Endoscopy
Visual examination of internal organs using a fiberoptic scope
Definition
Endoscopy is the visualization of internal body structures using a flexible or rigid fiberoptic scope. Common types include upper GI endoscopy (EGD), colonoscopy, sigmoidoscopy, cystoscopy, bronchoscopy, and arthroscopy.
Pre-Procedure Nursing Care
- Informed consent
- NPO 6 to 12 hours
- Bowel prep for colonoscopy
- Hold anticoagulants as ordered
- IV access and baseline vitals
- Remove dentures
- Moderate sedation preparation
Post-Procedure Nursing Care
Monitor vital signs, oxygen saturation, and sedation level, for upper GI: keep NPO until gag reflex returns. Assess for complications: bleeding, perforation (sharp abdominal pain, rigidity, fever), infection, reaction to sedation. Position to promote comfort. Educate about any biopsy findings pending.
NCLEX Relevance
Check gag reflex before oral intake after EGD/bronchoscopy. Watch for perforation signs.