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

Video Transcription

Video Summary

In this video, Dr. John Martin discusses upper GI endoscopy. He begins by introducing the topic and the objectives of his talk, which include defining upper GI endoscopy, discussing indications and contraindications, describing the components of the procedure, and discussing post-procedure follow-up. Dr. Martin also includes polling questions throughout the video to engage the audience. He explains that upper GI endoscopy is indicated for routine reevaluation of gastric ulcers, not for colorectal cancer screening or routine reevaluation of duodenal ulcers or short segment Barrett's esophagus. The informed consent process does not always include a discussion about procedure indication, but it does include a discussion of procedure-related risks and an opportunity for the patient or their representative to ask questions. Upper GI endoscopy is not always performed through the mouth and can be performed through the nose for various reasons. The term upper GI endoscopy includes esophagogastroduodenoscopy (EGD) , and may also include procedures using a side-viewing duodenoscope or single or double balloon enteroscopy. However, video capsule endoscopy is not generally included in this term. Dr. Martin also discusses the components of an endoscope and the different functions it serves during the procedure. He shows a video of an actual upper endoscopy and points out different findings that can be seen, such as mucosal disease, bleeding sources, and varices. He emphasizes the importance of communicating with the patient and the care team before, during, and after the procedure, and highlights the importance of proper pre-procedure and post-procedure care. Dr. Martin concludes by providing practice pearls for upper GI endoscopy, including ensuring proper indication and patient candidacy, obtaining informed consent, following best care practices, and observing quality metrics. The video was presented by Dr. John Martin, a gastroenterologist at the Mayo Clinic in Rochester, Minnesota.

Asset Subtitle

John Martin, MD, FASGE

Keywords

upper GI endoscopy

indications

procedure components

informed consent process

nose endoscopy

mucosal disease

practice pearls