Upper GI Endoscopy in Burari, Delhi

What is an upper GI endoscopy?

An upper gastrointestinal (GI) endoscopy, also called OGD or UGI endoscopy, uses an endoscope: a thin, flexible tube about the width of a little finger with a light and camera at its tip. It is passed gently through the mouth to examine:

• the oesophagus (food pipe)
• the stomach
• the duodenum (the first part of the small intestine)

Images appear on a screen in real time. The doctor can take tiny tissue samples (biopsies) and, in some cases, treat problems during the same test.

Symptoms it investigates

• Acidity, heartburn or indigestion that keeps coming back despite medicines
• Upper abdominal pain or a burning feeling
• Difficulty or pain swallowing, or food sticking
• Vomiting blood or black stools
• Persistent nausea or vomiting
• Unexplained anaemia or weight loss
• Feeling full very quickly after starting a meal

Conditions it can find

• Gastritis and peptic ulcers
• H. pylori infection (by biopsy or rapid test)
• Reflux oesophagitis and hiatus hernia
• Oesophageal varices in liver cirrhosis
• Bleeding points
• Narrowing (strictures) and growths of the food pipe or stomach
• Coeliac disease (by duodenal biopsy)

Risk factors that make these problems more likely include frequent use of painkillers (NSAIDs), smoking, alcohol, obesity and a family history of stomach cancer.

When to see a doctor

See a doctor if acidity or indigestion is frequent or lasts more than a few weeks. Seek urgent care if you have:

• Vomiting blood or "coffee-ground" material
• Black, tarry stools
• Difficulty swallowing that is getting worse
• Unexplained weight loss, especially if you are over 45
• Severe, sudden upper abdominal pain

Endoscopy at Samrijo

Before the test, the doctor reviews your symptoms, medicines and past reports, and orders blood tests at the in-house laboratory if needed.

Diagnostic and therapeutic uses

What to expect

Safety and risks

Upper GI endoscopy is a common and generally safe test. Minor effects such as a sore throat or bloating are common. Serious complications, such as bleeding after a biopsy, a reaction to sedation or, very rarely, a tear in the gut wall, are uncommon. The risk is slightly higher when a treatment is performed. The doctor will discuss the risks with you before the test.

Special situations

People with diabetes should ask how to adjust insulin or tablets while fasting, and bring a snack for afterwards. People with heart or lung disease, or who take blood thinners, need a short review before the test so it can be done safely. If you are pregnant, tell the team; endoscopy is done only when clearly needed. Older adults can usually have endoscopy safely, often with lighter sedation.

Endoscopy compared with other tests

A barium swallow (X-ray after drinking contrast) can show the outline of the food pipe but cannot take biopsies or treat problems. A breath or stool test can detect H. pylori but doesn't show ulcers or other causes. An ultrasound shows the liver and gallbladder, not the inside of the stomach. Endoscopy gives the most complete answer for most upper GI symptoms, which is why it is usually the preferred test when one is needed.

Your endoscopy checklist

• Fasting: nothing to eat for 6–8 hours; small sips of water may be allowed up to about two hours before, if the team agrees.
• Medicines: bring a list. Ask in advance about blood thinners (aspirin, clopidogrel, warfarin and newer ones), insulin and diabetes tablets.
• Reports: bring previous endoscopy reports, biopsies, ultrasound and blood tests.
• Companion: bring someone if you plan to have sedation.
• Comfort: wear loose clothes; remove dentures, spectacles and jewellery before the test.
• Questions to ask: Why is this test needed for me? Will biopsies be taken? When will I get the results, and what happens next?

Myths and facts

• "Endoscopy will stop my breathing." No. The scope goes down the food pipe, not the windpipe. You breathe normally through your nose and mouth throughout.
• "If my acidity improves with tablets, I never need an endoscopy." Not always. People with warning signs, such as difficulty swallowing, weight loss, bleeding or anaemia, or those whose symptoms keep returning, may still need one.
• "A biopsy means the doctor suspects cancer." Not necessarily. Biopsies are routinely taken to check for H. pylori, coeliac disease and inflammation.
• "It takes a long time to recover." Most people go home within an hour or two and return to normal activities the next day, or the same day without sedation.

Why choose Samrijo Hospital

• Close to home in Burari, with lab tests in the same building.
• Surgical back-up and 24×7 hospital if an urgent problem is found.
• Clear explanations of findings in Hindi or English.

Cost of endoscopy

The cost depends on whether the endoscopy is diagnostic or therapeutic, whether biopsies are taken, sedation, and any tests before it. Call 93196 62944 for the current price.

एंडोस्कोपी, बुराड़ी

एंडोस्कोपी में एक पतली, लचीली ट्यूब, जिसके आगे कैमरा लगा होता है, मुँह के रास्ते भोजन नली, पेट और छोटी आँत के शुरुआती हिस्से तक ले जाई जाती है। इससे डॉक्टर सीधे अंदर देख सकते हैं। बार-बार होने वाली एसिडिटी, पेट में जलन या दर्द, निगलने में तकलीफ़, खून की उल्टी, काला मल, खून की कमी या बिना वजह वज़न घटने पर यह जाँच बहुत उपयोगी है।

जाँच से 6–8 घंटे पहले कुछ न खाएँ। गले में सुन्न करने वाला स्प्रे दिया जाता है और ज़रूरत हो तो हल्की बेहोशी की दवा भी। जाँच में आम तौर पर 5–15 मिनट लगते हैं और आप उसी दिन घर जा सकते हैं। बेहोशी की दवा ली हो तो उस दिन गाड़ी न चलाएँ।

समय लेने के लिए कॉल करें: 93196 62944।