When a child experiences persistent or unexplained digestive symptoms, diagnostic testing may be necessary to identify the underlying cause. One of the most important tools in pediatric gastroenterology is upper endoscopy, a procedure that allows specialists to directly examine the upper digestive tract and obtain critical diagnostic information.
Understanding when upper endoscopy is recommended and how it is used can help parents feel informed and confident in their child’s care.
What Is an Upper Endoscopy?
Upper endoscopy, also known as esophagogastroduodenoscopy (EGD), is a procedure that allows a pediatric gastroenterologist to examine the esophagus, stomach, and the first part of the small intestine (duodenum).
A thin, flexible tube with a camera is gently passed through the mouth while the child is under anesthesia.
During the procedure, the physician can:
Visualize the lining of the upper GI tract
Identify inflammation, ulcers, or structural abnormalities
Obtain tissue samples (biopsies) for further evaluation
Upper endoscopy provides information that cannot be obtained through imaging or blood tests alone.
Common Indications for Upper Endoscopy in Children
Upper endoscopy may be recommended when a child has ongoing symptoms that do not improve with initial treatment or require further evaluation. Common indications include:
Persistent abdominal pain
Chronic vomiting or nausea
Difficulty swallowing or food getting stuck
Ongoing reflux symptoms despite medication
Poor weight gain or unexplained weight loss
Suspected celiac disease
Evaluation for eosinophilic esophagitis (EoE)
Gastrointestinal bleeding or anemia
The decision to perform an endoscopy is based on the child’s symptoms, medical history, and clinical findings.
Conditions Diagnosed Through Upper Endoscopy
Upper endoscopy plays a key role in diagnosing a variety of pediatric gastrointestinal conditions, including:
Gastroesophageal reflux disease (GERD) with complications
Celiac disease, confirmed through intestinal biopsies
Eosinophilic esophagitis (EoE)
Gastritis and duodenitis
Peptic ulcers
Helicobacter pylori infection
Structural abnormalities such as strictures or narrowing
Biopsies obtained during endoscopy allow for microscopic evaluation, which is often essential for accurate diagnosis.
Pediatric GI Expertise You Can Trust
At Pediatric Gastroenterology Associates (PEDGA), our team specializes in evaluating and managing both functional and organic gastrointestinal disorders in children. We work closely with families to identify the cause of symptoms and develop individualized care plans tailored to each child’s needs.
If your child has ongoing digestive symptoms, a pediatric GI evaluation can provide clarity and peace of mind.
📞 Schedule an appointment today: 786-888-2480
📍 Visit us in Miami: 10045 South Dixie Highway, Miami, FL 33156