ASGE Endoscopy Course at ACG: Everyday Endoscopy: Expertise Meets Evidence | October 2024-Session 3: Quality and Safety in Endoscopy: Moving the Needle Forward

Video Transcription

Video Summary

The session focused on enhancing quality and safety in endoscopic practices. Dr. Rene Williams discussed strategies to improve "The Dirty Colon" issue, emphasizing the importance of adequate bowel preparation for high-quality colonoscopies. Key points included using validated bowel preparation scoring systems, such as the Boston Bowel Prep Scale, and adjusting practices based on patient risk factors like diabetes or obesity. Dr. Alan Barkun and a co-presenter explored the management of antithrombotics during endoscopic procedures. They highlighted the importance of balancing bleeding and thrombotic risk, suggesting minimal need for bridging and recommending adjustments based on the procedure's bleeding risk and patient factors. Dr. Josh Atkins and Dr. Ali Rezai debated the handling of patients on GLP-1 agonists, discussing the implications of delayed gastric emptying on aspiration risks. There was consensus on the importance of clinical judgment and the need for more robust guidelines. Dr. Jonathan Leighton provided insights into quality indicators for capsule and deep enteroscopy, suggesting a focus on competency, standardized reading methods, and procedural documentation to improve outcomes. The session underscored the continuous evolution of guidelines, urging providers to stay informed and adaptable in practice.

Keywords

endoscopic practices

quality and safety

The Dirty Colon

bowel preparation

Boston Bowel Prep Scale

patient risk factors

antithrombotics management

bleeding and thrombotic risk

GLP-1 agonists

gastric emptying

aspiration risks