ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Onboarding (Day One)

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This document is a summary of a presentation given by Dr. John A. Martin on upper endoscopy. The presentation covered various aspects of upper GI endoscopy, including its definition, indications, contraindications, preprocedure preparation, procedure components, proper documentation, and postprocedure follow-up.<br /><br />Upper GI endoscopy is a procedure used for both diagnostic and therapeutic purposes. It involves the examination of the upper gastrointestinal tract through the mouth or nasal passages. The procedure can include various techniques such as esophagoscopy, esophagogastroscopy, EGD, push enteroscopy, and balloon enteroscopy.<br /><br />The informed consent process for upper GI endoscopy should include discussions about the procedure indication, procedure-related risks, obtaining the patient's written signature, and providing an opportunity for the patient to ask questions.<br /><br />There are specific indications for upper GI endoscopy, including evaluation of conditions such as gastroesophageal reflux, dysphagia, upper abdominal discomfort, gastrointestinal bleeding, and unexplained diarrhea. It is also used for screening and surveillance of conditions like Barrett's esophagus and celiac sprue.<br /><br />The presentation emphasized the importance of proper peri-procedure considerations, patient communication, and disease management. It discussed the phases of care, including clinic visits, pre-procedure care, the procedure itself, post-procedure care, and effective communication and documentation.<br /><br />The risks associated with upper GI endoscopy were also addressed. Adverse events may include cardiopulmonary events, bleeding, perforation, and infection. The overall adverse event rate is relatively low but varies depending on the type of endoscopic procedure performed.<br /><br />The presentation concluded with practice pearls, highlighting the importance of proper patient selection, informed consent, adherence to best care practices, and quality metrics in performing upper GI endoscopy.<br /><br />Overall, the presentation provided an overview of upper GI endoscopy, its indications, and proper care considerations.

Asset Subtitle

John Martin, MD, FASGE

Keywords

upper endoscopy

upper GI endoscopy

diagnostic procedure

therapeutic procedure

esophagoscopy

informed consent

patient communication

adverse events

perforation

best care practices