Upper Endoscopy
Upper Endoscopy (EGD)
What Is an Upper Endoscopy?
An upper endoscopy (EGD) is a procedure that allows Dr. Sinha to examine the upper digestive tract, including:
- Esophagus
- Stomach
- Duodenum (first part of the small intestine)
A thin, flexible camera called an endoscope is used to view these areas.
For your safety and comfort, a board-certified anesthesiologist will be present during the procedure.
Why is an Upper Endoscopy Performed?
Dr. Sinha may recommend an upper endoscopy to evaluate:
Common Symptoms
- Heartburn or acid reflux
- Difficulty swallowing
- Upper abdominal pain
- Chronic nausea or vomiting
- Persistent diarrhea
- Unexplained weight loss
- Black stools
- Vomiting blood
Abnormal Blood Work
- Iron deficiency anemia
- Positive H. pylori testing
- Elevated celiac disease antibodies (celiac serology)
- Other unexplained laboratory abnormalities
Abnormal Imaging Findings
- An upper endoscopy may be recommended if imaging studies such as a CT scan show:
- Stomach or esophageal thickening
- Ulcers
- Polyps or growths
- Masses or suspicious abnormalities
Liver Disease Evaluation
- Patients with liver disease may require an upper endoscopy to evaluate for complications such as:
- Esophageal varices
- Portal hypertension
- Other upper gastrointestinal complications
Early Detection Matters
- Gastrointestinal cancers are increasing worldwide, including cancers of the esophagus, stomach, and colon. Many serious conditions can begin with seemingly minor symptoms such as reflux, heartburn, or difficulty swallowing.
Do not ignore persistent digestive symptoms. Early evaluation can lead to earlier diagnosis and more effective treatment.
Procedure Locations
- Location depends on patient preference, insurance coverage, and patient medical condition
How Do I Prepare?
- You will receive detailed preparation instructions before your procedure.
- These may include:
- No food or drink after midnight
- Guidance on taking your regular medications
- Stopping certain medications several days before the procedure
- Please follow all instructions carefully for the safest and most accurate results.
What Happens During the Procedure?
- Before the Procedure
- An IV will be placed in your arm.
- The anesthesiologist will administer medications to help you sleep comfortably.
- A numbing spray may be used in your mouth.
- During the Procedure
- Dr. Sinha will gently guide the endoscope through:
- Your mouth
- Esophagus
- Stomach
- Duodenum
- The camera transmits images to a monitor, allowing a detailed examination of the digestive tract.
- Biopsy (If Needed)
- A small tissue sample may be taken for further testing.
- This is called a biopsy.
- You will not feel the biopsy being performed.
- Additional Treatments
- If necessary, Dr. Sinha may:
- Stop bleeding
- Remove polyps or growths
- Stretch narrowed areas of the esophagus
FAQ’s
What Happens After the Procedure?
Following your procedure:
- You will recover for approximately 1–2 hours.
- A responsible adult must drive you home.
- Do not drive or operate machinery the same day.
Most patients return to normal activities the following day.
Possible Risks and Side Effects
- Upper endoscopy is considered one of the safest procedures in medicine.
- For routine diagnostic examinations, the overall complication rate is extremely low, ranging from approximately 0.13% to 0.24%.
- Most patients experience no complications and recover quickly. Mild bloating or a sore throat may occur temporarily.
- Rare complications include:
- Medication reactions
- Bleeding
- Infection
- Aspiration (stomach contents entering the lungs)
- A tear or perforation in the digestive tract
Will I Be Awake?
- MAC Anesthesia (Used by Dr. Sinha)
- At Hunterdon Digestive Health Specialists, all endoscopy procedures are performed using MAC (Monitored Anesthesia Care).
- Benefits include:
- You are fully asleep and comfortable
- You continue breathing on your own
- Faster recovery
- Less nausea and drowsiness afterward
- Sedation tailored to your individual medical needs
A triple board-certified anesthesiologist manages your anesthesia while Dr. Sinha performs the procedure.
When Should I Call the Office?
- Contact Dr. Sinha immediately if you experience:
- Fever
- Difficulty swallowing
- Severe throat, chest, or abdominal pain
- A firm or swollen abdomen
- Black stools
- Signs of bleeding
WIRELESS CAPSULE ENDOSCOPY
- We are excited to announce that HDH offers the newest technology in Wireless Capsule Endoscopy!
Quick and easy office visit with no sedation, no downtime, and you're able to drive yourself home!
Using a tiny vitamin-sized capsule that allows visualization of all three areas, including the esophagus, stomach, and colon— This allows Dr. Sinha, with the use of this cutting edge technology, the ability to diagnose in a non-invasive way.Wireless Capsule Endoscopy - Now while using the newest technology in this patient-friendly tool, Dr. Sinha can now visualize the small bowel, esophagus, and colon with a small, disposable capsule used to monitor and diagnose disorders of the gastrointestinal tract without sedation or invasive endoscopic procedures. The capsule is equipped with a miniature video camera and light source. After swallowing this vitamin-sized capsule it then travels through your entire digestive tract while capturing images quickly and sends them to a recording device you wear during the procedure.We offer all three kinds of pill cameras at Hunterdon Digestive Hcapsule is disposable and pass naturally through your body. Pictures are then downloading for Dr. Sinha to review the findings and to customize your treatment plan based on your individual needs.- PillCam for ESO - Provides a time-efficient and patient-friendly method for visualizing the esophagus. This minimally invasive procedure is performed in the office, takes only 30 minutes to complete and requires no sedation. PillCam ESO allows Dr. Sinha to visualize and detect abnormalities within the esophagus such as esophageal varices, ulcers, Barrett’s Esophagus and esophageal cancers.
- PillCam Colon - is the only minimally invasive tool offering direct visualization of the entire colon mucosa, providing a safe and accurate alternative that is complementary to colonoscopy for patients who have refused to undergo invasive colon exams. Currently, in 2017 this procedure is not covered by insurance. We will happy to provide you with an estimated cost.
- PillCam for Small Bowel - With the PillCam SB capsule, patients don't have to go through a lengthy, uncomfortable endoscopy procedure (enteroscopy). Patients simply swallow a vitamin-sized capsule, and Dr. Sinha is able to directly view your entire small bowel and see problems that are beyond the reach of other imaging tests such as Chrohns Disease, Anemia, Bowel Ulceration, and Bleeding
*Covered by most insurance, except PillCam Colon
Questions Every Patient Should Ask Before an Endoscopy
Topic
What You Should Ask
Why It Matters
Why the Procedure Is Needed
What are you looking for? What conditions are being ruled out?
Helps confirm appropriate indication (reflux, pain, anemia, bleeding, etc.).
Sedation & Comfort
Will I be asleep? Who administers anesthesia? Is a board-certified anesthesiologist present?
Most patients are fully asleep and feel no discomfort.
Complication Rate
How often do you perform EGDs? What is your complication rate?
Endoscopy is very safe but experience improves safety further.
Biopsies or Treatment
Will you take biopsies or treat anything during the procedure?
Many conditions (H. pylori, ulcers, Barrett’s) require biopsies.
Insurance Coverage
Is this screening or diagnostic? Will it be covered?
Coverage depends on indication and insurance plan.
Recovery
When can I eat, drive, and return to work?
Most patients recover within hours after sedation wears off.
An informed patient is empowered to make confident healthcare decisions and receive the highest quality care.
If you have any questions or concerns after your procedure, please call:
Hunterdon Digestive Health Specialists
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Hunterdon Digestive Health Specialists
Monday
8:00 am — 6:00 pm
Tuesday
8:00 am - 7:00 pm
Wednesday
8:00 am - 5:00 pm
Thursday
8:00 am - 6:00 pm
Friday
8:00 am - 7:00 pm
Saturday
*Contact office to confirm Saturday hours and availability*
Sunday
Closed