Diagnostic gastroscopy with biopsy

Sample contentAn illustrative outline. It has not been clinically reviewed.

Endoscopy · Foundational · 6 steps · Outline

Photo: Samir · CC BY-SA 4.0 · Illustrative, not from this case
Written outline

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6 steps

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A systematic photo-documented survey, oesophagus to second part of duodenum and back.

Step by step

  1. 01

    Consent & sedation

    Left lateral; throat spray or conscious sedation; bite guard.

  2. 02

    Intubation

    Pass under direct vision behind the arytenoids into the upper oesophagus.

  3. 03

    Oesophagus & Z-line

    Note distance of squamocolumnar junction and diaphragmatic pinch.

  4. 04

    Stomach & retroflexion

    Inspect cardia and fundus in J-manoeuvre; body, angulus, antrum.

  5. 05

    Duodenum

    Through the pylorus to D2; inspect bulb carefully on withdrawal.

  6. 06

    Biopsy protocol

    Sydney protocol when indicated; label pots by site.

An educational outline, not a substitute for supervised clinical training or local protocols.

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