Your doctor might order an upper GI endoscopy to rule out peptic ulcers or structural problems, such as a blockage in the esophagus. They may also perform the procedure if you have gastroesophageal reflux disease GERD or if they suspect that you may have it. An upper GI endoscopy can also help determine if you have a hiatal hernia , which occurs when the upper part of your stomach pushes up through your diaphragm and into your chest.
Learn more: Endoscopy ». This information helps your doctor know whether to take any necessary precautions to perform the procedure as safely as possible.
Your doctor may tell you to change your dosage or to stop taking certain medications before the endoscopy. Some medications can increase your risk for bleeding during the procedure. These medications include:. Any medications that cause drowsiness can interfere with the sedatives that the procedure will require. Antianxiety medications and many antidepressants could affect your response to the sedative.
Make sure you understand the risks of the procedure and the complications that might occur. Complications are rare, but can include the following:. Arrange to have someone pick you up and drive you home. This includes gum or mints. However, you can usually have clear liquids after midnight up to six hours before the endoscopy if your procedure is in the afternoon. World J Surg. Part I: Coffee or orange juice versus overnight fast. Anesth Analgesia. J Clin Gastroenterol. Download references.
We are grateful to Luana Flores, a nurse technician who performed randomization of patients and checked clear liquids intake. You can also search for this author in PubMed Google Scholar. Correspondence to Fernando Fornari. The authors declare that they have no competing interests. HSVP provided technical support for accomplishment of endoscopies. All authors read and approved the final form of the manuscript.
Reprints and Permissions. Koeppe, A. Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting: a randomized controlled trial. BMC Gastroenterol 13, Download citation. Received : 06 April Accepted : 05 November Published : 09 November Anyone you share the following link with will be able to read this content:.
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Download PDF. Abstract Background Upper gastrointestinal endoscopy has been performed after fasting 8 or more hours, which can be harmful to the patients. Methods In this clinical trial, patients referred for elective endoscopy were randomly assigned to a fasting period of 8 hours F8 or a shorter fasting F2 , in which ml of clear liquids were ingested 2 hours before the procedure.
Results Ninety-eight patients were studied aging Conclusions Elective upper GI endoscopy after 2 hours fasting for clear liquids was more comfortable and equally safe compared to conventional fasting.
Background Upper gastrointestinal GI endoscopy is a procedure widely used in the medical practice. Methods Patients In this parallel-group, single-blind, randomized controlled trial, patients who were referred for elective upper endoscopy at our Institution between March and November were considered eligible for the study, either outpatients or hospitalized.
Endoscopy Upper endoscopy was performed under moderate sedation either with endovenous midazolan 0. Conventional and short fasting Patients were asked to eat their usual diet containing food and liquids before entering in the fasting protocols. Study outcomes Patient comfort was elected as the primary outcome, given that sample size was calculated according to effect estimation on this parameter.
Table 1 Structured interview designed to assess safety and quality of endoscopy Full size table. Results Patients A total of patients were interviewed in the enrollment phase of the study Figure 1.
Figure 1. Enrollment, randomization and follow-up of participants. Full size image. Table 2 Baseline characteristics of the patients Full size table. Figure 2. Comfort of patients who fasted 8 F8 or 2 F2 hours. Figure 3. Figure 4. Figure 5. Discussion The aim of this study was to assess comfort, safety and quality of endoscopy under moderate sedation after 2 hours fasting for clear liquids.
Conclusions We assessed comfort, safety and quality of upper GI endoscopy with moderate sedation after fasting 2 hours for clear liquids. References 1. Article PubMed Google Scholar 2. Google Scholar 3. Article PubMed Google Scholar 4.
Google Scholar 8. No, this is not necessary for routine endoscopy procedures as they are not considered surgery. If you are scheduled for an advanced therapeutic procedure at the hospital, you may be given antibiotics beforehand, but your doctor will discuss this with you.
If I'm on antibiotics for a bacterial infection, is it still okay to go ahead with my procedure? This will depend on the type of infection. What happens if I have an active infection? If you have any of these issues within two 2 days of your procedure, please call the office to let us know. We may need to reschedule your procedure. Because these procedures do not take long, a short acting IV sedation is used. This makes you sleep during the procedure so you do not feel or remember any of it.
You should awaken feeling relaxed and comfortable. Many people say, "best nap ever! Your scheduler will tell you what time you need to be there. This varies by facility. An upper endoscopy takes about 10 minutes, not including pre-op prep and recovery time.
Does my driver have to be there the whole time or just called to come to pick me up? While fasting take all regular medication with a sip of water at least three hours prior to procedure. If you have serious heart or chest problems or drug allergies, special precautions need to be taken to reduce any risk.
You should therefore inform the doctor of any serious conditions of this nature. If you are diabetic, withhold your morning medication and bring it and a sandwich with you to take following the procedure. At the beginning of the procedure you will be given a sedative by injection into a vein to make you comfortable and relaxed.
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