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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.
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!
We partner with board-certified gastroenterologists in Houston.
Our goal is clear, simple, patient-friendly information.
We cite top authorities like the Mayo Clinic and the National Institutes of Health to back up our advice.
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:
Chronic Heartburn (GERD) — If acid reflux doesn’t respond to diet changes or medication
Difficulty Swallowing (Dysphagia) — To find strictures, rings, or motility issues
Upper Abdominal Pain — Persistent pain not explained by imaging tests
Bleeding Signs — Anemia, black stools, or vomiting blood (hematemesis)
Unexplained Weight Loss — To rule out cancer or severe inflammation
Persistent Nausea or Vomiting — When basic tests come back normal
“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
No solid food for 6–8 hours before.
Clear liquids until two hours before.
Stop blood thinners if directed.
Step 3: Arrival and Check-In
Sign consent forms.
Change into a gown.
An IV is placed for sedation.
Step 4: Sedation and Positioning
You lie on your side.
Sedatives and/or local throat spray keep you comfortable.
Step 5: Insertion of the Endoscope
The doctor gently passes the scope through your mouth into your throat.
You breathe normally while the scope travels down your esophagus, stomach, and duodenum.
Step 6: Image Capture and Biopsy
The camera sends live video to a monitor.
If needed, the doctor uses tiny tools to take biopsies (small tissue samples) or treat bleeding.
Step 7: Completion and Recovery
The scope is withdrawn gently.
You rest until sedation wears off (usually 30–60 minutes).
A nurse checks your vitals and gives after-care instructions.
5. What Does an Upper Endoscopy (EGD) Diagnose?
Many people ask, what does an upper endoscopy (EGD) diagnose? Here’s a breakdown:
Esophagitis and GERD damage
Barrett’s esophagus (pre-cancerous changes)
Peptic ulcers in stomach or duodenum
Gastritis (stomach lining inflammation)
Hiatal hernia
Celiac disease changes (via duodenal biopsy)
Upper GI tumors (benign or malignant)
Varices (enlarged veins) in esophagus or stomach
Mallory-Weiss tears (esophageal lining tears)
Foreign body removal (e.g., swallowed coins)
“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
Follow fasting rules (no eating for 6–8 hours).
Arrange for a ride home—you’ll be drowsy.
Wear loose, comfortable clothes.
During the Exam
You lie on your left side.
Throat spray numbs your gag reflex.
Sedation makes you relaxed or lightly asleep.
Common sensations:
Mild pressure in your throat
Taste of scope lubricant
Feeling of fullness in your stomach
After the Exam
You rest in a recovery area.
You might feel bloated or have mild throat soreness.
Most people eat a light meal within a couple of hours.
“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
Rest for the remainder of the day.
Sip water and eat soft foods first.
Avoid alcohol and heavy meals for 24 hours.
Follow up if you experience severe pain, bleeding, or fever.
Results
Your doctor reviews findings with you once you’re awake.
Biopsy results can take 3–5 days.
Treatment plans vary from medication changes to lifestyle tweaks.
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!
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.