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

Video Transcription

Video Summary

In this video, Dr. Vickery discusses the adenoma detection rate (ADR) in colonoscopies. ADR is the minimum percentage of patients in a population that should have an adenoma detected during screening colonoscopy. The current ADR targets are 25% overall, 20% for women, and 30% for men. These targets have recently been adjusted and are expected to continue improving. The numbers are based on evidence-based studies and guidelines. Dr. Vickery expects the ADR targets to shift upwardly in the future, potentially ranging from 25% to 35%, with 30% being average. He also mentions that experienced endoscopists and high-quality practices can achieve ADRs of 45% to 55%. <br /><br />In a different part of the video, Dr. Shields and other experts discuss the patient positioning during endoscopic retrograde cholangiopancreatography (ERCP). They explain that ERCP can be performed in either the prone or supine position. While the prone position is preferred by some due to improved ergonomics, the supine position is also used in certain cases, such as pregnant patients in the second trimester or patients with specific medical conditions. They also mention that endoscopists should be able to perform the procedure in any position and that it depends on the resources and preferences of the healthcare facility and anesthesia team.

Keywords

adenoma detection rate

colonoscopies

ADR targets

patient positioning

endoscopic retrograde cholangiopancreatography (ERCP)