Esophagogastroduodenoscopy: Difference between revisions
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In [[medicine]], '''esophagogastroduodenoscopy''', (EGD) is an endoscopic procedure for examining the [[esophagus]], [[stomach]], and [[duodenum]]. | 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 [[nursing|nurse]]s may be able to perform this procedure as well as doctors<ref name="pmid19208714">{{cite journal |author=Williams J, Russell I, Durai D, ''et al'' |title=Effectiveness of nurse delivered endoscopy: findings from randomised multi-institution nurse endoscopy trial (MINuET) |journal=BMJ |volume=338 |issue= |pages=b231 |year=2009 |pmid=19208714 |pmc=2643440 |doi= |url=http://bmj.com/cgi/pmidlookup?view=long&pmid=19208714 |issn=}}</ref>, although the cost savings are small<ref name="pmid19208715">{{cite journal |author=Richardson G, Bloor K, Williams J, ''et al'' |title=Cost effectiveness of nurse delivered endoscopy: findings from randomised multi-institution nurse endoscopy trial (MINuET) |journal=BMJ |volume=338 |issue= |pages=b270 |year=2009 |pmid=19208715 |pmc=2643438 |doi= |url=http://bmj.com/cgi/pmidlookup?view=long&pmid=19208715 |issn=}}</ref>. | |||
[[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. <ref name=eMed>{{citation | |||
| url = http://emedicine.medscape.com/article/1851864-overview | |||
| date = 28 February 2010 | |||
| title = Esophagogastroduodenoscopy | |||
| author = Tony E Yusuf and Manoop S Bhutani | publisher = eMedicine}}</ref> | |||
==References== | |||
<references/> | |||
==External links== | ==External links== | ||
* {{MedlinePlus}} | * {{MedlinePlus}} | ||
Latest revision as of 21:30, 14 June 2010
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
- ↑ 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]
- ↑ 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]
- ↑ Tony E Yusuf and Manoop S Bhutani (28 February 2010), Esophagogastroduodenoscopy, eMedicine
External links
- Esophagogastroduodenoscopy - Information for patients from MedlinePlus (United States National Library of Medicine).