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+--- Thread: indication for EGD - jot (/showthread.php?tid=555873)
indication for EGD - jot - ArchivalUser - 12-20-2010
in gerd
is it one year of untreated GERD or 5 yrs>=?
thanks
0 - ArchivalUser - 12-21-2010
A. Upper abdominal symptoms that persist despite an appropriate trial of therapy
B. Upper abdominal symptoms associated with other symptoms or signs suggesting serious organic disease (e.g., anorexia and weight loss) or in patients >45 years old
C. Dysphagia or odynophagia
D. Esophageal reflux symptoms that are persistent or recurrent despite appropriate therapy
E. Persistent vomiting of unknown cause
F. Other diseases in which the presence of upper GI pathologic conditions might modify other
planned management (examples include patients who have a history of ulcer or GI bleeding who
are scheduled for organ transplantation, long-term anticoagulation, or long-term nonsteroidal
anti-inflammatory drug therapy for arthritis, and those with cancer of the head and neck)
G. Familial adenomatous polyposis syndromes
H. For confirmation and specific histologic diagnosis of radiologically demonstrated lesions
1. Suspected neoplastic lesion
2. Gastric or esophageal ulcer
3. Upper tract stricture or obstruction
I. GI bleeding
1. In patients with active or recent bleeding
2. For presumed chronic blood loss and for iron deficiency anemia when the clinical situation
suggests an upper GI source or when colonoscopy results are negative
J. When sampling of tissue or fluid is indicated
K. In patients with suspected portal hypertension to document or treat esophageal varices
L. To assess acute injury after caustic ingestion
M. Treatment of bleeding lesions such as ulcers, tumors, vascular abnormalities (e.g.,
electrocoagulation, heater probe, laser photocoagulation, or injection therapy)
N. Banding or sclerotherapy of varices
O. Removal of foreign bodies
P. Removal of selected polypoid lesions
Q. Placement of feeding or drainage tubes (peroral, percutaneous endoscopic gastrostomy,
percutaneous endoscopic jejunostomy)
R. Dilation of stenotic lesions (e.g., with transendoscopic balloon dilators or dilation systems using
guidewires)
S. Management of achalasia (e.g., botulinum toxin, balloon dilation)
T. Palliative treatment of stenosing neoplasms (e.g., laser, multipolar electrocoagulation, stent
placement)