What is an EGD with Bravo technology?
An EGD with Bravo is a minimally invasive procedure that combines an upper endoscopy (EGD) with the placement of a wireless capsule to measure acid levels in the esophagus for 48-96 hours. It’s used to diagnose conditions of the upper digestive tract, such as gastroesophageal reflux disease (GERD), Barrett’s esophagus, and ulcers by recording pH data to a wearable receiver. It can also help determine if medications or surgical treatments for GERD are effective. The capsule typically detaches within 5-10 days and passes naturally, while the recorded data helps doctors tailor treatment.
Preparing for an EGD with Bravo
Your physician will give you detailed instructions prior to your procedure but, typically, to prepare for your upper endoscopy with a Bravo pH test, follow these essential steps:
Medication Adjustments: Seven days before, discontinue Proton Pump Inhibitors (PPIs) such as Prilosec, Nexium, and Protonix. Two days before, cease H2 blockers like Pepcid (famotidine) or Tagamet (cimetidine). One day before, avoid antacids, including Tums or Maalox. If you are on blood thinners or anti-platelets, stop taking them seven days prior, but only if your doctor approves.
Dietary Guidelines: Fast by not consuming any food or liquids, including water, for 6–8 hours before the procedure.
Smoking and Tobacco Restrictions: Refrain from smoking for 24 hours, and avoid tobacco or nicotine pouches for six hours before the test.
Additionally, be sure to arrange for a driver, as you will be put under sedation and therefore not allowed to drive.
How is an EGD with Bravo tech performed?
During the procedure, a scope is used to examine the upper digestive tract and a small capsule is attached to the lining of the esophagus. The capsule measures acid levels and transmits the information to a receiver that you’ll wear for 48 hours. You’ll also keep a diary to record your symptoms. After the procedure, you can resume your normal diet. The capsule will fall off on its own in five to ten days and pass through your digestive system (could take up to 30 days depending on your digestive system). You’ll return the monitor and diary within 72 hours to the location you received it. Restriction on certain foods will be given to you after the procedure, and you will not be able to have an MRI for 30 days after your procedure.