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EGD (Esophagogastroduodenoscopy)

Your child is having an EGD (Esophagogastroduodenoscopy), also know as Upper Endoscopy. Most children receive a light anesthesia for this test. Others are given medicine which makes them very relaxed and drowsy ("moderate sedation"). During this test the doctor will pass a special tube with a light on the end of it into the throat and beyond. The doctor usually looks at the esophagus (food tube), stomach and the first part of the small bowel (duodenum). The doctor looks for signs of irritation and may take tissue samples (biopsies). The tissue samples help to identify causes of esophagus, stomach or small bowel irritation. Biopsies can also detect the stomach bacteria Helicobacter pylori.

After the test:

  • Your child may begin his/her normal play/activity after the medicine or anesthesia given for the test has worn off. He/she may return to school the next day. The doctor will tell you what type of diet your child can have.
  • Most children are fussy for the first few hours after the test. Parents are invited to the Post Anesthesia Care Unit (PACU) when your child wakes up.
  • Your child may get a red, flushed look to his/her face and chest 1-2 hours after the test. This blotchy red color is a normal response to medicine given for anesthesia.
  • Your child may complain of a sore throat, gagging or a stomachache. This is normal and should be gone in a few days. Your child might vomit small amounts of blood. This may be normal, especially if biopsies (small tissue samples) were taken.

When to call your child's doctor:

  • Your child has problems with swallowing or bleeding.
  • Your child's temperature is greater than 101.5F rectally or by mouth. Slight fevers after surgery are normal. You should take your child's temperature once before bedtime tonight.
  • Your child has vomiting that lasts more than six hours or vomiting is severe. Your child can become dehydrated when he/she has prolonged or severe vomiting and is not able to drink enough fluid to keep up with the loss. The signs of dehydration are:
    • Dry mouth
    • Sunken look around eyes
    • No tears when crying
    • Decreased amount of urine, which means fewer wet diapers than usual in an infant/toddler
    Your child's nurse will discuss this with you before your child goes home.

REMEMBER: Please call if you have any questions. Use the phone number your nurse gives you.

Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.

Reviewed: 08/2006