What is a BRAVO placement with upper endoscopy?
A BRAVO placement with upper endoscopy is done so doctors can look inside the esophagus (food pipe), stomach and beginning of the small intestine (bowel). A BRAVO can determine if acid from the stomach is coming up into the esophagus.
In this procedure, the doctor passes a long, thin, flexible tube with a light on the end through the mouth and esophagus. The tube goes down into the stomach and small intestine. As the doctor passes the tube, he or she looks at these areas and may take small samples of tissues called biopsies. The doctor will then attach a small recording device called a BRAVO capsule to the esophagus to record what the acid does inside the body.
What happens before BRAVO placement?
Your child must have an empty stomach for an upper endoscopy. After midnight, do not give your child:
- any solid food
- milk or milk products
- juices with pulp, such as orange, pineapple or grapefruit juice.
- If your child is younger than 6 months, he/she may drink clear liquids until two hours before the scheduled test time. Breast milk is considered a clear liquid.
- If your child is older than 6 months, he/she may drink clear liquids until three hours before the scheduled test time.
Examples of clear liquids are:
- breast milk
- apple juice
- cranberry juice
**Note: Formula is not a clear liquid
What happens during BRAVO placement?
What happens after BRAVO placement?
Immediately after the test:
In the recovery area, a nurse will be with your child and carefully observe him or her during the entire recovery time. When your child is fully awake, he or she may have clear liquids to drink. Once your child is able to keep liquids down, the IV will be removed.
After BRAVO placement, a BRAVO receiver must be on or within three feet of your child. If the receiver is too far from the BRAVO capsule, a beep will be heard for 30 seconds and the display will flash C1 or C2. Move the receiver to your breastbone until the beep stops and the C1 or C2 is no longer visible. Always keep the BRAVO receiver in a safe, dry place.
How will we be informed of the results?
Your doctor will speak with you as soon as the procedure is done. If biopsies were obtained, it will take about five to seven days for results. The results of the BRAVO will take about two weeks.