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Roger Kao, M.D.Scott Levenson, M.D. DIGESTIVE CARE ASSOCIATES 1000 LAUREL STREET SAN CARLOS, CA 94070 (650) 5968800 www.digestivecarecenter.com UPPER GASTROINTESTINAL ENDOSCOPY PREPARATION INSTRUCTIONS
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How to fill out upper gastrointestinal endoscopy

01
Make an appointment with a healthcare provider who specializes in performing upper gastrointestinal endoscopies.
02
Follow any dietary restrictions or fasting instructions given by your healthcare provider before the procedure.
03
Arrive at the medical facility on the day of the procedure and check in with the receptionist.
04
Change into a hospital gown and lie on a table for the endoscopy.
05
A sedative will be administered to help you relax and numb your throat.
06
The healthcare provider will insert a thin, flexible tube with a camera on the end through your mouth and into your esophagus, stomach, and upper small intestine.
07
The healthcare provider will examine the lining of your upper gastrointestinal tract and may take tissue samples for further testing if needed.
08
After the procedure, you will be monitored in a recovery area until the sedative wears off and you can go home.
09
Follow any post-procedure instructions provided by your healthcare provider.

Who needs upper gastrointestinal endoscopy?

01
Individuals experiencing symptoms such as persistent heartburn, difficulty swallowing, unexplained weight loss, abdominal pain, vomiting blood, or black stools.
02
Individuals with a history of gastrointestinal issues such as ulcers, inflammation, or polyps.
03
Individuals with a family history of gastrointestinal cancers.
04
Individuals with a history of Barrett's esophagus or other precancerous conditions.
05
Individuals with a previous upper gastrointestinal endoscopy showing abnormalities.
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Upper gastrointestinal endoscopy is a medical procedure that uses a flexible tube with a camera to examine the upper digestive tract, including the esophagus, stomach, and duodenum.
Individuals recommended by a healthcare professional based on symptoms or conditions affecting the upper gastrointestinal tract may be required to undergo an upper gastrointestinal endoscopy.
To fill out an upper gastrointestinal endoscopy procedure, patients must provide their medical history, description of symptoms, and any medications they are currently taking. This information is usually collected on a medical form prior to the procedure.
The purpose of upper gastrointestinal endoscopy is to diagnose and treat conditions of the upper digestive system, such as ulcers, bleeding, tumors, or inflammation.
The report for upper gastrointestinal endoscopy should include findings from the examination, any biopsies taken, diagnosis made, and recommendations for further treatment or follow-up.
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