Gastroscopy: Procedure, Preparation, Duration, and Costs - Gastroenterology and Hepatology

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Gastroscopy, also known as esophagogastroduodenoscopy (EGD), is a procedure that allows doctors to examine the upper digestive tract, including the esophagus, stomach, and duodenum, using a flexible tube with a camera called an endoscope. If you've been experiencing stomach pain and have been diagnosed with gastritis, a gastroscopy can provide valuable insights into the condition of your stomach lining and help guide treatment.


Procedure Overview
The procedure typically lasts between 15 to 30 minutes, but the entire visit may take longer due to preparation and recovery time. Here’s a step-by-step breakdown of what to expect during a gastroscopy:
1. Preparation: Before the procedure, you will be instructed to fast for at least 6 to 8 hours. This means no food or drink, which helps ensure a clear view of the digestive tract. If you take medications, your doctor will advise you on whether to continue them or not.

2. Arrival and Check-In: Upon arrival at the medical facility, you will check in and may be asked to fill out some forms. You will also meet with the healthcare team, who will explain the procedure and answer any questions you may have.

3. Sedation: Most patients receive a sedative to help them relax and minimize discomfort. This may be administered through an intravenous (IV) line. Some facilities may offer a local anesthetic to numb the throat, which can help reduce the gag reflex during the procedure.

4. The Procedure: You will lie on your side, and the doctor will gently insert the endoscope through your mouth and into your esophagus, stomach, and duodenum. The endoscope is equipped with a light and camera, allowing the doctor to visualize the lining of these organs. If necessary, small tissue samples (biopsies) may be taken for further analysis.

5. Recovery: After the procedure, you will be monitored for a short period until the sedation wears off. You may feel some throat discomfort or bloating, but these symptoms usually resolve quickly. It’s important to have someone drive you home, as the sedative can impair your ability to operate a vehicle.


Duration and Costs
The entire process, including preparation, the procedure itself, and recovery, may take about 1 to 2 hours. The cost of a gastroscopy can vary widely depending on your location, the facility, and whether you have insurance. On average, the procedure can range from $1,000 to $3,000. If you have health insurance, it’s advisable to check with your provider regarding coverage and out-of-pocket expenses.


Post-Procedure Care
After the gastroscopy, you may be advised to start with clear liquids and gradually return to your normal diet as tolerated. If biopsies were taken, your doctor will discuss the results with you during a follow-up appointment.


Addressing Your Concerns
It’s completely normal to feel anxious about undergoing a gastroscopy, especially if it’s your first time. However, understanding the procedure and knowing what to expect can help alleviate some of that fear. Remember, the primary goal of the gastroscopy is to provide clarity about your condition and guide appropriate treatment. If you have specific concerns or questions, don’t hesitate to discuss them with your healthcare provider before the procedure.

In summary, a gastroscopy is a valuable diagnostic tool that can help identify issues such as gastritis, ulcers, or other abnormalities in the upper gastrointestinal tract. Proper preparation and understanding of the procedure can make the experience more manageable and less intimidating.