EGD (Upper Endoscopy)

What is an upper endoscopy?

Upper endoscopy, also known as an upper GI endoscopy, esophagogastroduodenoscopy, EGD and panendoscopy, is a procedure that enables your physician to examine the lining of the upper part of your gastrointestinal tract, i.e., the esophagus or swallowing tube, stomach, and duodenum or first portion of the small intestine using a thin flexible tube with its own lens and light source.

What preparation is required?

For the best and safest examination, the stomach must be completely empty. You should have nothing to eat or drink, including water, for approximately 6 hours before the examination. Your doctor will be more specific about the time to begin fasting, depending on the time of day that your test is scheduled.

It is best to inform your doctor of your current medications including over-the-counter pain relievers, vitamins, and herbal supplements. It is also important to inform your physician of any medication or latex allergies. Also, you should notify your physician if you are taking any blood thinners such as Aspirin, Coumadin, Plavix, Aggrenox, Ticlid, or Persantine.

Possible medication adjustments

Before the test, be sure to discuss with the physician whether you should adjust any of your usual medications before the procedure, any drug allergies you may have, and whether you have any other major diseases such as a heart or lung condition that might require special attention during the procedure.

Arrangements to get home after the test

If you are sedated, you will need to arrange to have someone accompany you to the facility, be available at the facility and drive you home after the procedure. Because sedatives temporarily affect your judgment and reflexes, you will not be allowed to drive or operate heavy equipment for the remainder of the day.

What can be expected during an upper endoscopy?

Your physician will review with you why upper endoscopy is being performed, whether any alternative tests are available and possible complications from the procedure. Practices may vary among physicians, but you may have your throat sprayed with a local anesthetic before the test begins and be given medication through a vein to help you relax during the test. While you are in a comfortable position on your left side, the endoscope is passed through the mouth and then into the esophagus, stomach and duodenum. The endoscope does not interfere with your breathing during the test. Most patients consider the test to be only slightly uncomfortable and many patients fall asleep during the procedure.

What happens after an upper endoscopy?

After the test you will be monitored in the endoscopy recovery area until most of the effects of the medication have worn off. Your throat may be sore for a while. You may also feel bloated right after the procedure because of the air introduced into your stomach during the test. You will be able to resume your diet after you leave the procedure area unless you are instructed otherwise.

In most circumstances your physician will inform you of your test results on the day of the procedure; however, the results of any biopsies or cytology samples taken may take up to 7 to 10 days.

What are the possible complications of an upper endoscopy?

Endoscopy is generally safe. Complications can occur but are rare when the test is performed by physicians with specialized training and experience in this procedure. Bleeding may occur from a biopsy site or where a polyp was removed. It is usually minimal and rarely requires blood transfusions or surgery. Localized irritation of the vein where the medication was injected may cause a tender lump lasting for several weeks, but this will go away eventually. Applying heat packs or hot moist towels may help relieve discomfort. Other potential risks include a reaction to the sedatives used and complications from heart or lung diseases. Major complications such as perforation, a tear that might require surgery for repair, are fortunately very uncommon.

It is important for you to recognize early signs of any possible complication. After the test if you develop a fever, have trouble swallowing, or if you have increasing throat, chest, or abdominal pain, inform your physician immediately.

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What Our Patients Are Saying

John C ★★★★★ I've have had three, if I remember correctly, Colonoscopies and an endoscopy in the last 20 years with Dr. Yusuf. I found him to be very nice and the procedures went without a problem. In addition he prescribed Omeprazole when it was first coming out, before it could be found over the counter. My esophagus was pitted and damaged from GERD. His prescription was life changing for me. At last it didn't feel like I was burping lava all day long.Cherrye Marchelle M. ★★★★★ He has been my doctor since 1995 when he first started his business inmuch smaller office.I have 3 other family members that also go to him now that I referred them to Dr.Ross. Everyone one of us loves him.I refuse family members to see him for their troubles like I have. He is the best in the Lansing area.Bill M. ★★★★★ Great patient care and excellent staff.Krista Jo L. ★★★★★ Dr. Yusuf was very thorough and made me confident that he was checking my gastro system completely so I could relax about this area of my health.Savannah M. ★★★★★ The sweetest people! Took such great care of me.Linda S. ★★★★★ The receptionist was amazingly nice and so are all of the nurses and aides and doctors. I had a terrible experience approximately 20 years ago which was done at a different facility but Lansing surgical clinic was wonderful. No pain no anxiety no frustration and I was able to go on with my house duties the next day. I thank you again so very much and I thank all who took part of making me feel welcome and safe.Faye N. ★★★★★ I was very apprehensive about having a colonoscopy but Allison was so knowledgeable, personable and friendly in scheduling my procedure. Dr. Opreanu was so patient and respectful in listening and answering my questions. He was very skillful in removing 2 pre-cancerous polyps. Thank you for an excellent experience.Brian ★★★★★ Aesome!moustafa H. ★★★★★ Outstanding physician clinically and ethicallyHeidi D. ★★★★★ Dr. Jones is very knowledgeable, intuitive, kind and a pleasure to work with. The staff are very complimentary of him, and I felt very well cared for.victor b ★★★★★ Very positive experience. Andrea was very patient and explained everything very well and answered all of my questions.Troy O. ★★★★★ The entire staff was very kind and considerate, especially Jordan, Deana and Dr. Walling. Thank you all for this very positive experience.Adrianna M. ★★★★★ Came here yesterday because my husband needed to redo his upper endoscopy, and all the staff were sooo kind from the beginning to end. It was just a much better atmosphere than being at sparrow. Everyone seemed to be so happy and in a great mood which made a better experience. Shout out too Connie in admissions, Joey the pre op nurse, Lori, and Lisa. And of course Dr Jones!!!! (Ask for Dr. Jones if you can, and come here to get your procedure if possible). Also one of the nurses even helped me walk my husband to the car because he was still a little wobbly. Thank you all from us both!!!Jaclyn S. ★★★★★ I had a great experienceDavid R. ★★★★★ The wait time was better than the previous time I went thru this.Diane M. ★★★★★ Dr. Julien and his staff at Lansing Colorectal were so kind, compassionate, and very professional and knowledgeable. I felt at ease right away and would definitely recommend them for anyone who needs GI care.Hanna J. ★★★★★ Was healed by Dr. Opreanu. He knew exactly what to do! I’m so glad that I was referred here. I also like that they have a bystander during observations. It makes me feel safe.Shelley C. ★★★★★ Dr Lee was very informative and has a wonderful bed side mannerPaula T. ★★★★★ This was my 2nd time needing to see a specialist at D.H.I., and highly recommend this professional office to anyone requiring their help.The Dr. and his staff have always been very kind, caring, detailed, and professional.My specialist, (who I'll call Dr. O. , ) is a very caring, smart, and through physician. He and his staff always do thier best to make me feel as comfortable as possible, and to take the stree out of the visit by being respwctful, considerate, and calm.Dr. O. recommended I get a specialized kind of physical therapy before I have any surgery.Thanks to him and his recommendation, the issue I had, has all but resolved itself. He gave me a choice to go ahead with surgery or not and see how things go. I chose to waylay surgery, and he agreed. That told me he actually does care about his patients, and is more concerened about me, than lining his practices pocket.I'm extremely grateful for having the Digestive Heath Instute in my line up of my personal physicians. Thank you again Dr.O., and all of your kind, caring staff.charlene P. ★★★★★ The staff is very friendly, efficient, and show concern for their patients. I appreciate that Dr. Julien is attentive, thorough, and knowledgeable in his field as he cares for my medical needs.Chris L. ★★★★★ Everyone there was awesome. Very pleasant and friendly. Great experience 😁G. M. ★★★★★ Been going their for a very long time! Dr Ross is the best doctor I have ever had!! All the staff with all they have to do are amazing!!Jillene A. ★★★★★ Excellent! Professional and efficient. Dr. Ross and his staff were very friendly, made me feel comfortable and relaxed.Duane B. ★★★★★ I have always been impressed with Jonathon and Dr. Albert Ross. I particularly like being able to schedule my appointments at the Sparrow Eaton MGI office. The convenience is always appreciated.Jennifer A. ★★★★★ I would like to thank everyone. You all are so helpful, take time to answer questions and made me fell very welcome. I wish I would of found you first before I had my operation. If I need another operation this is where I would come. Thank you.Jim S. ★★★★★ Timely, informative, personable service. Very positive and uplifting atmosphere. Everyone makes you feel like they're there for YOU. Thank you all sooo much!Bob M. ★★★★★ Dr. Julien and Dr. Opreanu are the best. They literally saved my life. Only great things to say about them and the practice.Judith Haught, P. ★★★★★ Very professional and kind!Mrgf D. ★★★★★ Dr Jones has a great demeanor and he's willing to investigate and give you peace of mind regarding your concerns. Family members were also very happy with his explanations after procedureBarry G. ★★★★★ Communication was excellent. I was able to ask questions without interruptions and received the information that I needed in detail.C&K L. ★★★★★ I had a colonoscopy and from the time I signed in to the time I left the staff took excellent care of me, even warmed my blanket. Thank-you!Sharon B. ★★★★★ All staff who assisted with my colonoscopy were professional and helpful. Dr. Yusuf spoke with me before and after the colonoscopy. It was really nice to not have a long wait and I appreciated seeing a notice in the waiting area when I walked in saying that each doctor was "on time" today. I would definitely return for my next procedure.Lois C. ★★★★★ This was my first visit to Dr. Julien’s office. The day before, the office called me to confirm information on my referral which was not correct. That was straightened out. On the day of the visit, the office staff was friendly and I did not wait long to be called back. DR. Julien was pleasant, and took his time answering my questions. I felt good about the appointment and left with confidence in him as my doctor.Patrice B. ★★★★★ Dr. Coffey treated me with respect and dignity. The staff at McLearn were proficient , reassuring and friendly. The whole experience was positive, except for the prep which is unavoidable.Irish F. ★★★★★ Obviously we wish we never would’ve had to have a visit here, but the staff made a terrible situation better through their expertise, kindness, empathy and honesty. My daughter and I particularly appreciated Nicole’s down to earth demeanor and kind heart. We appreciated Dr Coffey’s skill, honesty and approachability and thoroughness with our questions.p S. ★★★★★ Friendly, courteous staff. Quick processing with minimal waiting time for appointment. Friendly, personable, professional Physician and assistant. Very good experience at DHI/CS.Susan H. ★★★★★ My experience was excellent. The nurses, nurse anesticist were wonderful. Everyone was very friendly and thorough in explaining the procedure. Dr Julian and anesthesia saw me before and after my procedure and explained everything very well.francine M. ★★★★★ I can’t say enough good things about this surgery center. The employees are top notch., They are caring, compassionate and very patient oriented. I would highly recommend Lansing Surgery Centersherrie M. ★★★★★ Hospital is gorgeous. Nurses are great. Dr. Lee Allen is awesome and other Dr with her( I can't remember his name). All the nurses and anesthesia doctors were awesome. Great experience.Karen L. ★★★★★ Dr. Julian is the BEST and every member of the staff from check in to check out were kind, polite and did an excellent job. I highly recommend!!!David F. ★★★★★ Staff at the DHI's Grand Ledge Office were very nice and worked together to come up with a treatment plan that would work best for me. They listened and answered all my questions which made me feel better regarding my health concerns. I would highly recommend this office to anyone seeking help with their digestive issues.Mike O. ★★★★★ Outstanding care and service would recommend to anyoneKatharine M. ★★★★★ Really good experience; on time, great nurses and doctors.Mark S. ★★★★★ Dr. Yusuf is a terrific physician, providing excellent specialty care. The office itself is a little cramped and dated, but the staff is efficient and I’ve never waited too long to be seen. Recommend this group and especially Dr. Yusuf.Nicky B ★★★★★ I have been bounced around to a lot of surgeons. Dr. Coffey was the first one that was able to give me some information on what was happening and why no one wanted to work on me. Ultimately he admitted he isn't able to help either as this surgery isn't in the practices wheelhouse but he found some direction for me to head in. The office staff was polite and easy to deal with.Mary D. ★★★★★ I had worried myself to the point of being very anxious. Dr. Oprenau and his staff calmed me and very gently and efficiently took care of my problem. I’m so grateful.Jamie S. ★★★★★ I was sent for a referral for possible surgery on a lipoma in my intestine… After meeting with Dr Coffey and discussing my case and options I was relieved to know surgery wasn’t really a necessity at this time …I had many questions about my issues which he very professionally addressed in terms that were understandable to me … office and staff were warm friendly and professional…. I would give a high recommendation to this practice and Dr CoffeyDavid L. ★★★★★ I was referred to the Digestive Health Institute (Capital Colorectal) by my primary care physician and have been very happy with the care and expertise of the doctor I am seeing there (Lucas Julien). The support staff are also very nice.Greg P. ★★★★★ Amazing care and results from Dr. Opreanu and the staff. Highly recommended.Shirley M. ★★★★★ Deanna, RN who prepped me for surgery was great! Very caring and compassionate to my feelings and needs! She was the best with warm blankets and dimming the lights for me when she was finished. The anesthesiologist was more curt but the anesthesia was fine throughout the procedure.Anita S. ★★★★★ Everyone there is so nice and the Dr. Is very thorough. I highly recommend them.hy N. ★★★★★ Very goodAntoinette S. ★★★★★ I am thoroughly impressed by my doctor Dr. Julian Lucas and the staff that were so attentive to making sure my needs are met.Denise D. ★★★★★ Wait time was short. And everyone I interacted with was pleasant and friendly.Selame S. ★★★★★ I’m a referral coordinator for local practice here in Lansing. As someone that refers patients to Capitol Colorectal daily, I can honestly say that this practice delivers excellent patient care and even better customer service. In the case of urgent/ASAP referrals, the front office staff is extremely efficient and accommodating for our patients. I have to eulogize Aly N in particular...for those urgent referrals, she calls me as soon as our patients are scheduled (or she’ll send an appointment notice for routine referrals), so that our providers are well informed throughout the process. Regardless If they are non par with the patient’s insurance, Aly has not only notified me, but she has given me a list of CRS doctors (in Michigan) that participate with that patient’s insurance just to be sure that patient is ultimately taken care of. In addition to her meticulousness, Aly is positive and quite marvelous to work with!Gray D. ★★★★★ Couldn't ask for more friendly people to work withBrian L. ★★★★★ The nurses were awesome. I was a little nervous and they helped me calm down. The Dr did a great job. I will b back in 10 yearsdavid C. ★★★★★ ALL staff from front desk to Dr.'s are extremely courteous, kind, and truly do care about your well being as a patient.Bob C. ★★★★★ Phenomenal, extremely competent, honest and caring Doctor.Robbin M. ★★★★★ First time visit and meet with two nurse practitioners it was a very thorough examination. My husband wanted to be established with a Gastroenterologist and this worked out great for him.Rosie D. ★★★★★ I have the most wonderful experience with Dr. ALBERT Ross BEEN MY DOCTOR! He have brought me through so much. I have been under his care for about 20 years or longer. He is the most wonderful and caring DOCTOR and person. He take time time to explain to you what is going on with which make you feel comfortable. He have time for his patient. His patient always come first. Thank youROSIE DAVISCarol ★★★★★ From check in to walking out the door when procedure was done was excellent. Everyone was so nice and very informative. Letting me know everything that was going to happen. Definitely recommend DHI. It was done at Eaton Rapids Medical Center.Derek S. ★★★★★ Very well run operation. The Lansing Surgery Center staff is excellent. Dr Plaehn is engaging and communicates clearly both before and after the procedure.Annette F. ★★★★★ A very welcoming environment.The receptionist was pleasant, professional & thorough. She pointed me to a waiting area & told me I will be called shortly.The nurse was friendly & reassuring. The Doctor examined everything as he was examining me which helped me to understand my condition and I could ask any question pertaining the condition & he patiently explained. Privacy was paramount. I have a fruitful, relaxing visit.Pam C. ★★★★★ This center is great. It's a huge convenience over Sparrow's main campus for a colonoscopy. You park right out front, everyone waits in the same place, they get you prepped and done super fast. This was way faster and easier than my previous scope experiences.Anna O. ★★★★★ Thank you soo much to be very kind and attentive!!!All staff was very nice!A big thank to doctor Yusuf!!!Gary P. ★★★★★ Everyone there was very attentive to my needs. Can't thank them enough. Thank you, Thank you.Josh D. ★★★★★ Excellent!Joe C. ★★★★★ Great care!Bill K. ★★★★★ Dr Coffey is awesome, very thorough, understanding, patient, kind, and knowledgeable. His staff was friendly and helpful.Pauline B. ★★★★★ The staff was very nice and Dr. Lee Allen did a wonderful job let her know I said thanksConnie D. ★★★★★ My husband had a procedure yesterday at the Surgery Center. He has continued to tell me how great the staff was. He said they were so compassionate and professional. To top things off, they just called to see how he's doing today.If you can have a procedure done there, do it!!lori K. ★★★★★ He is the most caring physician and pays great attention to detail. He listens to the patient and makes sure they get the best care possible. He is one of a kind for sureSteve S. ★★★★★ Dr. Coffey is amazing pretty much a pain free experience. Thank you!Faith W. ★★★★★ Short wait time and the PA took time to answer all my questions.Mary S. ★★★★★ Very prompt, friendly , efficient and professional . The care was excellent.Rachael L. ★★★★★ Every staff member that I came into contact with were so kind and caring. They truly came across as though they cared about me. I came into contact with 8 different people including Dr. Ahmad and they were all phenomenal!! Thank you all for making me feel so comfortable and being so patient and compassionate! You don’t know how much that means to me!! I will recommend over and over again!!Fred E. ★★★★★ I had a procedure this morning. I found the staff professional, personable and reassuring and the procedure went off without a hitch. All in all a very good experience. Thanks.Fred EngelgauBrandon H. ★★★★★ John Walling Jr. was professional and knowledgeable. I felt comfortable with his service. If having a colonoscopy done I would highly recommend him and his staff at the Lansing Surgical Center. Thanks John!Liz H. ★★★★★ Everyone was polite and professional but more importantly everyone was kind. They made polite conversation to take my mind off the procedure. They were even extremely understanding about me being a few minutes late.This is a huge contrast to the doctor's office who ordered the test. I tried desperately to call them several times the day of my procedure to confirm the location for my colonoscopy. I could not get an answer as the phone system just kept trying to send me through their website. Imagine my surprise when I showed up at the office and there were three receptionists sitting there. First I apologized because I could hardly stand up due to the preparation for the procedure (no food and very little sleep and lots of vomiting for 36 hours). I asked where I needed to go. One of the young women said "the surgery center right down the road". I said "could you please write down the address." She ignored me and said "Lansing Surgery Center". I asked again so she finally wrote it down. Then I asked if she could please call them and tell them I would be a few minutes late. She said "no". Then the woman sitting behind her said "if you're late they won't even see you". Luckily I went and Lansing Surgery Center showed me that medical professionals can indeed be kind and understanding and believe in outstanding customer service.Julie T. ★★★★★ Dr. Coffey and his staff, in my experience, are the best in the business of Colorectal Surgery. I would not hesitate to share what I've been through with anyone who required these specific surgical procedures.Ana E. ★★★★★ The office staff is probably the nicest I’ve encountered in the medical industry. Alli went above and beyond helping me with my paperwork and was so genuinely kind and concerned with my well-being. Dr Julien was very professional and had great bed side manners.Carrie H. ★★★★★ I had an EGD and colonoscopy earlier this morning, and I received excellent care from all the staff at the Lansing Surgery Center. My amazing nurse Joey got my IV on the first try, Dr. Jones was fantastic and addressed all my questions with grace and patience, and the nurse anesthetist gave me the best nap I've had in a while with absolutely no side effects from the anesthesia (I usually get extremely nauseous). Seriously, the prep was the worst part. Everything after that was easy peasy. If you have the option to have a procedure performed here, then I would highly recommend it. We were in and out in three hours!Kathy D. ★★★★★ Staff at reception/check was friendly. The Medical Assistant was professional. Dr. Ross provided technical information in an understandable way. He is professional, yet personable & empathetic.Phillip S. ★★★★★ I had a short wait-time. Everyone was very helpful and kind. My questions were answered clearly and professionally. I got my colonoscopy scheduled with minimum wait.susan M. ★★★★★ From reception on, everyone was smiling and professional, but also very personal, making a scary visit very relaxing!Dr. Coffey came to introduce himself, and was very reassuring. The nursing staff was very kind and friendly!I felt cared for the entire time!Thank you Dr Beth for setting me straight on BP pills 💊 😀Special thanks to Dr Yousef for your kindness 😊Would highly recommend 🏆Daralee G. ★★★★★ I trust Johnathan with my life literally. I have been with this group for over 25 years Chrones IBS etc. A few months back hospitalized for 13 days after a very long remission. Every day one of the GI drs were there to see me.They continued daily to assess and answer all my concerns.I will continue to see Jonathan as needed as he is by far one of the most compassionate educated of any GI I've worked with on remaining healthy 😀Tracy M. ★★★★★ so far i like him a lot . takes things seriously and cares. he doesn’t mess around when he thinks something is wrong unlike the many many Dr’s i have seen in the past .. 10 stars!Cindy H. ★★★★★ This was my first experience having a colonoscopy at Lansing Surgery Center. The staff made me feel safe and secure in putting my life in their hands. They followed every procedure for the Covid-19 and explained carefully my procedure and home instructions. I loved the genuine smiles and how comfortable i felt as they walked me to the car to meet my husband. Thank you!Danielle D. ★★★★★ He is an amazing Doctor and is very caring. He listens and is genuine.Meagan M. ★★★★★ I was having a panic attack before my procedure and every single person that worked there was so kind and understanding. They got me right in. And they even gave me a thank you card signed by all the staff with my discharge papers. Highly recommend. Everyone here is amazing and thorough.js_loader

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, click their image or visit our providers page.

Dorian Jones, MD

Lucas Julien, MD

Razvan Opreanu, MD

Scott Plaehn, DO, FACOI

Albert Ross, MD

John Walling, Jr., DO, FACOI

Siaka Yusuf, MD

Our Locations


What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?
An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If an Digestive Health Institute physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.
How do I get test results?
We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. You may call 517-332-1200 and press “8″ and your call will be directed to the triage nurse.
What insurances do you accept?
Digestive Health Institute accepts payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 517-332-1200 #6.

What if I need to contact the doctor?
To contact your doctor during business hours please call our main number 517-332-1200. If you have an urgent need to speak with the doctor after hours please call our answering service at 517-483-9124 and the doctor on call will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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