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ABOUT YOUR UPPER ENDOSCOPY Dear Patient: Your physician has referred you for an exam of your upper digestive tract, which is called an upper endoscopy or an EGD. Sometimes it is called a gastrostomy.
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How to fill out about your upper endoscopy

01
Check with your healthcare provider for specific instructions on how to prepare for the upper endoscopy.
02
Follow any dietary restrictions provided by your healthcare provider.
03
Arrive at the appointment on time and bring a list of your medications.
04
During the procedure, follow the instructions of the medical team and try to relax.
05
After the procedure, follow any post-procedure care instructions provided by your healthcare provider.

Who needs about your upper endoscopy?

01
Individuals who are experiencing symptoms such as persistent heartburn, difficulty swallowing, unexplained weight loss, or abdominal pain may need an upper endoscopy to diagnose the underlying cause.
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Your upper endoscopy is a procedure where a thin tube with a camera is inserted through the mouth to examine the esophagus, stomach, and small intestine.
Patients who undergo an upper endoscopy are required to file information about the procedure.
You can fill out information about your upper endoscopy by providing details about the procedure, date, findings, and any follow-up recommendations.
The purpose of reporting about your upper endoscopy is to document the procedure, results, and any potential issues detected during the examination.
Information such as the date of the procedure, findings, any abnormalities detected, and recommendations for follow-up care must be reported.
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