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The esophagus, stomach, and duodenum should be smooth and of normal color. There should be no bleeding, growths, ulcers, or inflammation.

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EGD is done in a hospital or outpatient center by a specially trained doctor called a gastroenterologist. The procedure uses an endoscope. This is a flexible tube with a light and camera at the end.

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You will not be able to eat anything for 6 to 12 hours before the test. Follow instructions about stopping aspirin and other blood-thinning medicines before the test.

Koch MA, Zurad EG. Esophagogastroduodenoscopy. In: Fowler GC, ed. Pfenninger & Fowler's Procedures for Primary Care. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 91.

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After the test is finished, you will not be able to have food and liquid until your gag reflex returns (so you do not choke).

Sugumar A, Vargo JJ. Preparation for and complications of gastrointestinal endoscopy. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 42.

You may feel gas and the movement of the scope in your abdomen. You will not be able to feel the biopsy. Because of sedation, you may not feel any discomfort and have no memory of the test.

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There is a small chance of a hole (perforation) in the stomach, duodenum, or esophagus from the scope moving through these areas. There is also a small risk of bleeding at the biopsy site.

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Esophagogastroduodenoscopy (EGD) is a test to examine the lining of the esophagus, stomach, and first part of the small intestine (the duodenum).

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