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Endoscopy report sample pdf 2025

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This document is an Upper GI Endoscopy Report from Henry Ford Cottage Hospital, detailing the procedure, patient history, findings from the esophagus, stomach, and duodenum, as well as information on biopsies and cytology. It includes sections for recommendations and follow-up visits.

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What are common findings in endoscopy?

An upper GI endoscopy can be used to identify disorders or problems such as: GERD (gastroesophageal reflux disease) Narrowing (strictures) or blockages. Larger than normal veins in your esophagus (esophageal varices) Redness and swelling (inflammation) and sores (ulcers)

What does it mean if an endoscopy shows inflammation?

An upper GI endoscopy with a biopsy can detect inflammation inside the upper GI tract including: Esophagitis, inflammation of the esophagus Gastritis, inflammation of the stomach Duodenitis, inflammation of the duodenum/first part of the small intestine. Inflammation can cause erosion and ulcers.

What is the normal report of an endoscopy?

Interpreting Endoscopy Results Normal Results: Healthy tissue with no signs of inflammation, infection, or abnormal growths. Abnormal Results: Polyps, cysts, or tumors may indicate benign or cancerous conditions. Inflammation may point to Crohns disease or ulcerative colitis.

What is the summary of endoscopy procedure?

Endoscopy (also called a gastroscopy) is a medical procedure that allows a doctor to observe the inside of the body without performing major surgery. An endoscope (fibrescope) is a long flexible tube with a lens at one end and a video camera at the other. The end with the lens is inserted into the patient.

How to write an endoscopy report?

As recommended by the CAG, the endoscopy report should contain the following information: description of key findings, interventions, complications and sedation, description of symptoms of potential complications, instructions of actions to be taken and contact details if symptoms of complications arise, instructions

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What are the normal results of an endoscopy?

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

Endoscopy report sample pdf 2025

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