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Sedation for Office Esophagogastroduodenoscopy
Jay A. Swedberg, MD
Arch Fam Med. 1995;4(7):583-584.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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ESOPHAGOGASTRODUODENOSCOPY is a valuable diagnostic procedure that can be used safely in an office setting. Often gastrointestinal symptoms and physical findings are nonspecific or do not respond to a trial of empiric therapy. Esophagogastroduodenoscopy allows direct visualization and biopsy of abnormal lesions. When a patient's symptoms are not adequately explained after endoscopy, further diagnostic evaluation or different treatment is expedited. Esophagogastroduodenoscopy is especially helpful in identifying and monitoring Helicobacter pylori infection in patients with recurrent gastric or duodenal ulcerations. Previous exposure to H pylori can now be determined by serologic tests, but the blood test will not distinguish between active infection and a previously treated infection that is inactive.1 In addition, biopsy of gastric ulcers is recommended to rule out malignant neoplasms.
See also page 601
Although esophagogastroduodenoscopy can be performed in some patients without sedation, patient acceptance is greatly improved with conscious sedation. Conscious sedation results in a
. . . [Full Text PDF of this Article]
Author Affiliations
Casper, Wyo
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