practical points

Last reviewed 01/2018

There are a number of things to search for or carry out during an OGD examination:

  • in the oesophagus:
    • look for webs or carcinoma in the upper third
    • lower oesophagus:
      • look for mucosal fold inflammation due to duodenitis
      • note the distance from the incisors
      • check for hiatus hernia
      • take brushings or biopsy of any lesion
  • in the stomach:
    • on entry note any abnormalities, e.g. tumour, blood, bile, retained fluids or food
    • aspirate excessive fluid to prevent inhalation
    • rotate the 'scope around to view the whole lumen
    • if indicated, obtain brushings or biopsy
    • look at the pylorus and note:
      • mobility
      • deformity
      • inflammation
  • in the duodenum, carry out full inspection

On withdrawal, reinspect the mucosal surfaces and aspirate insufflated gas.