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Pictures From the Other Side: How Endoscopy (EGD) Works and When It's Used

Determining what is causing you to experience certain problems such as upper abdominal pain, nausea or difficulty swallowing cannot be done in a single office visit.

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Pictures From the Other Side: How Endoscopy (EGD) Works and When It’s Used

Welcome to Gastrodoxs.com! Today, we’re diving deep into upper endoscopy, also called esophagogastroduodenoscopy or EGD. You may have heard the phrase “pictures from the other side.” That’s exactly what an EGD does—it gives doctors a live look inside your upper digestive tract. In this post, we’ll explain how an endoscopy works, when you might need one, what it can detect, and what to expect during an EGD exam. We’ve woven in quotes from Dr. Bharat Pothuri, a top Houston gastroenterologist. Let’s get started!

Table of Contents

  1. Why Trust Gastrodoxs.com
  2. What Is an Upper Endoscopy (EGD)?
  3. When Do You Need an EGD Procedure?
  4. How an Endoscopy Works Step by Step
  5. What Does an Upper Endoscopy (EGD) Diagnose?
  6. What to Expect During an EGD Exam
  7. Side-by-Side: EGD vs. Other GI Procedures
  8. Life After Your EGD

1. Why Trust Gastrodoxs.com

2. What Is an Upper Endoscopy (EGD)?

An upper endoscopy—also called EGD—uses a thin, flexible tube with a camera to view your esophagus, stomach, and the first part of your small intestine (duodenum). It’s like sending a tiny, soft robot with a light into your body. The camera streams real-time video so your doctor can see inflammation, ulcers, tumors, or bleeding.

“An EGD gives us clear, high-resolution images,” says Dr. Bharat Pothuri. “It’s less invasive than surgery and provides quick answers for patients with upper GI symptoms.”

3. When Do You Need an EGD Procedure?

Knowing when you need an EGD procedure can help you get the right care at the right time. Here are common reasons doctors in Houston or beyond recommend upper endoscopy:

“When do you need an EGD procedure? If your gastroenterologist suspects something serious—like Barrett’s esophagus or a bleeding ulcer—an upper endoscopy is often the fastest way to diagnose and treat the issue,” notes Dr. Pothuri.

4. How an Endoscopy Works Step by Step

Understanding how an endoscopy works step by step can ease your nerves. Here’s the typical flow at a Houston outpatient center or hospital:

Step 1: Consultation

You meet your gastroenterologist. You discuss symptoms, medical history, and medications.

Step 2: Prep Instructions

Step 3: Arrival and Check-In

Step 4: Sedation and Positioning

Step 5: Insertion of the Endoscope

Step 6: Image Capture and Biopsy

Step 7: Completion and Recovery

5. What Does an Upper Endoscopy (EGD) Diagnose?

Many people ask, what does an upper endoscopy (EGD) diagnose? Here’s a breakdown:

“An EGD is a powerhouse diagnostic tool,” says Dr. Pothuri. “It not only shows us problems but lets us take tissue samples to confirm a diagnosis under the microscope.”

6. What to Expect During an EGD Exam

Before the Exam

During the Exam

Common sensations:

After the Exam

“When you walk into our Houston clinic, you’ll feel safe and informed,” Dr. Pothuri assures. “Our team explains each step.”

7. Side-by-Side: EGD vs. Other GI Procedures

Procedure Visualizes Sedation Biopsy Capability Prep Needed
Upper Endoscopy (EGD) Esophagus, Stomach, Duodenum Light to moderate Yes 6–8 hour fast
Colonoscopy Entire colon Moderate Yes 24-hour clear liquid
Capsule Endoscopy Small intestine None No 8-hour fast

This table helps you see why doctors choose an EGD when they need direct access to the upper GI tract.

8. Life After Your EGD

Recovery Tips

Results

Conclusion

An upper endoscopy (EGD) is your gateway to clear, direct images of the upper digestive tract. It’s safe, quick, and highly accurate. If you live in Houston or anywhere in Texas, the team at Gastrodoxs.com and our partner clinics stands ready to guide you through every step.

For more on digestive health, visit the Mayo Clinic on upper endoscopy and the National Institutes of Health for procedure guidelines.

Ready to schedule your EGD? Contact your Houston gastroenterologist today and see “pictures from the other side” for yourself!

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

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Frequently Asked Questions

1. How long does an EGD take?

The procedure itself usually lasts 5–20 minutes. Factor in recovery time, and plan for 1–2 hours at the clinic.

2. Is an upper endoscopy painful?

No. You receive sedatives and throat numbing. Most patients remember little or nothing.

3. Can I drive myself home?

No. Sedation impairs reaction time. You must have a friend or family member drive you.

4. Are there risks?

EGD is very safe. Rare risks include bleeding at biopsy sites or perforation (tear), under 1%.

5. What foods should I avoid before my EGD?

Solid foods, dairy, and beverages other than water. Only clear liquids two hours before.

6. Will I get conscious sedation or general anesthesia?

Most EGDs use conscious sedation (you’re relaxed but responsive). In rare cases, general anesthesia may be used.

7. Can I work the next day?

Many people return to work within 24 hours, depending on their job and how they feel.

8. How accurate is an EGD?

Very. It finds even small lesions and allows biopsies to confirm the diagnosis.

9. Is there any special care after a biopsy?

You may have mild throat soreness. Follow your doctor’s instructions for diet and medications.

10. Does insurance cover an EGD?

Most plans cover EGD when medically necessary. Check with your provider for details.

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