Upper Endoscopy in Baltimore, Maryland or Esophagogastroduodenoscopy (EGD) is a diagnostic and therapeutic procedure utilizing flexible fiber optic instrument allowing to view the inside of the esophagus stomach and upper parts of intestine.
It is performed to diagnose the causes of pain, bleeding or blockage of the upper GI system, and it allows the option of removal of small benign tumors and tissue biopsy. Newer techniques and instruments allow physicians to alter the width of the intestinal tube in cases of narrowing due to scar tissue or reduction of the size of the lumen or stoma, as is the case with bariatric surgery.
Serving cities such as Frederick and Columbia and the counties of Anne Arundel, Maryland, and Lancaster, PA gastroenterology specialists Dr. Averbach, Dr. Hamdallah, and Dr. Swift are highly trained in the use of endoscopic technology. Please request an appointment online with Dr. Averbach or Dr. Hamdallah or call their office at 667-234-8725.
Another procedure designed to repair the valve mechanism is called a Transoral Incisionless Fundoplication, or TIF, and is sometimes combined with a hiatal hernia repair if the hernia is greater than 2 cm in length. This procedure consists of an endoscopy where a camera is passed down the throat. A device attached to the endoscope is then used to fold the top portion of the stomach over the bottom of the esophagus to recreate the valve. The rates of reflux resolution are similar to those seen with more traditional fundoplication methods.
Stretta is an entirely endoscopic procedure designed to increase the strength and size of the valve between the stomach and the esophagus. In this procedure, radiofrequency waves are sent into the tissue surrounding the valve, which causes muscle growth over time. This enables the valve to close more effectively. Improvements are seen gradually in the four months after the procedure, and about 84% of patients are able to stop their reflux medication completely. Since this procedure is done entirely with a camera and flexible scope placed down the throat, no incisions are needed translating to less pain, and shorter downtime, in addition to no overnight hospital stay.
A thin scope with a light and camera at its tip is used to look inside the upper digestive tract — the esophagus, stomach, and first part of the small intestine, called the duodenum.
Usually performed as an outpatient procedure, upper endoscopy sometimes must be performed in the hospital or emergency room to both identify and treat conditions such as upper digestive system bleeding.
The procedure is commonly used to help identify the causes of:
Endoscopy can also help identify inflammation, ulcers, and tumors.
Upper endoscopy in Baltimore, Maryland is more accurate than X-rays for detecting abnormal growths such as cancer and for examining the inside of the upper digestive system. In addition, abnormalities can be treated through the endoscope. For example:
Before an upper endoscopy in Baltimore, Maryland tell your doctor if you are pregnant, have alung or heart condition, or if you are allergic to any medications.
Also, tell your doctor if you have:
If you have any of these conditions or devices, you may need to take antibiotics before the upper endoscopy.
Do not eat or drink anything for eight hours before the procedure.
Medications for high blood pressure, heart conditions, or thyroid conditions may be taken with a small sip of water before the procedure. If you have diabetes and use insulin, you must adjust the dosage of insulin the day of the test. Your diabetes care provider will help you with this adjustment. Bring your diabetes medication with you to your appointment so you can take it after the procedure.
Make arrangements to have someone drive you home following the endoscopy. The sedation given during the procedure causes drowsiness and dizziness and impairs your judgment, making it unsafe for you to drive or operate machinery for up to eight hours following the procedure.
There is a small chance of a hole (perforation) in the stomach, duodenum, or esophagus from the scope moving through these areas. There is also a small risk of bleeding at the biopsy site.
You could have a reaction to the medicine used during the procedure, which could cause:
The cost of an upper endoscopy will depend on factors including your insurance, the doctor performing the procedure, and where you get the procedure. If you want an accurate estimate of the cost of upper endoscopy, simply schedule a consultation with us.
For more than 150 years, Ascension Saint Agnes Hospital has been dedicated to the art of healing by providing exceptional care to the greater Baltimore area. Built on a strong foundation of excellent medical care and compassion, Ascension Saint Agnes is committed to providing the best care for our patients for many years to come.