Question 1

What is Upper GI Endoscopy?

Accepted Answer

Upper GI endoscopy (also called gastroscopy) is a procedure where a thin, flexible tube with a camera is passed through the mouth into the food pipe, stomach, and the first part of the small intestine (duodenum), allowing the doctor to directly examine the lining of these organs.

Question 2

What are the indications for this procedure?

Accepted Answer

It's commonly recommended for persistent acidity or reflux, difficulty or pain while swallowing, unexplained weight loss, chronic abdominal pain or bloating, vomiting blood or passing black stools, iron deficiency anemia of unknown cause, or persistent nausea and vomiting.

Question 3

How is the procedure performed?

Accepted Answer

The patient lies on their left side. A thin, flexible endoscope is gently passed through the mouth and guided down the food pipe into the stomach and duodenum. The camera sends real-time images to a screen, allowing the doctor to examine the lining closely, take biopsies if needed, or perform minor treatments during the same session. The procedure typically takes 10–15 minutes.

Question 4

What diseases can be diagnosed by UGIE?

Accepted Answer

UGIE can help diagnose GERD (acid reflux), gastritis, peptic ulcers, H. pylori infection, Barrett's esophagus, esophageal or gastric cancer, celiac disease, and hiatus hernia.

Question 5

What preparations should I do before the procedure?

Accepted Answer

You should fast (no food or water) for 6–8 hours beforehand, inform the doctor of any blood-thinning medications you're on, arrange for someone to accompany you if sedation will be used, and avoid driving for the rest of the day if sedated.

Question 6

What is NBI Endoscopy?

Accepted Answer

NBI (Narrow Band Imaging) is an advanced endoscopic technique that uses special light filters to enhance the visibility of blood vessels and surface patterns in the digestive tract lining, helping detect early or subtle abnormalities that might be missed with standard white-light endoscopy.

Question 7

Is the procedure done with or without anaesthesia?

Accepted Answer

Upper GI endoscopy can be performed with light sedation (to keep you relaxed and comfortable) or without sedation, using only a local throat spray, depending on your preference and medical suitability. Dr. Sheth will discuss the best option for you based on your comfort and health status.

Dr. Vidish Sheth

Upper GI Endoscopy

Everything You Need to Know