image of an endoscopic biopsy procedure

Key Takeaways

  • An esophagogastroduodenoscopy (EGD), or upper endoscopy, is a minimally invasive procedure used to evaluate the esophagus, stomach, and upper small intestine.
  • Preparing for your EGD typically includes following fasting instructions, reviewing your medications with your provider, and understanding what to expect on the day of your procedure.
  • During and after your EGD, you can expect a short procedure time, sedation for comfort, and a smooth recovery in an outpatient setting.
  • West Michigan Surgery Center of Grand Rapids provides advanced, patient-focused gastroenterology services to ensure your EGD is safe, comfortable, and stress-free. Schedule your appointment today.

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What Is an EGD (Upper Endoscopy)?

An esophagogastroduodenoscopy (EGD), commonly referred to as an upper endoscopy, is a minimally invasive procedure used to examine the lining of your esophagus, stomach, and the upper part of your small intestine. It helps identify conditions such as acid reflux, ulcers, inflammation, difficulty swallowing, and unexplained upper abdominal pain.

According to the gastroenterology service page from West Michigan Surgery Center of Grand Rapids, an EGD is an essential diagnostic and treatment tool that provides precise evaluation of upper GI symptoms using state-of-the-art equipment.

Why an EGD Is Performed

Your gastroenterologist may recommend an EGD to:

  • Diagnose chronic heartburn or GERD
  • Evaluate persistent nausea or vomiting
  • Investigate difficulty swallowing
  • Detect ulcers or inflammation
  • Identify sources of upper GI bleeding
  • Take biopsies when needed

Because it allows specialists to see your digestive system in real time, an EGD provides the clarity and accuracy needed to create an effective treatment plan.

How to Prepare for Your EGD

Preparing correctly helps ensure accurate results and a smoother experience. While your individual instructions may vary, the following steps generally apply to most patients.

Review Your Medications

Before your procedure, your gastroenterologist may adjust certain medications, especially blood thinners or diabetes medications, to ensure safety during your EGD. Always follow the specific guidance provided by your specialist

Follow Fasting Instructions

Most patients are instructed to:

  • Stop eating 8 hours before the procedure
  • Stop drinking liquids 2–4 hours before, depending on instructions
  • Avoid caffeine, gum, and mints during the fasting period

Fasting ensures the stomach is empty, improving visibility and reducing the risk of complications.

Arrange Transportation

Sedation is used during the procedure, meaning you cannot drive yourself home. Plan to have a responsible adult accompany you.

Wear Comfortable Clothing

Loose, comfortable clothing can help you relax and make your pre- and post-procedure experience smoother.

Bring a List of Questions

If you have concerns about symptoms, medications, or recovery, write them down ahead of time. Your care team at West Michigan Surgery Center is there to help.

What to Expect During Your EGD

Understanding the procedure can ease anxiety and help you feel more prepared.

Arrival at the Surgery Center

Once you arrive at West Michigan Surgery Center, you’ll be checked in and guided to a comfortable area where the care team will review your medical history and ensure you are ready for the procedure. The surgical center is designed to provide a calm, supportive environment for digestive health services.

Sedation for Comfort

Most EGDs are performed with moderate sedation. This helps you relax and prevents discomfort during the procedure.

The Procedure Itself

Your gastroenterologist inserts a thin, flexible tube called an endoscope through your mouth. This scope includes a camera that allows your provider to examine your upper digestive tract.

An EGD typically lasts 10–20 minutes.

Possibility of Biopsy

If your provider identifies inflammation, abnormal tissue, or an area needing further evaluation, they may take a small tissue sample (biopsy). This is painless and part of routine GI care.

What to Expect After Your EGD

Most patients recover quickly and comfortably thanks to the procedure's minimally invasive nature.

Recovery Room

After your EGD, you’ll rest in a recovery area while the sedation wears off. Mild throat soreness or bloating is normal and typically fades within a few hours.

Eating After the Procedure

Once your care team confirms you are alert and ready, you’ll receive instructions about when to resume eating and drinking, typically the same day.

Receiving Your Results

Preliminary findings may be discussed before you leave. Full biopsy results, if taken, are typically available within a few days.

When to Contact Your Specialist

Seek medical attention if you experience:

  • Severe abdominal pain
  • Persistent vomiting
  • Fever
  • Difficulty swallowing that worsens

These symptoms are rare but important to report immediately.

Addressing Common Concerns About EGDs

Patients often have questions as they prepare for an EGD. Below is a quick look at how a minimally invasive GI procedure helps ease anxiety and ensures accurate results.

Is an EGD Safe?

Yes. EGDs are considered very safe and are performed routinely at medical centers across the country. At West Michigan Surgery Center, they are completed in a controlled outpatient setting with highly trained GI specialists.

Will It Hurt?

Sedation prevents discomfort, and the scope is designed to be gentle. Most patients remember little of the procedure.

How Long Is Recovery?

Most people return to normal activities within 24 hours.

Is an EGD Different from a Colonoscopy?

Yes—both are GI procedures, but they evaluate different parts of the digestive tract.

Here’s a simple comparison:

ProcedureExaminesCommon UsesSedation Required
EGDEsophagus, stomach, upper small intestineGERD, ulcers, and swallowing issuesYes
ColonoscopyColon and rectumColon cancer screening, bleeding, lower GI symptomsYes

Both procedures are offered through the gastroenterology team at West Michigan Surgery Center.

Receive Trusted Support for Your Upcoming EGD

Understanding how an EGD works—and what to expect—can help you feel confident and prepared. Upper endoscopy is one of the most valuable tools in diagnosing digestive issues, and West Michigan Surgery Center makes the process efficient, safe, and comfortable.

To schedule your EGD or consult with a gastroenterologist near you, visit the Gastroenterology Services page and book an appointment with the skilled GI specialists at West Michigan Surgery Center of Grand Rapids.

Frequently Asked Questions

What symptoms require an upper endoscopy?

Common reasons for an EGD include chronic heartburn, trouble swallowing, unexplained stomach pain, persistent nausea, or suspected ulcers.

How should I prepare for an EGD?

Most patients must fast, review their medications with their provider, and arrange transportation. Your GI specialist will give customized instructions.

Is an EGD the same as an upper GI series?

No. An EGD uses a camera via an endoscope, while an upper GI series uses X-ray imaging. EGDs offer real-time visibility and the ability to take biopsies.

How long does an EGD take?

The procedure itself typically lasts about 10–20 minutes, not including recovery time.

Where can I find a GI specialist near me?

West Michigan Surgery Center of Grand Rapids offers advanced gastroenterology services delivered by experienced specialists in a modern outpatient setting.