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

Pdf Summary

The presentation by Dr. John A. Martin, an Associate Professor from Mayo Clinic, focuses on upper GI endoscopy, outlining its objectives, indications, procedure methodology, and importance in disease management. Upper GI endoscopy, also called EGD, involves the examination of the upper gastrointestinal tract using a flexible tube inserted through the mouth or sometimes through the nose. It's crucial for diagnosing and treating conditions such as gastroesophageal reflux disease (GERD), dysphagia, upper abdominal pain, gastrointestinal bleeding, and for cancer surveillance.<br /><br />Key components of the presentation include:<br />- **Indications and Contraindications**: The procedure is commonly indicated for routine evaluations such as duodenal and gastric ulcers, Barrett's esophagus monitoring, and colorectal cancer screening. It is contraindicated in cases where patient safety may be compromised.<br />  <br />- **Preprocedure Preparation**: This involves obtaining informed consent, evaluating patient suitability, and resolving any potential anatomical or medical contraindications.<br />  <br />- **Procedure Details**: Upper GI endoscopy can be both diagnostic and therapeutic, with procedures ranging from esophagoscopy to advanced interventions like endoscopic resection.<br /><br />- **Adverse Events and Risks**: Although generally safe, there can be complications such as bleeding, perforation, and infection, particularly in therapeutic procedures.<br /><br />- **Postprocedure Care**: Emphasizes patient monitoring for recovery, potential adverse events, and adherence to dietary and activity recommendations.<br /><br />- **Best Practices**: Good communication with patients and medical teams, thorough procedural documentation, and compliance with safety and quality measures are essential for effective disease management through endoscopy.<br /><br />The presentation also highlights the importance of comprehensive patient education about procedures, associated risks, potential outcomes, and ensuring informed consent, as well as the vital role of post-procedure follow-up in addressing any delayed adverse events.

Asset Subtitle

John Martin, MD, FASGE

Keywords

upper GI endoscopy

EGD

gastroesophageal reflux disease

dysphagia

gastrointestinal bleeding

cancer surveillance

procedure methodology

preprocedure preparation

adverse events

patient education