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AA PPIICCTTOORRIIAALL OOVVEERRVVIIEEWW
Dr.B.SELVARAJ MMSS;;MMcchh;;FFIICCSS;; 
• General & Pediatric Surgeon 
• Endoscopist & Laparoscopic 
Surgeon 
• Apollo Loga Hospital 
• Karur-639002 
• India 
Apollo Loga 
S&V Loga
APOLLO LOGA HOSPITAL 
Endoscopy Suite 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
UPPER GI ENDOSCOPY 
INDICATIONS 
• Epigastric&Retrosternal pain 
• Dysphagia&Odynophagia 
• Nausea&Vomiting 
• Hiccough 
• Hemetemesis&Melena 
• Evaluation of severe Anemia& Loss 
of appetite 
• Foreign body in GIT 
• Hoarseness of Voice 
Apollo Loga
UPPER GI ENDOSCOPY 
CONTRAINDICATIONS 
• Suspected or known perforation 
• Ingestion of caustic materials 
• Known or suspected coagulopathy 
• Patient in shock 
• Uncooperative patient 
• Inadequately trained personnel 
Apollo Loga
UPPER GI ENDOSCOPY 
Apollo Loga
Normal Video Upper 
G.I.Endoscopy 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Normal Video Upper 
G.I.Endoscopy 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
REFLUX ESOPHAGITIS 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Hiatus Hernia 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Prolapsing Gastropathy 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Post Fundoplication 
Surveillance Endoscopy 
Tight Wrap Loose Wrap 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Barrett’s Esophagus 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Carcinoma of Esophagus 
Squamous Carcinoma 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Carcinoma of Esophagus 
Adeno Carcinoma 
Esophageal View Stomach View 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Carcinoma of Esophagus 
Laser Vaporisation 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Stenting For Carcinoma of 
Esophagus 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Mallory-Weiss Tear 
Esophageal View Stomach View 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Esophageal Varices 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Esophageal Varices 
Injection Scelerotherapy 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Esophageal Varices 
Banding 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Monilial Esophagitis 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Bleeding Gastric ulcer 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Bleeding Gastric ulcer 
Heater Probe Treatment 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Bleeding Gastric ulcer 
Hemostasis 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Gastric Carcinoma 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Periampullary Carcinoma 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
FB Forceps&Basket 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Coin Retrieval From 
Esophagus 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
S 
& 
V 
L 
O 
G 
A 
Safety pin Retrieval 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Mutton Piece in 
Esophagus 
A 
P 
S 
O 
L 
& 
L 
V 
O 
L 
O 
G 
A 
L 
O 
G 
A
Percutaneous Endoscopic 
Gastrostomy (PEG) 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Endoscopic Ultrasound 
EUS 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Take Home Message 
• Importance of such a versatile 
diagnostic & therapeutic tool 
should be properly recognized 
• Latest equipment with all 
accessories should be available in 
every modern hospital 
A 
P 
O 
L 
L 
O 
L 
O 
G 
A
Upper GI Endoscopy - A pictorial overview

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