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KMID : 1039620130030030272
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Korean Journal of Family Practice
2013 Volume.3 No. 3 p.272 ~ p.298
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Esophagogastroduodenoscopy: Insertion Technique and Training
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Lee Seung-Hwa
Lee Duck-Joo
Kim Kwang-Min
Park Sat-Byul
Kim Bom-Taeck
Joo Nam-Seok
Cho Doo-Yeoun
Kim Kyu-Nam
Seo Sang-Wook
Park Si-Eun
Park Young-Kyu
Lee Dong-Ryul
Lee Jong-Sang
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Abstract
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The incidence of gastric cancer remains high in the Republic of Korea. Esophagogastroduodenoscopy (EGD) allows for greater diagnostic specificity and sensitivity compared with upper gastrointestinal series. In addition, only EGD has the ability to take a tissue of a pathologic lesion, i.e., biopsy. In the EGD examination, skill is more important than knowledge of pathologic lesion of upper gastrointestinal tract. For performing a complete EGD, there were a few important things to learn and remember, such as position of examinee (e.g., left lateral decubitus and supine) and examiner (e.g., one-man standing method versus one-man sitting method), basic skills (e.g., tip defl exion, push forward and pull back, and air suction and infusion), advanced skills (e.g., paradoxical movement, J-turn, and U-turn), and insertion techniques along with the upper gastrointestinal tract (e.g., oral cavity, pharynx, upper and middle and lower esophagus, gastroesophageal junction, gastric fundus and body and antrum, duodenal bulb, and duodenal descending part). In the current review article, although there were several limitations to the explanation, we will explain to primary care physicians the insertion method of EGD. The authors believe that this article may be helpful to primary care physicians who want to learn the procedure.
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KEYWORD
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Digestive System Endoscopy, Primary Care Physicians, Education, Procedure
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