Upper Endoscopy Specialists
Our board-certified and best-rated gastroenterologists are well known as experts in endoscopy. You may be confident that our doctors will thoroughly identify any history of GERD/reflux, upper GI symptoms such as pain, bloating, and difficulty swallowing, a family history of upper GI cancers, and many other risk factors during an endoscopy consultation. You will be given an in-depth and precise evaluation. Well known in New York City as amongst the best endoscopy doctors, our physicians provide optimal patient safety and effective early screening to prevent and treat our patients in a warm and friendly environment.
Dr. Qin Rao, MD
Dr. Daniel Perl, MD
Dr. Lauren Schwartz, MD
Eric Yoon, MD
Kristen Lee, MD
Mikhail Yakubov, MD
Michael Dann, MD
Shawn Khodadadian, MD
What Is an Upper Endoscopy and Why Is It Performed?
Endoscopy screening (including bowel cancer screening), diagnosis, and treatment for diseases affecting every part of the digestive system, from the upper esophagus, stomach, and small intestine to the colon, rectum, and anus, are all available at Manhattan Gastroenterology. Upper endoscopy (also known as EGD or endoscopy) is a non-surgical procedure that our doctors use to examine a patient’s upper digestive tract. An endoscope is a flexible tube with a light and camera at the end that allows your doctor to view pictures of your upper digestive tract on a screen.
The endoscope is a flexible, narrow tube about the size of a finger that is easily passed through the mouth and throat and into the esophagus, allowing visualization of the esophagus, stomach, and upper part of the small intestine. This procedure is also known as esophagogastroduodenoscopy (EGD) and upper GI endoscopy. At Manhattan Gastroenterology, we utilize this exam to diagnose a wide range of digestive disorders accurately. In our gold-star JCAHO-certified procedure room, we use cutting-edge high-definition endoscopy equipment for optimal visualization of the GI tract, allowing for a precise and detailed exam.
Why Is It Important to Have an Upper Endoscopy and What Will the Doctor Be Looking for During My Exam?
Upper endoscopy is the gold standard for evaluating the upper digestive tract visually. It helps diagnose a variety of digestive disorders, such as stomach pain, ulcers, reflux, anemia, upper gastrointestinal bleeding, weight loss, nausea/vomiting, and difficulty swallowing. The endoscope’s camera allows for direct visualization of the lining of the esophagus, stomach, and duodenum.
In addition to visualization, our doctors can take biopsies of any abnormalities in the intestine lining, mass lesions, or any other abnormalities they detect. They may take biopsies even if the lining appears normal to the naked eye in order to diagnose infections such as H. pylori or to make a tissue diagnosis such as celiac disease or eosinophilic esophagitis.
Doctors can also use the endoscope to treat gastrointestinal bleeding or to remove foreign bodies if necessary. Upper endoscopy, in conjunction with other tests such as blood work, imaging, and etc., can help your gastroenterologist establish an accurate diagnosis and treatment plan for you.
Why Choose Manhattan Gastroenterology for Your Endoscopy?
At Manhattan Gastroenterology, we utilize cutting-edge medical technology, high-definition equipment, and imaging modalities to optimally visualize your bowel during your upper endoscopy in order to make a diagnosis and develop an effective treatment plan. Our gold-star-rated JCAHO procedure room has the necessary equipment to ensure the safety of your procedure while having your endoscopy performed. Our board-certified anesthesiologists will also be beside you throughout the surgery to ensure that you are comfortable and safe. Most importantly, our award-winning doctors will perform your procedure and help you get the answers you need.
Cleaning The Endoscope and High-Level Disinfection to Ensure Your Safety
At Manhattan Gastroenterology, we utilize the Advantage Plus endoscopic reprocessing machine. The ADVANTAGE PLUS™ is a fully automated, computer-based asynchronous endoscope reprocessor that separately monitors each endoscope channel for blockage and proper flow, ensuring complete high-level disinfection. Human error in the selection and connecting of hook-ups is eliminated by a computerized detection system. It is a cutting-edge system designed to ensure your safety and the highest level of infection control. To avoid contact with other instruments or surfaces, the device is placed on a special hanger until the next procedure. We go to great lengths to ensure the safety of your procedure.
What Is the Preparation for the Procedure?
It is critical not to eat or drink anything before the procedure, even water. Typically, such fasting is necessary for 8 hours before your exam. It gives a clear visual field and helps in the prevention of vomiting and aspiration, which is very important for your endoscopy procedure at our facility. Certain medications, such as blood pressure medication, can be taken the morning before the exam with a small sip of water. Still, you should discuss all your medications regimen with your doctor.
★ ★ ★ ★ ★I was experiencing a lot of discomfort, and my doctor recommended Manhattan Gastroenterology for me. I went there, and they recommended I have an endoscopy. It was not nearly as uncomfortable an experience as I thought, and the facility was very modern. They discovered that I had gastritis and recommended some changes in my diet, and told me to avoid stress. If I ignored it, it could have become worse. I feel much better today, thanks to this gastroenterologist.
What About Medications That I Take?
Before your treatment, you should discuss all medications you are taking with your gastroenterologist. Your doctor will advise you accurately if there is any reason to discontinue any of their use. Ensure to tell your gastroenterologist if you are allergic to any medications before having an upper endoscopy performed. At Manhattan Gastroenterology, we will be glad to discuss this with you before your procedure.
What Can I Expect When I Arrive and Immediately Before the Procedure?
When you arrive at the office, the staff will check you in and complete the necessary paperwork and consent forms. You will then be led to your dressing room where you will be able to change into your gown. The staff will ask you questions regarding your condition and the indications for the procedure, as well as make sure you are fasting adequately before the procedure. At that time, your vital signs will be taken, and any questions you may have will be answered.
Will I Receive Sedation?
After you’ve changed and checked in, our board-certified anesthesiologists will place an IV line in preparation for sedation for the procedure. The anesthesiologist will place a nasal canal for oxygen and attach EKG electrodes to your chest for safe monitoring during the procedure. Sedation will make it easier for you to tolerate any discomfort, such as pressure, bloating, or cramping. Our board-certified anesthesiologists are always on hand to ensure your comfort and safety throughout the procedure. Because we give sedation, you will require a driver to take you home, which you must arrange ahead of time.
What Can I Expect During the Procedure?
The specialist will ask you to lie on your left side before beginning the procedure. To help numb your throat, you may be given a topical anesthetic that is either sprayed or gargled. To protect your teeth from the endoscope, your doctor will place a bite block in your mouth. It’s important to remember that the scope is not larger than the food you’re swallowing, and it won’t interfere with your breathing. The anesthesiologist will then gradually administer the medication, making you sleepy.
The endoscope will then be inserted into your mouth and esophagus to examine the lining. During the exam, the anesthesiologist or an assistant may use suction to collect saliva, allowing you to avoid swallowing. In order to provide a better visual field, the specialist may also pump air into your stomach. Because you will be sedated, you will most likely feel no pain or discomfort and will fall asleep.
We use the most up-to-date high-definition imaging modalities for the best possible visualization of your upper digestive tract during endoscopy
What Is the Doctor Looking for During My Endoscopy and What Kind of Results Are Obtained?
During the procedure, our doctors use a high-definition video screen to control the movement of the endoscope and visualize the upper digestive tract. They carefully inspect the lining of your esophagus, stomach, and duodenum. If our endoscopy doctors discover an area that warrants additional investigation, they can insert instruments through the endoscope to retrieve a biopsy, a small tissue sample, for analysis. The sample will be sent to a laboratory to be distinguished between benign (non-cancerous) and malignant (cancerous) tissues. Biopsies can help identify many conditions. The doctor may take one even if they don’t suspect cancer to help diagnose other conditions.
Keep in mind that the doctor may take a biopsy for many reasons, even if cancer is not suspected. A biopsy, for example, can detect Helicobacter pylori, a bacterium that can cause ulcers. This test is generally well tolerated and causes no discomfort or pain. It also provides important information to the doctor in order for them to establish a proper diagnosis and treatment plan.
Upper endoscopy is the perfect tool for treating medical conditions in your upper gastrointestinal tract. A variety of instruments can be passed through the endoscope by the gastroenterologist with little or no discomfort to you. Upper endoscopy, for example, may be used to perform a cytology test, in which they pass a small brush through the endoscope to collect cells for later analysis. They can stretch or dilate a narrowed area, treat bleeding or remove polyps, which usually are benign growths, from the lining of your gastrointestinal tract.
How Long Does an Endoscopy Take?
The procedure usually takes 15-20 minutes or less and is performed at our JCAHO certified office-based surgery unit. However, due to the time required for preparation and recovery, expect to spend two to three hours at the office. If you were sedated, you would need someone to drive you home after the procedure.
Recovering from an Upper Endoscopy
Our board-certified anesthesiologists are always on hand to ensure your comfort and safety during your procedure. The office staff will monitor your recovery until the sedatives wear off following the endoscopy. You may experience some cramping, bloating, or nausea as a result of the air introduced into your stomach during the examination, but this should be brief. Before you are released, your doctor will explain what, if anything, they discovered, even though the results of any biopsies are not yet known. Again, because you have been sedated, you must have someone drive you home and stay with you until you are released. Even if you feel awake, your judgment and reflexes may be impaired for the next 12-24 hours. Unless we instruct you differently, you can eat after the procedure.
In general, endoscopy is a very safe procedure when performed by trained and experienced gastroenterologists. Complications are rare, but the most severe is a perforation which may require surgery to repair. Other complications include bleeding from the site of a biopsy. Complications might cause severe abdominal pain, fever, chills, or rectal bleeding, among other symptoms. While these complications are rare, you should notify your doctor right away if you notice them or any other symptoms that concern you. We would be glad to discuss this with you.
How many days do I need to take off work?
You will need to take the day off from work for the procedure.
How Long Do EGD Results Take?
Some results from an upper GI endoscopy are available the same day as the procedure. However, if you’ve received a biopsy, the results can take 72 to 96 hours or longer to come back.
How Much Does an Upper Endoscopy Cost in New York?
The average cost of upper gi endoscopy in New York is $1,961. When a doctor orders an endoscopy, it is usually covered by insurance, but you must still meet your deductible and pay the copay or coinsurance. Without insurance, you will be responsible for the entire cost of the procedure, including doctor fees, prescriptions, and lab fees.
For more information about an upper endoscopy in NYC or to schedule an endoscopy appointment with one of our GI doctors, please contact our Midtown or Upper East Side NYC offices. As best-in-class gastroenterologists in NYC, we provide highly personalized and comprehensive care. Our philosophies regarding the doctor/patient relationship are based on trust and have earned us some of the most respected reputations in NYC.
Some of the specialists who can perform Endoscopy are: Gastroenterologist [Proctologist] Orthopedic surgeon.Can I pay for a private endoscopy? ›
It can be beneficial for your health because it can detect many common conditions, including bowel cancer. What you may not have known is that you can arrange for a private endoscopy procedure.What diseases can be detected by an upper endoscopy? ›
- gastroesophageal reflux disease.
- cancer link.
- inflammation, or swelling.
- precancerous abnormalities such as Barrett's esophagus.
- celiac disease.
- strictures or narrowing of the esophagus.
Carnegie Hill Endoscopy, a clinical affiliate of Mount Sinai Beth Israel Medical Center, is a 15,000 square foot state of the art Endoscopy Center that opened on March 5, 2012.Is an upper endoscopy worth it? ›
An upper endoscopy is a beneficial method for doctors to help their patients. They can use it to diagnose conditions of the esophagus, stomach, and parts of the intestines. Doctors can sometimes use the endoscope to treat problems. An endoscope is a thin, flexible tube with a camera on the end.Is an upper endoscopy a big deal? ›
A note from Cleveland Clinic
An upper endoscopy is a relatively low-risk procedure that helps your doctor find the cause of certain digestive tract problems. Your doctor may also use upper endoscopy to treat some problems. You may have a day or two of throat irritation and bloating after the procedure.
Discuss the option of sedation
For the majority of endoscopies, there will be some local anaesthetic to numb the area where the scope is inserted, however, there is often the option of having some sedation in addition to this.
A barium meal involves drinking barium liquid, which coats the inside of your oesophagus and stomach, and then having an X-ray. As X-rays can't go through barium, the outline of your stomach shows up on the X-ray image.How much is sedation for endoscopy? ›
The usual total dose for GI endoscopy is 2 to 10 mg. Fentanyl, a synthetic opioid agonist with powerful analgesic but only mild sedative properties, is highly lipid soluble and 80 times more potent than morphine. The usual total dose is 50 to 200 µg.Who should not get an upper endoscopy? ›
The American College of Physicians (ACP) recommends that screening using upper endoscopy should not be regularly conducted in women of any age or in men under the age of 50 with heartburn because the prevalence of cancer is extremely low in these populations.
Your provider may recommend an endoscopy procedure to: Investigate symptoms. An endoscopy can help determine what's causing digestive signs and symptoms, such as heartburn, nausea, vomiting, abdominal pain, difficulty swallowing and gastrointestinal bleeding. Diagnose.What is the difference between an upper GI and an endoscopy? ›
By tradition, “endoscopy” or “upper GI endoscopy” refers to the examination of the upper gastrointestinal tract: the esophagus, stomach, and duodenum. The correct term is esophagogastroduodenoscopy (EGD), so you can see why we stick with “upper GI endoscopy.”Can acid reflux be seen on endoscopy? ›
Upper GI endoscopy can help your doctor diagnose GERD. While it's not ordered in all cases, it may be necessary if you have atypical or alarming symptoms like trouble swallowing or chest pain. Endoscopy, such as through the TIF procedure, can also be used to treat GERD.Should I be scared of upper endoscopy? ›
Endoscopies are common and very low risk, and therefore there's no need to feel anxious. You will usually only experience slight discomfort, and experiencing endoscopic pain is very rare. Endoscopies are very safe and do not usually require anaesthetic.How long are you put to sleep for an endoscopy? ›
At this point, if you are receiving sedation, you will start to be sleepy and will most likely remain asleep throughout the procedure, which generally takes about 10 to 20 minutes. Because of the sedation medication, patients are generally unaware of what is going on and do not remember anything when they wake up.How long are you sedated for an upper endoscopy? ›
You will stay for up to 2 hours while the effects of the anesthesia and sedative wear off. You will also need a ride home. Anesthesia and sedatives can temporarily affect your reaction time and judgment. The health care team will tell you how soon you can eat and drink.How long are you in recovery after endoscopy? ›
There is minimal recovery involved with the upper endoscopy procedure, and little discomfort. Post-procedure symptoms may include grogginess from the sedation, a feeling of bloating, sore throat, nausea, difficulty swallowing, and mild pain where the IV was inserted. These usually resolve within 48 hours.What should you not do before an endoscopy? ›
Nothing to eat or drink at least 8 hours before the procedure. Medication can be taken 4 hours before examination with little sips of water. DO NOT TAKE ANY ANTACIDS OR CARAFATE BEFORE THE PROCEDURE or any of the medications mentioned.How do you stay calm during an endoscopy? ›
Having something else to think about during the procedure itself can also help. You might want to try reciting the multiplication tables in your head, visualising yourself in your favourite location, or remembering the words of your favourite songs.
You need someone to stay with you the remainder of the day following your procedure. Because you had sedation, you should not be left alone. Rest the remainder of the day – your discharge instructions will inform you about returning to eating, work, etc.
You may return to regular activities the day after the procedure. Depending on the findings of your upper endoscopy, we may recommend that you avoid traveling for 14 days after your procedure.What are the three types of endoscopy? ›
|Name of procedure||Name of tool||Area or organ viewed|
|Anoscopy||Anoscope||Anus and/or rectum|
|Bronchoscopy||Bronchoscope||Trachea, or windpipe, and the lungs|
|Colonoscopy||Colonoscope||Entire length of the colon and large intestine|
- Upper Endoscopy.
Endoscopy is a test that an ear, nose and throat (ENT) specialist uses to look at the: back of your throat (pharynx) voice box (larynx) upper part of the food pipe (oesophagus)What can you not do after an endoscopy? ›
This means avoiding spicy, fried, or fatty foods that can irritate the digestive tract and cause discomfort. You should also avoid alcohol and caffeine, as these can also contribute to gastrointestinal irritation.How long does it take for propofol to wear off after endoscopy? ›
The elimination half-life of propofol is approximately 0.5 h to 1.5 h. This drug has a very fast clearance and therefore can be administered as a continuous infusion or as multiple boluses without any accumulative effects.Can an endoscopy damage the heart? ›
The incidence of cardiac arrest during and immediately after the procedure (recovery area) for all endoscopies was 3.92 per 10,000; of which, 72% were airway management related. About 90.0% of all peri-procedural cardiac arrests occurred in patients who received propofol.How often should someone with GERD have an endoscopy? ›
Therefore, the diagnosis of Barrett's esophagus should not be a reason for alarm. It is, however, a reason for periodic endoscopies. If your initial biopsies don't show dysplasia, endoscopy with biopsy should be repeated about every 3 years.Can an upper endoscopy be done without sedation? ›
As a result, in many countries, upper endoscopy, and to a lesser extent, colonoscopy, are commonly performed without routine procedural sedation [1-3]. By contrast, sedation-free endoscopy is not widely accepted in the United States .Can an endoscopy damage your stomach? ›
Some possible complications that may occur with an upper GI endoscopy are: Infection. Bleeding. A tear in the lining (perforation) of the duodenum, esophagus, or stomach.
The role of endoscopy in liver disease is both diagnostic and interventional: endoscopy should be offered to patients with relevant symptoms (unsuspected liver disease may be diagnosed in this manner) and for variceal screening and treatment.What organs are checked during an endoscopy? ›
An upper endoscopy is a procedure a doctor uses to look at the inner lining of the upper digestive tract (the esophagus, stomach, and duodenum, which is the first part of the small intestine). This test is also sometimes called an esophagogastroduodenoscopy, or EGD.How often should you have an upper GI endoscopy? ›
Upper endoscopy (EGD) is often repeated within 1 to 3 years.What type of cancers can an endoscopy detect? ›
This procedure is used to check for stomach cancer. An upper endoscopy—called endoscopic gastroduodenoscopy (EGD)—is a procedure that helps find most stomach cancers. During this test, a doctor looks inside your stomach with a thin, lighted tube called an endoscope.What is better barium swallow or endoscopy? ›
The barium swallow is a less invasive way to look at the upper GI tract than an endoscopy. Barium swallows are a useful diagnostic tool for checking for upper GI tract disorders that can be easily diagnosed with X-ray alone. More complex disorders require endoscopy.Do you need anesthesiologist for endoscopy? ›
Your endoscopy preparation should include an evaluation from an anesthesiologist, a medical doctor who specializes in anesthesia, pain management, and critical care medicine, who will asses your risk for anesthesia-related complications.Why would a gastroenterologist order an endoscopy? ›
An endoscopy is a diagnostic test that allows a gastroenterologist to look inside your digestive tract (esophogus, stomach and colon) to look for problems that may be causing symptoms like chronic acid reflux and heartburn, which are among the most common digestive problems in the United States.What cancers show on endoscopy? ›
This procedure is used to check for stomach cancer. An upper endoscopy—called endoscopic gastroduodenoscopy (EGD)—is a procedure that helps find most stomach cancers. During this test, a doctor looks inside your stomach with a thin, lighted tube called an endoscope.What drug do they use to sedate you for an endoscopy? ›
Ideal drugs for endoscopic sedation have a rapid onset and short duration of action, maintain hemodynamic stability, and do not cause major side effects. Commonly used agents include opiates, such as meperidine or fentanyl, benzodiazepines, such as midazolam or diazepam, or a hypnotic, such as propofol.Can you ask for sedation for endoscopy? ›
You may be offered something to make you more comfortable and make the test easier, such as: local anaesthetic spray – to numb the back of your mouth and inside of your throat. sedation – medicine given through a small tube in your arm to help you relax.
Endoscopy can also help identify inflammation, ulcers, and tumors. Upper endoscopy is more accurate than X-rays for detecting abnormal growths such as cancer and for examining the inside of the upper digestive system. In addition, abnormalities can be treated through the endoscope.Is there another test other than endoscopy? ›
Ct scan and endoscopy are two tests that doctors often suggest to perform a further examination of your internal organs.Is endoscopy a major or minor surgery? ›
Although an endoscopy is invasive, it is a fairly minor procedure. However, it is recommended to allow for some time to rest and recover afterwards.Are biopsies always taken during endoscopy? ›
In my experience, biopsies are taken whenever any endoscopy is performed, either of something specific or, if nothing is seen, randomly, to look for signs of, for example, inflammation. It's usual to be told immediately if something is found, otherwise, it's the wait for biopsy results.