani (28 February 2010), Esophagogastroduodenoscopy, eMedicine

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