Esophagogastroduodenoscopy

Question: My brother recently had an esophagogastroduodenoscopy to remove a morsel of food that had become lodged ? in his esophagus. He had this done in the emergency room and spent about 12 hours total in the hospital. Also had an xray. About how much can he expect the bill to be? Two thousand? Four thousand?

Answer: Yeah with insurace, maybe about $2,000. The EGD is about $1,000 by itself and plus the x-rays. As long as your brother is okay, that's what matters.

Question: Which would be the most delightful: Esophagogastroduodenoscopy or Colonoscopy? pardon, MORE.

Answer: I'm going to go with gropinoscopy....it's a helluva more fun then your choices....

Question: R&P: Esophagogastroduodenoscopy? is a very long word that i just learned. its not in a song though :( do you know any songs with very long words (like Esophagogastroduodenoscopy) in the titles? mq: a song thats very short...like only one shot word? bq: how much wood could a woodchuck chuck if a woodchuck could chuck wood? mq: a song thats very short...like only one ***short*** word? instead of trying to explain it, cuz im not good at explaining stuff, heres a link: http://en.wikipedia.org/wiki/Esophagogas…

Answer: That picture in the link is scary. I'm gonna have nightmares.... MQ: Is T.N.T by AC/DC one word? BQ: I never got this! I was like the only kid in elementary school who would have no idea how to answer this!! Horrible memories......

Question: Is it possible to NOT see evidence of acid reflux/gastritis on a esophagogastroduodenoscopy? I am thinking of a patient who responds to PPI's, but had a "clean" esophagogastroduodenoscopy w/o biopsy. I just wondered what could explain this, aside from "human error". But, maybe this is the only explanation Thanx, Kevin G: Not an operation/surgery. A diagnostic endoscopic procedure. I am wondering whether it is possible to have either of the aforementioned conditions but not see evidence of this on scope, and if so, how? I considered that PPI's offered a protective factor impeding visualization of erosion, and "placebo", but the latter seems unlikely for various reasons. Perhaps, the former in addition to "human error"? Thanx, Naimov: if not on scope, how would reflux, then be definitively diagnosed? Naimov: What, in your mind would represent a definitive dxs of gastritis, for that matter? Response to treatment? H. pylori? Naimov: thanx so much. This is very helpful. False-negatives/type II error (attributable to human error and limitations of endoscopy) are not always considered. Sometimes (not always), results of such procedures are considered golden. The ramifications of not recognizing what you have listed can be rather dire, for the patient. grimmytea: thanx very much for the test specific info. Very helpful :-) :-). About discounting the placebo effect: Cormorbid underlying etiologies, plural, were eventually found for, what turned out to be, unrelated sxs. As a result of repeated misdiagnoses, many, many tests, as well as txs were respectively performed and tried. Patient was told each tx would ease disabling nausea and retching, but, they did not. Upon administerng PPI's for 2 weeks, after unrelated disease processes discovered via surgery were addressed, sxs specific to a gastritis/reflux etiology resolved, completely.

Answer: Definitive test for reflux is esophageal pH monitoring. You can usually see evidence of esophagitis by EGD, but you may not if the reflux is mild. Gastritis should be evident on EGD, but no test is perfect. Gold standard for diagnosis would be histopathological examination of biopsies. Curious why you discount the placebo effect.

Question: stomach/rib/ gas pain h pylori? about 3 months ago I had h pylori I went to the doctor and he gave me antibiotics and omeprazole. about 7 days into the treatment I started experience stomach pain really bad. but kept taking the meds. after the full 2 weeks treatment I started to feel better. however, the only symptom I have is lots of gas. I burp about 50 times a day. if I would put my hand on my left rib i can feel the gas moving around back and forth. and its causing me little pain. The pain gets worse especially when i have lots of gas my rib and lower part of the stomach hurts. It only get better when I pass gas then I feel better. I want to emphasis that the pain is only located on the left side, (left rib, low ever stomach.) I would like to know is anyone else experience these kind of symptoms. I been feeling like this now for 3 months. P.S. about a 2 weeks ago I had esophagogastroduodenoscopy (EGD) done the doctor said that my stomach is fine. The only thing she found was some scaring from the h pylori and little bit of inflammation. Thank you

Answer: The reason you got H.Pylori in the first place is because you have LOW stomach acid. The stomach acid kills this bacteria. H.Pylori is responsible for causing ulcers. The gas you are experiencing is most likely due to bad bile being produced by your liver. When this bad bile goes to the gallbladder, it becomes viscous and then crystalizes into stones. Eating lots of hydrogenated oils, trans fats, fried foods, and things like Vegetable Oils, especially soybean, canola, cottonseed, and corn oils will give you bad bile. You need to see a nutritionist that understands how the body works, not a doctor that has no clue about nutrition. You need to be taking a very cellular resonant once living source Betaine HCL to protect your body from getting more of the H.Pylori and also start digesting your food for a change. Gas is formed from rotting food that is not being digested properly. The lack of stomach acid is the primary reason for this. The gas is the same thing you smell when you go to the garbage dump where rotting food can be found, just like in your intestines. good luck

Question: What is a hiatal hernia in the esophagus? Well I had a esophagogastroduodenoscopy with dilation yesterday. They doctors did a biopsy and I won't know anything for like two weeks. This is my third time having a esophagogastroduodenoscopy but first with dilation. The first and second time that I had a esophagogastroduodenoscopy the doctors found ulcers in my esophagus. This is from my blog: Well everything went fine today and now the doctor has me on Nexium one per day. They took a biopsy of the cells and tissues in my esophagus! The last thing I remember is having the nurse giving me some sleeping medication in my I.V. and then the next thing I know is that I was waking up in the recovering room in a chair with some crackers and a drink waiting for me. The doctor gave me a paper saying reflux esophagitis and that means that I have inflammation of the esophagus. Now I got to wait until December 31, 2008 at 2:30 P.M. to find out what the doctor found on my biopsy. I hope he took pictures of it or a movie so I can have them. I was in the hospital from 11:20 A.M. until like 3:15 P.M. I am SOOOO glad that its over now. I have gastroesophageal reflux disease (G.E.R.D.) and I think it got worst. Can you tell me what they would find in my esophagus or the worst thing that can happen to me?

Answer: Because you have GERD, they should rule out hiatal hernia. A hiatal hernia involves a portion of the stomach protruding upward through an enlarged opening in the diaphragm that the esophagus passes through to enter the abdominal cavity. The opening is called a hiatus, which accounts for the name hiatal hernia. Some hiatal hernias are sliding hernias, which means the stomach slides back down into its normal position in the abdominal cavity when you are in an upright position, and it only herniates into the chest when you lie down. Others are constant, so that the stomach is always herniated into the chest cavity. The stomach secretions easily back up into the esophagus with this type of hernia, so frequent belching and heartburn are common, and the effect of the secretions on the walls of the esophagus is erosive. The biopsy will identify damaged, inflamed, or eroded or ulcerated tissue as well as any malignant changes that could be present.

Question: GERD--Esophagitis--Please help I'm desperate? So basically I've been having problems swallowing for a couple years now. I HAVE to drink something in order for food to go down. It's really annoying because I can't eat anything without also drinking something. So I went to my family doctor and he said I have GERD and told me to take Prilosec OTC. And so I did take the full treatment (14 days), but it didn't really help that much. The GERD symptoms weren't there, but I'd still have to drink something in order for food to go down. I went back to my family doctor a couple months later and told him I'm still having problems, so he told me to get an Upper GI or barium swallow done. I did that and everything came back normal. So the doctor once again just said to continue taking Prilosec OTC. He also told me nothing is wrong which made me furious with him because I'm telling him something IS wrong. Then my family doctor told me to get an esophagogastroduodenoscopy (EGD) done. Now I thought I was getting somewhere, because when the results of the EGD came back, they said I have inflammation in my esophagus, or esophagitis. For some reason I was really happy. I think it's because I finally knew what was wrong. So the specialist doctor who had done the EGD told me to take prescription Nexium, which she said would help the inflammation and GERD. But I've been taking the Nexium for months now and it's not helping. I really think that maybe I should also be taking medicine specifically for the inflammation. So I just don't know what to do, and I've just about had it. I'm tired of it all, I just want to be able to enjoy a meal like everyone else and not have to constantly be taking sips of water. Please help... ANYONE! Any suggestions, tips, comments, reccommendations anything! I'm sooo desperate, just help me someone :'( I've done blood tests to see if I'm allergic to anything and that came back normal. Wouldn't the Upper GI or EGD show hiatal hernias? And I don't have any dry coughs.

Answer: First of all you should not drink and eat at the same time. You should only drink about an hour after eating. Eating and drinking at the same time makes your problem worse. Nexium I have tried and it is useless. I much prefer Prevacid..that works for my acid reflux. I am also due for an EGD because I have been getting uncomfortable feeling in my esphesophagus under my breast bone. I took the two pills he gave me and neither seemed to help that much. I was out of town for 6 days over Christmas and never had the problem once. So I was wondering if I was allergic to the mold and air where I live or being around my precious cats. The moment I came back home it started again. I started taking over the counter (CVS brand) anti histhistamines for some reason that works for me. do you also get a dry cough? have you been tested for a Hiatial hernia?

Question: Prepare a 500 word or more "script" for a health care professional...? Prepare a 500 word or more "script" for a health care professional to use when explaining to the patient his condition and the proposed procedures. Can someone please help me with the start of this?? Thank you in advance! :) II.OPERATIVE REPORT Date of Procedure: 7/8 Procedure: Esophagogastroduodenoscopy with foreign body removal. Preoperative Medication: Demerol 50 mg IV, Versed 3 mg IV, Cetacaine spray Preoperative Diagnosis: 1. Esophageal foreign body. 2. Odynophagia. Postoperative Diagnosis: Status-post foreign body removal. Clinical Note: This is a 47-year-old black male who experienced acute odynophagia after initially eating a meal consisting of fish. The patient felt a foreign-body-like sensation in his proximal esophagus and presented to the emergency room. He was evaluated with lateral, C-spine films, and soft-tissue films without any evidence of perforation. The patient is now referred for evaluation for his proximal esophagus. Findings: After obtaining informed consent, the patient was endoscoped in the emergency room. He was premedicated with Demerol and Versed without any complications. Under direct visualization, an Olympus Q20 endoscope was introduced orally, and the esophagus was intubated without any difficulty. The hypopharynx was carefully reviewed, and no abnormalities were noted. There were no foreign bodies or lacerations to the hypopharynx. The proximal esophagus was normal. No active bleeding was noted. The endoscope was farther advanced into the esophagus, where careful review of the mucosa revealed no foreign bodies and no obstructions. The distal esophagus did, however, show a very small fish bone, which was removed without any complications. The endoscope was advanced into the stomach, where partially digested food was noted. The endoscope was then removed. The patient tolerated the procedure well, and his post-procedure vital signs are stable. Recommendations: 1. Clear liquids for 24 hours. 2. Follow-up with me in the office in the morning. RADIOLOGY REPORTS Date: 7/8 Procedure Performed: Soft-tissue neck. There is a curvilinear density in the region of the base of the tongue that could conceivably represent a small bone. The airway is intact throughout. No other abnormalities are visible. ENDOSCOPY ORDERS Date: 7/8 Admit to Endoscopy Department. Obtain consent for procedure, signed and witnessed. Start IV of 55 cc D5W or NS TO KVO or heparin lock. Preoperative Medications: Versed 3 mg IVP, Demerol 50 mg IVP, apply pulse oximeter.

Answer: Obviously the procedure has already been done, since this is an Operative report. I assume you are asking for a script that could have been used before it. The doctor is the one who should initially explain the procedure to the patient. You would start: Hello, Mr _____ I am _____ from ______ department. Has Dr. ________ spoken to you? What do you understand about what is planned? (Do not ask: "Do you understand what will be done?" Some are too embarrassed to admit that). If he seems to have a fairly good, not necessarily a medically professional, understanding go into the details. This may include things like putting on a gown, the IV, the gurney, the pre-procedure and procedure rooms, the meds. ASK ABOUT ALLERGIES. Explain where he will wake up, and that someone will be in attendance. Depending on your job, you may also introduce him to other members of the healthcare team. I am an RN. This is very general. Review your text and classnotes also. I think once you get started, you will do fine.

Question: this is a medical mystery i need help!? I went in today to see a Gastro specialist to get an Esophagogastroduodenoscopy (EGD) procedure done to find out what was wrong with me in my G.I. tract. I was diagnosed with Helicobacter Pylori about a year ago and i was treated with PREVPAC. I kept having the same symptoms of nausea, stomach pain and an episode of tarry stools aproximately two months ago. I thought for sure i was gonna get a for sure answer today from the specialist to see what was wrong with me but the results came back as "normal". I just don't understand why did i have so much abdominal pain and why did the results come out to be normal?

Answer: Tarry stools would indicate bleeding. Ask the doctor again if he/she can give you any specific details that might explain the tarry stools or stomach pain. Any areas of scarring or healed area? You could ask for copies of the photos or CD (and look at it yourself). Maybe there was a polyp that tore off and healed or diverticulitis? ASK detailed questions. Then if you are still unsatisifed and symptoms persist, you should ask for a Colonoscopy now to view the lower part of your bowels....rule out an potential tumors or cancer. Good luck.

Question: Severe Chest Pain After Eating Certain Food. What do I have? I have been struggling with this problem for 17 years now. I have asthma and a nut allergy but those have never gotten in my way but my reaction to dairy and egg is horrendous. Any time I eat dairy or egg, even if it's cooked in something, I get severe chest pain. I have a very high threshold for pain but this cripples me. The pain is like a pulsating that mimics a heart attack but it can last for up to an hour. It occurs right behind my sternum and comes in painful bursts. I notice that saliva and mucus seem to enter my throat a lot during the reaction as well. When a strong "round" of pain is upon me it sometimes quells it if I swallow but not always. I don't know what it is but it is a real problem. I also have a history of getting bad heartburn but the two are unrelated. I have had allergy tests (blood and skin) that show that I am in no way allergic to either dairy of egg. My gastroenterologist thought it was eosinophilic esophagitis so I had an esophagogastroduodenoscopy and biopsy but that came back negative. The scope did notice I had esophagitis but that was more than likely from the frequent heartburn. On vacation I has a slice of bread and noticed a bad reaction later to find out it was "butter cream bread". The smallest amount sends me grabbing my chest and out of commission. I no it's not eosinophilic esophagitis and I know it's not celiac disease. Please help me.

Answer: My best guess would have been acid reflux...do you take anything for your heartburn? But given that you have seen a gastroenterologist, I'm sure that would have been on his list to rule out