UGI Endoscopy​​ in Hyderabad, India

PACE Hospitals offers comprehensive UGI endoscopy services in Hyderabad, Telangana, India. Our experienced gastro specialists conduct precise endoscopy tests and endoscopy procedures to diagnose and treat a variety of digestive disorders. With state-of-the-art facilities and a patient-focused approach, we ensure safe, comfortable, and effective UGI endoscopy care.

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Upper GI Endoscopy

Why Choose PACE Hospitals for Upper GI Endoscopy?

UGI Endoscopy Test

The UGI Endoscopy Test, also known as Upper GI Endoscopy or esophagogastroduodenoscopy (EGD), is a diagnostic procedure used to examine the upper gastrointestinal tract.

UGI Endoscopy full form

It stands for Upper Gastrointestinal Endoscopy, and it includes Esophagoscopy, Gastroscopy, and Duodenoscopy to examine the esophagus, stomach, and duodenum.

Upper GI Endoscopy or EGD is a diagnostic and therapeutic procedure that visualizes the esophagus, stomach, and duodenum. Common indications for upper gastro-intestinal tract endoscopy include the following:

• Evaluation of achalasia: EGD is recommended to rule out malignancy at the gastroesophageal junction in patients diagnosed with achalasia before initiating therapeutic procedures such as dilation or myotomy.
• Screening and surveillance for Barrett’s esophagus: EGD is indicated in patients with long-standing GERD symptoms to screen for Barrett’s esophagus. Surveillance intervals are based on the degree of dysplasia identified in biopsies.
• Assessment after caustic ingestion: When patients ingest caustic substances, EGD is necessary to assess the extent of esophageal or gastric injury and to monitor complications like strictures or malignancy.
• Diagnosis and staging of esophageal cancer: EGD enables direct visualization, biopsy, and staging of esophageal tumors. It is also used in the surveillance of treated cancer or suspected recurrence.
• Management of esophageal strictures: Patients with dysphagia from benign or malignant strictures undergo EGD for diagnosis and therapeutic dilation using balloon or bougie techniques.
• Screening for esophageal varices: In patients having cirrhosis and portal hypertension, EGD is the standard method to detect esophageal varices and to perform endoscopic band ligation if indicated.
• Removal of foreign bodies: Urgent EGD is performed to remove sharp objects, batteries, or obstructing items from the esophagus or stomach to prevent aspiration or perforation.
• Evaluation of gastric polyps: EGD helps detect and resect gastric polyps, especially adenomatous types with malignant potential, followed by surveillance to assess for recurrence.
• Diagnosis of peptic ulcer disease: Patients with symptoms of dyspepsia or suspected ulcers undergo EGD for visualization, biopsy (for H. pylori), and treatment of ulcer-related bleeding.
• Evaluation of Gastroesophageal reflux disease (GERD) with alarm symptoms: EGD is indicated in patients with GERD who have symptoms such as dysphagia, odynophagia, or weight loss to rule out complications like Barrett’s esophagus or strictures.
• Staging and biopsy of gastric cancer: EGD is used to biopsy suspicious gastric lesions and ulcers. Repeating EGD after treatment ensures healing and rules out persistent or malignant tissue.
• Detection of ampullary adenoma: EGD with a side-viewing endoscope is used to assess adenomas at the duodenal papilla and guide management, including resection or further evaluation with ERCP/EUS.
• Evaluation of nonampullary duodenal adenomas: EGD is used to identify, biopsy, and resect these adenomas, particularly in patients with familial adenomatous polyposis, followed by endoscopic surveillance.
• Surveillance in hereditary cancer syndromes: Patients with Familial Adenomatous Polyposis (FAP) or Hereditary Nonpolyposis Colorectal Cancer (HNPCC) undergo periodic EGD to detect early upper GI cancers, especially in the duodenum or stomach, due to increased malignancy risk.
• Evaluation of upper GI involvement in Inflammatory Bowel Disease (IBD): In patients with Crohn’s disease, EGD helps detect granulomas and distinguish them from ulcerative colitis in cases of indeterminate colitis.
• Placement of Percutaneous endoscopic gastrostomy (PEG) tubes: EGD is used to guide the placement of gastrostomy tubes in patients unable to maintain oral intake due to neurologic or structural impairments.
• Diagnosis and treatment of upper GI bleeding: EGD allows visualization and control of bleeding sources, such as ulcers, varices, or Mallory-Weiss tears, reducing transfusion needs and hospital stay.
• Evaluation of obscure GI bleeding: In cases where bleeding persists despite normal findings on initial endoscopy and colonoscopy, a repeat EGD may identify lesions missed during the first procedure.
• Screening for pernicious anemia: Patients with pernicious anemia undergo EGD to assess for atrophic gastritis or gastric cancer due to an elevated malignancy risk, though routine follow-up is not usually necessary.
• Preoperative and postoperative bariatric surgery evaluation: EGD is used to assess ulcers, hiatal hernias, or malignancy before surgery and to investigate symptoms like nausea or pain after surgery.

Contraindications of Upper GI Endoscopy

Upper GI endoscopy (esophagogastroduodenoscopy, or EGD) is extremely useful, but there are specific situations in which it is contraindicated due to risk or non-applicability. Contraindications for Upper GI Endoscopy include the following clinical conditions where the procedure may pose a significant risk or is not advisable:

Absolute Contraindications

• Gastrointestinal perforation or peritonitis: If there is a suspected or confirmed perforation of the digestive tract, or signs of peritonitis, EGD should be avoided, as the procedure may worsen the condition. 
• Toxic megacolon with hemodynamic instability: Patients with toxic megacolon who are unstable are at high risk, performing endoscopy may precipitate perforation or clinical deterioration. 
• Unstable airway or cardiovascular collapse: In settings of airway instability, respiratory compromise, or cardiovascular collapse, sedation and endoscopy carry unacceptable risk. 
• Lack of informed consent or inability to cooperate: If the patient refuses consent or cannot cooperate (e.g., due to mental status, severe agitation) despite sedation options, EGD should not proceed.

Relative Contraindications

• Coagulopathy or severe thrombocytopenia: When bleeding risk is elevated (for example, markedly abnormal coagulation parameters or very low platelet counts), EGD with biopsy or therapeutic intervention should be deferred, or the coagulopathy corrected if possible. 
• Severe neutropenia: Due to the increased risk of infection during mucosal instrumentation, Upper GI Endoscopy (EGD) should be deferred if possible until neutrophil counts improve.
• Recent upper GI surgery or anatomical alteration: Recent gastrointestinal surgery or structural changes may increase the risk of injury; caution is warranted. 
• Bowel obstruction or severe luminal narrowing: Significant obstruction or narrowing in the upper GI tract can make scope passage difficult or dangerous. 
• Recent food intake (non fasted state): If the patient has recently eaten or there is retained gastric or esophageal contents, the risk of aspiration is elevated; fasting should be ensured.
  

Benefits of UGI Endoscopy

Upper gastrointestinal (GI) endoscopy is a widely applied diagnostic and therapeutic tool that provides several key benefits in managing upper GI disorders. Advantages of upper GI endoscopy include the following:

• Precise and Accurate Diagnosis: Through GI Endoscopy it enables direct visualization and biopsy of lesions, providing definitive diagnosis for conditions such as ulcers, Barrett's esophagus, cancer, celiac disease, and inflammatory disorders. This accuracy surpasses non-invasive imaging techniques.
• Early Detection and Staging of GI Cancers: Timely identification of malignant and premalignant lesions improves prognosis by enabling early intervention. Endoscopic ultrasound (EUS) complements the procedure by offering detailed tumor staging and evaluation of surrounding lymph nodes.
• Therapeutic Capability: Apart from diagnosis, Upper GI endoscopy facilitates minimally invasive treatment options such as it helps in bleeding control, polyp removal, stricture dilation, and placement of feeding tubes or stents, reducing the need for surgical interventions.
• Monitoring Disease Progression: Upper GI Endoscopy assists in surveillance of chronic GI diseases, allowing assessment of treatment efficacy and early detection of complications.
• Patient Safety and Efficiency: The procedure has a favorable safety profile with low complication rates and can be performed on an outpatient basis, reducing hospital stay and promoting timely management.

By combining diagnostic precision with therapeutic flexibility, upper GI endoscopy remains a vital and effective tool for gastrointestinal healthcare.

UGI Endoscopy Preparation

Upper Endoscopy procedure preparation is essential to ensure a smooth and safe procedure. Whether you're scheduled for a diagnostic test or a therapeutic intervention, understanding how to prepare for an endoscopy can reduce risks and improve outcomes. Below is a comprehensive guide covering fasting before endoscopy, medication adjustments, and important information to share with the healthcare provider.

How to Prepare for an Upper GI Endoscopy

Upper GI endoscopy is typically performed in an outpatient setting, although it may occasionally be necessary at the bedside or in an operating room, depending on the patient's condition. Preparation includes specific dietary restrictions, medication planning, and sedation management.

Planning ahead is key. It is needed to go through below points:

• It is advised to follow specific fasting instructions.
• It is required to adjust certain medications (especially if the individuals have diabetes or take blood thinners).
• Arrange for someone to accompany the patient, as the patient won’t be able to drive after sedation.
• Discuss any health concerns or past reactions to anesthesia with the referred doctor or gastroenterologist.

Fasting Guidelines

One of the most important steps in Upper GI endoscopy preparation is fasting to ensure that the individual's stomach is empty, which reduces the risk of complications like aspiration.

According to the American Society of Anesthesiologists (ASA):

• It is advised to stop drinking clear liquids at least 2 hours before the procedure.
• It is required to avoid light meals for at least 6 hours before the scheduled date of endoscopy.
• In emergency situations or if patients have delayed gastric emptying (due to diabetes, gastroparesis, etc.), the doctor may alter the timing or type of anesthesia used-or delay the procedure for safety reasons.

Medication Adjustments

Most medications can still be taken before the procedure, usually with a small sip of water. However, some exceptions apply:

• Diabetes medications may need adjustment due to fasting requirements.
• Blood thinners and antiplatelet agents may need to be paused or managed differently. Always follow American Society for Gastrointestinal Endoscopy (ASGE) guidelines or referred doctor's instructions.
• Antibiotic prophylaxis may be necessary for patients at higher risk of infection (e.g., those with heart valve issues).

It is advised to bring a list of all medications and supplements consumed by the patients while taking the appointment.

What to Inform the referred Doctor or Gastroenterologist Before Endoscopy

Open communication with the healthcare provider is essential for a safe procedure. It is required to be sure to tell the referred doctor:

• If patient have any allergies to medications or anesthesia.
• If patients have heart, lung, or bleeding disorders.
• If individual/patient is pregnant or breastfeeding.
• About any previous reactions to sedation or anesthesia.
• If patient had recent surgeries or are currently ill.

This information helps the care team plan for the safest sedation and procedural experience.

Informed Consent

Before the procedure, it will be asked to sign an informed consent form. This document confirms that the patient understands the following:

• The purpose of the upper GI endoscopy.
• The risks and benefits of the procedure.
• The type of sedation that will be used.
• Any alternatives available.

For minors or those unable to consent, a parent or legal guardian must sign on their behalf.

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Upper GI Endoscopy Procedure is done following these steps:

Before the Endoscopy Procedure

• A detailed medical history and physical examination are conducted to evaluate patient suitability for the procedure.
• Patients must disclose all medications (prescription, OTC, supplements), allergies, prior anesthesia reactions, and any bleeding disorders or anticoagulant use.
• Certain medications, particularly blood thinners, may require temporary discontinuation to minimize bleeding risk.
• Patients are instructed to fast for 6 to 8 hours beforehand to ensure the stomach and upper GI tract are empty.
• Arrangements for post-procedure transportation and care are necessary due to sedative effects on alertness and motor functions.
• Informed consent is obtained after a thorough explanation of the procedure benefits, risks, and alternatives.

During the Endoscopy Procedure

• The patient is positioned on the left lateral decubitus (side-lying) position to facilitate endoscope insertion and examination.
• Sedation or anesthesia is administered intravenously to promote relaxation; local throat anesthesia may be applied to reduce the gag reflex.
• The flexible endoscope is carefully introduced through the mouth, passing down the esophagus, into the stomach, and subsequently the duodenum.
• Air insufflation is performed via the endoscope to distend the stomach and duodenum for enhanced visualization of the mucosa.
• Real-time video imaging allows detailed examination and identification of abnormalities.
• Biopsies and therapeutic interventions such as bleeding control and stricture dilation may be performed using instruments passed through the endoscope.
• The procedure duration averages 10 to 20 minutes under sedation.

After the Endoscopy Procedure

• The patient is monitored in a recovery area until sedative effects wear off, typically within 30 to 60 minutes.
• Mild side effects, including throat soreness, bloating, or transient nausea, may occur.
• Post-procedure instructions include abstinence from driving or operating machinery for the day, adherence to specific diet or medication guidelines, and scheduling follow-up for biopsy results.
• Potential complications, though they may rarely occur, include bleeding, perforation, or reactions to sedation, warranting immediate medical attention if symptoms arise.

Complications of UGI Endoscopy

Complications following Upper GI Endoscopy or esophagogastroduodenoscopy (EGD) are very few, with a reported incidence of less than 2%. These complications may be associated with sedation, the mechanical passage of the endoscope, or specific diagnostic and therapeutic procedures. While most adverse events are mild, some may require medical or surgical intervention if not checked properly. Below are the most recognized complications of upper GI endoscopy:

• Sedation-related complications: The most common and potentially serious complications of endoscopy are related to sedation, especially cardiopulmonary complications. These include hypoxemia, hypoventilation, hypotension, arrhythmias, airway obstruction, and aspiration pneumonia. Proper patient monitoring during upper GI endoscopy is essential to reduce these risks.
• Bleeding: In certain situations, bleeding after an Upper GI endoscopy, particularly after mucosal biopsy, occurs in approximately 0.3% of cases. It may occur as hematemesis or bloody output from a gastrostomy tube. Most cases are self-limited, but some may require endoscopic hemostasis or further medical management steps.
• Perforation: Gastrointestinal perforation is a rare but serious complication, occurring in less than 0.3% of EGD procedures. Symptoms include abdominal pain, fever, tachycardia, and distension. Perforation after endoscopy is diagnosed through various abdominal imaging (e.g., X-ray or CT scan), and treatment ranges from conservative management to surgical repair.
• Infection: In certain conditions, infection after endoscopy is uncommon, especially following diagnostic EGD. However, infection risk increases during therapeutic endoscopy or in immunocompromised patients. Signs include fever, pain, or signs of systemic infection, and typically require antibiotic therapy.
• Duodenal hematoma: A duodenal hematoma is a rare complication of upper GI endoscopy, more frequently observed in the case of children. It may lead to nausea, vomiting, abdominal pain, and sometimes bowel obstruction. Management is typically non-surgical, involving bowel rest and observation.
• Aspiration: In some cases, aspiration during endoscopy can occur, especially in patients with impaired swallowing or delayed gastric emptying. It can lead to aspiration pneumonia and requires prompt treatment with supportive care and antibiotics, if necessary.
• Intraluminal hematoma: This rare complication may develop as a result of post-biopsy bleeding during EGD. Symptoms may vary based on size and location, but are usually managed with conservative measures such as observation and rest.

Most endoscopy complications become evident within the first 24 hours of the procedure. Early detection of bleeding, perforation, or infection is crucial for effective treatment and prevention of further complications.

Upper GI Endoscopy Recovery Time

Recovery time following upper gastrointestinal (GI) endoscopy is influenced by several factors, including the type and dose of sedation used, patient age, and underlying medical conditions. On average, patients require about 30 to 60 minutes in a recovery area after the procedure, during which vital signs and consciousness levels are closely monitored to ensure safe awakening from sedatives.

• Recovery can be assessed using standardized scoring systems such as the Modified Aldrete Score (MAS), which evaluates parameters like respiratory function, oxygen saturation, circulation, consciousness, and movement ability. Patients are typically discharged once they achieve full recovery criteria to ensure safety.
• Higher doses of sedatives can prolong recovery time, while factors such as a history of stroke or chronic conditions may also extend the period needed for complete awakening.
• Elderly patients and females have been found to experience longer recovery durations and may have a higher susceptibility to post-procedural nausea or adverse effects.
• Post-recovery, patients are advised to avoid activities requiring full alertness such as driving or operating machinery for at least 12 to 24 hours.

Effective management during the recovery phase is crucial to reducing complications and ensuring patient safety before discharge.

Questions to Ask Your Healthcare Team About the Upper GI Endoscopy Procedure?

• When can I go home after the procedure?
• Will I be under sedation or anesthesia, and how will it affect me afterward?
• When can I eat or drink again after the Upper GI endoscopy?
• What kind of discomfort or side effects should I expect after the procedure?
• How long is the typical recovery time?
• Are there any activities I should avoid after the procedure?
• Do I need someone to accompany me or drive me home?
• What symptoms should I watch for that might indicate a complication?
• When will I receive the results of my endoscopy or biopsy?
• Do I need a follow-up appointment, and when should that be scheduled?
• Will I need further tests or treatments based on the results?
• Are there dietary restrictions I should follow after the procedure?
• Is this procedure both diagnostic and potentially therapeutic?
• How will this endoscopy help in managing my symptoms or condition?

Difference between Upper GI Endoscopy and Colonoscopy

Upper GI Endoscopy vs Colonoscopy

Upper GI Endoscopy and Colonoscopy are two common diagnostic procedures used to examine different parts of the gastrointestinal (GI) tract. They vary in scope, technique, and clinical application. Below are the parameters that help in differentiating Upper GI Endoscopy and Colonoscopy procedure:

Upper GI Endoscopy Cost in Hyderabad, India

The Upper GI Endoscopy cost in Hyderabad typically ranges from ₹1,800 to ₹15,500 (US$22 to US$187). However, the final cost may vary widely depending on sedation, biopsy or treatment during endoscopy, hospital setting, doctor expertise, and patient condition.

Factors Affecting Upper GI Endoscopy Cost:

• Sedation / Anaesthesia Option: Endoscopies done with sedation cost more than those performed with just throat numbing spray.
• Biopsy or Therapeutic Intervention: If tissue sampling (biopsy), polyp removal, or other treatments are done during endoscopy, additional laboratory / procedural charges apply.
• Hospital / Facility Level: Diagnostic centers are cheaper; multispecialty hospitals or premium hospitals with advanced infrastructure charge more.
• Physician’s Experience and Specialization: More experienced gastroenterologists or those with specialist skills tend to charge higher professional fees.
• Patient Specific Conditions: Complexity of case (e.g. comorbidities, prior GI surgeries), safety monitoring needs, room type or facility class can increase cost.

Breakdown of Upper GI Endoscopy Cost in Hyderabad, Telangana, India:

Basic Diagnostic Upper GI Endoscopy Cost: ₹1,800 – ₹3,000 (US$22 – US$36)

(Visual examination of the esophagus, stomach, and duodenum without sedation or biopsy. Suitable for straightforward diagnostic cases at outpatient centers.)

Upper GI Endoscopy with Biopsy Cost: ₹4,500 – ₹8,000 (US$54 – US$96)

(Includes tissue sampling during endoscopy for histopathological analysis. Used to diagnose ulcers, infections, Barrett’s esophagus, and malignancies.)

Upper GI Endoscopy with Polypectomy / Therapeutic Intervention Cost: ₹8,000 – ₹12,000 (US$96 – US$145)

(Endoscopy combined with therapeutic procedures like polyp removal, dilation of strictures, or control of bleeding lesions.)

Sedated Upper GI Endoscopy / Premium Hospital Setting Cost: ₹10,000 – ₹15,500 (US$120– US$187)

(Procedure performed under sedation/general anesthesia in multispecialty or private hospitals, offering enhanced patient comfort and monitoring.)

Complex / Repeat Upper GI Endoscopy Cost: ₹12,000 – ₹18,000 (US$145 – US$217)

(Cases involving complicated diagnostics, multiple biopsies, or surveillance endoscopy for chronic GI conditions requiring more time and expertise.)

Upper GI endoscopy cost in Hyderabad may be higher than simpler diagnostics (e.g. basic imaging), but it's widely preferred because of its ability to provide direct visualization, biopsy/treatment during the same procedure, faster recovery, and more accurate diagnosis of upper GI disorders.

At PACE Hospitals, Hyderabad, we provide Upper GI Endoscopy services using high-grade endoscopic equipment, skilled gastroenterologists, and transparent packages. Whether insured, self-pay, or a medical tourist, we strive to ensure safe, affordable, and quality GI diagnostic and therapeutic care.

How much does an endoscopy test price in PACE Hospitals?

Endoscopy test price at PACE Hospitals is ₹3,925 (three thousand nine hundred twenty-five only) at the HITEC City branch and ₹3,100 (three thousand one hundred only) at the Madinaguda branch. However, the price of UGI endoscopy test may vary depending on whether the procedure is performed with sedation or without sedation.

Frequently Asked Questions (FAQs) on Upper GI Endoscopy​

Is Upper GI Endoscopy painful?

Upper GI Endoscopy is generally not painful. Most patients experience mild discomfort, such as a sensation of pressure or gagging during the procedure. Sedation or topical anesthetics are often used to minimize discomfort and improve tolerance. After the procedure, some may have a mild sore throat or bloating effect, but these symptoms usually resolve quickly.

Will I be asleep during upper endoscopy?

Upper endoscopy is usually performed under sedation, which ranges from mild sedation (patient awake but relaxed) to moderate or deep sedation (patient may be asleep). Sedation ensures patient comfort and reduces anxiety during the procedure. The exact sedation level depends on patient factors and physician’s discretion.

Is Upper GI endoscopy dangerous?

Endoscopy is generally safe, with a low risk of complications such as bleeding, perforation, or adverse sedation reactions. Complication rates are around 0.1% for upper endoscopy and slightly higher for colonoscopy. Risks increase with patient comorbidities and the complexity of the procedure.

Does Upper GI endoscopy detect cancer?

Yes, Upper GI endoscopy is a valuable tool in detecting cancers of the gastrointestinal tract. It helps for direct visualization of abnormal growths, lesions, or tissue changes that may indicate possibility of cancer. During the procedure, biopsies can be taken from suspicious areas for histopathological examination, aiding in the diagnosis of conditions like esophageal, stomach, and colorectal cancers. Through early detection with endoscopy it can significantly improve treatment outcomes and survival rates.

Is Upper GI endoscopy done empty stomach?

Yes, fasting is typically required before an endoscopy to ensure clear visualization of the various parts of gastrointestinal tract and to reduce the risk of aspiration. For upper gastrointestinal endoscopy, patients are usually instructed to fast for at least 6–8 hours prior to the procedure. This fasting period makes the stomach empty, providing a clearer view and minimizing the risk of complications. Patients should follow specific fasting instructions provided by experienced GI healthcare expert to ensure the best possible results.

What to drink after Upper GI endoscopy?

After an endoscopy test, it's essential to stay hydrated. Patients are generally advised to start with small sips of water once the sedative effects have worn off and swallowing is safe. Further, they can progress to other clear liquids like broth or diluted fruit juices. It’s crucial to avoid consuming hot beverages initially, as the throat may be numbed from the procedure. Patients should follow specific post-procedure instructions provided by their healthcare provider to ensure a safe recovery.

What to eat after Upper GI endoscopy?

Post-procedure dietary recommendations vary depending on the type of endoscopy performed and the patient's individual health condition. Generally, after an upper GI endoscopy, patients are advised to resume eating soft, bland foods once they feel ready, avoiding spicy, acidic, or hard-to-digest items initially. It's crucial to follow the specific dietary guidelines provided by the gastroenterologists to ensure proper recovery.

Can Upper GI endoscopy detect pregnancy?

Upper GI Endoscopy is not a method used to detect pregnancy. Pregnancy is typically confirmed through urine or blood tests measuring  hCG levels. However, if a pregnant woman requires an endoscopic procedure, special considerations are taken to minimize risks to both the mother and the fetus. Endoscopic procedures during pregnancy are generally safe when performed with appropriate precautions and under the guidance of experienced medical professionals.

Why repeat Upper GI endoscopy in 3 months?

Repeating endoscopy within a short timeframe may be recommended to monitor the progression of a known condition, assess the effectiveness of a treatment, or investigate persistent or new symptoms. It can help confirm healing or detect early recurrence.

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