Diagnostic Upper Endoscopy With Biopsy — Generally Indicated

• Gastrointestinal Bleeding, Active, Persistent, Or Recurrent Bleeding.
• For Dysphagia, Odynophagia, Persistent Refusal To Eat, Or Persistent Chest Pain.
• For Upper Abdominal Pain And/or Discomfort With Signs Or Symptoms Suggesting Serious Organic Disease (E.g., Weight Loss, Anorexia, Anemia), Or From Pain Or Discomfort Which Persists Despite A Course Of Therapy For Suspected Acid Peptic Disease.
• For Persistent Vomiting Of Unknown Cause.
• Sclerotherapy Or Banding Of Esophageal Varices During Or Following A Bleeding Episode.
• Workup For Unexplained Weight Loss Failure To Thrive And Refractory Iron Deficiency Anemia.(Like In Celiac Disease)
• For Esophageal Dilation.
• Placement Of Feeding Tubes (Percutaneous Endoscopic Gastrostomy, Transpyloric).
• For Removal Of Foreign Bodies, Or Objects Retained In The Gi Tract.

Colonoscopy

• Diagnostic Colonoscopy And Biopsy Are Generally Indicated For Unexplained Iron Deficiency Anemia, Evaluation Of Unexplained Gastrointestinal Bleeding Such As Melena Of Unknown Origin Or Hematochezia.
• For Clinically Significant Diarrhea Of Unexplained Origin.
• Evaluation Of Inflammatory Bowel Disease, And Cow Milk Protein Allergy.
• Polypectomy.
• Dilation Of Stenotic Lesions.
• Treatment Of Bleeding Vascular Anomalies, Ulcerations.
• Removal Of Foreign Body.