EGD prep · Episode program
EGD prep, fasted, safe and ready.
Prepares patients for an upper endoscopy: fasting times, medication questions, transport and a check-in afterwards.
- Day −3 to Day 1
- Base · free for providers
- Pro · patient upgrade
What’s included
Everything in the program, Base and Pro.
For: Adults scheduled for an upper endoscopy (EGD), with or without sedation.
| Included in the program | BaseFree to refer | ProPatient upgrade |
|---|---|---|
| A fasting guide matched to the practice’s instructions | Included | Included |
| Medication FAQs, including blood thinners and diabetes medicines, per practice protocol | Included | Included |
| What to expect before, during and after an EGD | Included | Included |
| AI Q&A for last-minute questions | Included | Included |
| Escalation of red-flag symptoms to your practice | Included | Included |
| Progress updates to your practice | Included | Included |
| Timed fasting and medication reminders | Not included | Included |
| Proactive check-ins on transport and arrival | Not included | Included |
| A post-procedure check-in and results reminder | Not included | Included |
| Thesis NP support for questions and problems | Not included | Included |
Program goals
- Arrive fasted and ready
- Handle medications safely
- Arrange transport after sedation
- Recover well and know what to watch for
Who acts on escalations
- Base: red flags go straight back to your practice, with the patient’s report and context.
- Pro: Thesis nurse practitioners can also step in, and your practice is kept informed.
- Agents never diagnose, prescribe or change a treatment plan.
How it engages patients
One stage at a time, always on protocol.
From Day −3 to Day 1, each stage sends the right information at the right moment, answers questions from your practice’s guidance and records what your team needs to know.
Instructions and medication reviewWhat to expect, a medication checklist for the practice’s protocol and a ride confirmation.
RecordedInstructions delivered · medication checklist sent
Clinical foundation
Guideline-based care, adapted to your practice.
Program content is built on published guidelines and reviewed by our clinical team. Your practice’s own protocols always take precedence.
Fasting before sedation
ASA guidance for healthy patients allows clear liquids until 2 hours and a light meal until 6 hours before procedures with sedation. The program uses the practice’s own fasting times, which may be more conservative.
[1] ASA 2017Managing blood thinners
ASGE guidance weighs the bleeding risk of the procedure against the patient’s thrombotic risk. The program only relays the practice’s instructions and escalates anything unclear.
[2] ASGE 2016Sedation and a ride home
Patients receiving sedation need a responsible adult to take them home, so transport is confirmed before the day of the procedure.
[3] ASGE 2018Knowing what to watch for
Serious adverse events after upper endoscopy are uncommon but include bleeding, perforation and cardiopulmonary events. Patients learn which symptoms need urgent care.
[4] ASGE 2012
When we escalate to your practice
- Chest, neck or severe abdominal pain
- Fever or trouble breathing
- Vomiting blood, or black, tarry stools
- Worsening difficulty or pain with swallowing
- Medication questions not covered by the practice’s protocol
What your practice receives
- Confirmation when the patient enrolls
- Progress summaries at key milestones and before follow-up visits
- Real-time escalation for any red-flag symptom
- Pro status, so you know when Thesis nurse practitioners are supporting a patient
Sources
- 1American Society of AnesthesiologistsPractice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures. Anesthesiology. 2017;126(3):376–393.
- 2American Society for Gastrointestinal EndoscopyAcosta RD, Abraham NS, Chandrasekhara V, et al. The management of antithrombotic agents for patients undergoing GI endoscopy. Gastrointest Endosc. 2016;83(1):3–16.
- 3American Society for Gastrointestinal EndoscopyEarly DS, Lightdale JR, Vargo JJ, et al. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc. 2018;87(2):327–337.
- 4American Society for Gastrointestinal EndoscopyBen-Menachem T, Decker GA, Early DS, et al. Adverse events of upper GI endoscopy. Gastrointest Endosc. 2012;76(4):707–718.
Guidelines inform program defaults. They do not replace clinical judgment, and patients are always directed to their own care team for diagnosis and treatment decisions.