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Methods of Insertion and Examination in Esophagogastroduodenoscopy: A Comprehensive Video Guide

Step-by-Step Guide to EGD Technique

Article information

J Surg Innov Educ. 2025;2(1):24-25
Publication date (electronic) : 2025 June 26
doi : https://doi.org/10.69474/jsie.2025.00080
Eun Young Kim1orcid_icon, Ki Bum Park2orcid_icon, Han Mo Yoo3orcid_icon, Dong Jin Kim4orcid_icon, Sang-Ho Jeong,5orcid_icon
1Department of Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
2Department of Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
3Department of Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
4Department of Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
5Department of Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, Republic of Korea
Corresponding author: Sang-Ho Jeong, MD, PhD Department of Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, 11 Samjeongja-ro, Seongsan-gu, Changwon 51472, Republic of Korea Tel: +82-55-214-3771, E-mail: shjeong@gnu.ac.kr
Received 2025 May 14; Revised 2025 June 13; Accepted 2025 June 14.

Abstract

Esophagogastroduodenoscopy (EGD) is a fundamental diagnostic and therapeutic modality for various gastrointestinal diseases. As endoscopic techniques evolve, mastering the step-by-step process of EGD—including insertion, navigation, and systematic observation—is essential for ensuring patient safety and diagnostic accuracy. This video article provides a comprehensive, narrated demonstration of the techniques involved in EGD, from patient preparation to scope control and anatomical orientation. It emphasizes key technical details such as endoscope handling, the role of hand movements in scope navigation, and systematic evaluation of the esophagus, stomach, and duodenum. All demonstrations were performed using a simulation model (UGI Endoscopy Simulator; MEDICAL IP, Korea) with an Olympus GIF-HQ290 endoscope. This educational video serves as a practical guide for trainees seeking to refine their technique and increase procedural efficacy.

Chapter Summary

00:00:01 Learning objectives

00:00:05 Title page

00:00:24 Basics of esophagogastroduodenoscopy

00:03:14 Methods of insertion

00:08:40 Methods of examination

00:11:01 Summary

Notes

Disclosure

No potential conflict of interest relevant to this article was reported.

References

1. Ahlawat R, Hoilat GJ, Ross AB. Esophagogastroduodenoscopy [updated 2023 Aug 8]. In: StatPearls [Internet]. StatPearls Publishing; 2025 [cited 2025 May 13]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532268/.
2. Rey JF, Lambert R; ESGE Quality Assurance Committee. ESGE recommendations for quality control in gastrointestinal endoscopy: guidelines for image documentation in upper and lower GI endoscopy. Endoscopy 2001;33:901–903. 10.1055/s-2001-42537. 11605605.

Article information Continued

© 2025 Korean Surgical Skill Study Group

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.