Abstract
EGD is usually done in the morning following an overnight fast. In patients with concomitant diseases or in older individuals, this prolonged fast may pose a latent risk for the development of complications. Therefore, we investigated the feasibillity of an “afternoon EGD schedule”, which allows patients to have breakfast by 9 in the morning, then to skip lunch and have their EGD done between 3P.M. and 4P.M.. It was found that afternoom endoscopy is fesible under the following conditions : (1)at least 7 hours have passed between breakfast and the EGD ; (2)the fluid intake before the EGD is set to 400ml or more ; (3)diabetic patients who require hemodialysis due to diabetic nephropathy, or patients with severe diabetic peripheral nephropathy are excluded.
