Upper Endoscopy Doctor NYC Gastroenterologist | NYC Endoscopy GI Doctor

Upper GI EndoscopyThe Gastroenterologists at Manhattan Gastroenterology offer screening (including bowel cancer screening), diagnosis and treatment for diseases that affect any part of the digestive system, from the upper oesophagus, stomach and small intestine right through to the colon, rectum and anus.

The term “Upper Endoscopy” is a medical procedure that lets Dr. Khodadadian visually inspect the lining of the upper part of your gastrointestinal tract. This includes your esophagus, stomach and duodenum, which is the upper portion of your small intestine.

Dr. Khodadadian, a best in class NYC gastroenterologist uses a thin, flexible tube called an endoscope for this procedure. The endoscope has a lens and light source on its tip, and it sends the video it captures to a video monitor so the GI doctor can view and interpret the images.

An endoscopy requires only mild sedation, while the small, flexible video camera is passed through the mouth into either the stomach or intestine to allow the gastroenterologist to identify problems in the gastrointestinal tract and, in some circumstances, remove abnormal growths.

In some cases we use Capsule endoscopy which is an effective detection method of diagnosing the source of bleeding, anemia, abdominal pain, diarrhea, Crohn’s disease, and suspected tumors. For an additional clinical benefits and effectiveness of capsule endoscopy refer to the study published on PubMed “Small bowel capsule endoscopy

Why You May Need an Upper Endoscopy

Upper endoscopy helps gastroenterologist like Dr. Khodadadian find the source of symptoms such as upper abdominal pain, nausea, vomiting or difficulty swallowing. It’s also the best test to find the cause of bleeding from your upper gastrointestinal tract. Upper endoscopy is more accurate than X-rays for detecting inflammation, ulcers and tumors of the esophagus, stomach and duodenum.

Dr. Khodadadian also can use upper endoscopy to retrieve a biopsy or small tissue sample. He’ll send the sample to a laboratory to distinguish between benign (non-cancerous) and malignant (cancerous) tissues. Keep in mind that the doctor may take a biopsy for many reasons, even if he doesn’t suspect cancer. For example, a biopsy can test for Helicobacter pylori, the bacterium that causes ulcers.

Upper endoscopy is the perfect tool for treating medical conditions in your upper gastrointestinal tract. The gastroenterologist can pass a variety of instruments through the endoscope with little or no discomfort to you. For example, he may use upper endoscopy to perform a cytology test, in which he passes a small brush through the endoscope to collect cells for later analysis. He can stretch or dilate a narrowed area, treat bleeding or remove polyps, which usually are benign growths, from the lining of your gastrointestinal tract.

Upper Endoscopy Preparations

For the best and safest exam, you should have an empty stomach when you come fro your appointment to Dr. Khodadadian’s Upper East Side NYC facility for your endoscopy. Don’t have anything to eat or drink, including water, for approximately six hours before your procedure. Dr. Khodadadian will tell you exactly when to start fasting, as the timing can vary.

Medication Questions

Tell Dr. Khodadadian in advance of any medications you currently take, particularly aspirin products or antiplatelet agents, insulin, arthritis medications, anticoagulants (such as blood thinners like warfarin or heparin), clopidogrel or iron supplements. He may tell you to adjust your normal dose before your procedure. Also discuss any medication allergies you may have, as well as any medical conditions, such as heart or lung disease.

You should continue to take your medications as usual unless the doctor specifically informs you not to. Some medications can interfere with your preparation or with the examination.

Upper Endoscopy Procedure

Dr. Khodadadian might start by spraying your throat with a local anesthetic. An anesthesiologist will be present to administer medication to keep your comfortable during your procedure. Then you’ll lie on your side.

Once you’re relaxed or sedated, Dr. Khodadadian passes the endoscope through your mouth and into your esophagus, stomach and duodenum. Since the endoscope doesn’t interfere with your breathing, you may feel only slight discomfort. Many patients, in fact, fall asleep during the procedure.

Recovering from an Upper Endoscopy

After the procedure, the office staff will monitor your recovery while the medications wear off. Your throat may feel a little sore, and the air introduced into your stomach during the procedure can cause you to feel slightly bloated. These are both minor and temporary conditions.

You’ll be able to eat after the procedure unless Dr. Khodadadian instructs you otherwise. He’ll explain the results of the examination to you, although you may have to wait for the results of any biopsies.

If you’ve received sedatives for the procedure, you must have a responsible friend or relative drive you home and stay with you. Even if you feel alert, your judgment and reflexes may be impaired for the rest of the day.

Upper Endoscopy Complications

Although complications can occur, they are rare, especially when trained and experienced gastroenterologists like Dr. Khodadadian perform the procedure. A perforation or puncture in your gastrointestinal tract lining that may require surgery is extremely rare and very uncommon during this procedure.

Other complications are minor. You can experience bleeding where a polyp was removed or biopsy taken, but it’s often minimal and rarely requires a follow-up. This bleeding may last for several days after the procedure, but it’s usually minor. You may have a reaction to the sedatives, which is why it’s important to discuss your medication allergies.  If you have heart or lung disease, these conditions can cause complications.

Although complications are very uncommon, you should learn to recognize their early symptoms. Contact your doctor immediately if you have a fever after the test, if you have trouble swallowing, if you experience increasing throat, chest or abdominal pain or if you notice any prolonged bleeding, including internal bleeding that reveals itself in black stools.

If you have any concerns about a possible complication, it’s always best to contact your GI doctor right away.

Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult a doctor about your specific condition. Only a trained, experienced doctor like Dr. Khodadadian can determine an accurate diagnosis and proper treatment.

As a best in class NYC gastroenterologist, Dr. Shawn Khodadadian provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations in NYC.

For more information about an upper endoscopy or to schedule an endoscopy appointment with the GI doctor, Dr. Shawn Khodadidan, please contact our Upper East Side NYC office.

Dr. Shawn Khodadadian
Manhattan Gastroenterology
983 Park Ave, Ste 1D
New York, NY 10028
(212) 427.8761