Wouldn’t the endoscopy be under a local anesthetic and the biopsy a general?
Same Versed Cocktail mix they use for colon screens and cataract surgery, even upper GI’s. My gastro has his own clinic surgery center, it is set up much like a mini hospital. I get Upper GI’s every 2 yrs because of Barrett’s Esophagus, legacy of long term drug induced GERD. It can turn cancerous, so he does the every 2 yr biopsy.
Versed Cocktail fentanyl/versed/propofol a typical cocktail used by Gastro’s and Cataract surgeons. It works well, fast, and has fewer complications than the older anesthesia. You are not under as long either and wake up fairly clear headed, a cup of coffee clears away any lassitude fast. How long you are actually under is controlled by the anthologist, he can just add more if the surgeon needs more time.
1) endoscopies are “general”. In the old days apparently there were some that were given “light” sedation or none that would keep them awake. However, it is never “local” - that is for local areas that need to be excised.
2) biopsies are done all the time in endoscopies, just apparently not up in the larynx area.
This actually is aggravating for me, because I have to see both a GE and an ENT for things that are really caused by the same GI thing. Now I may even have to see a pulmonologist (seeing one now, but not sure the cause yet) because of the GI reflux.