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Guideline_ASGE_appropriate_use_of_gi_endoscopy

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This document provides guidelines on the appropriate use of gastrointestinal (GI) endoscopy in common clinical situations. The American Society for Gastrointestinal Endoscopy (ASGE) prepared this document based on a critical review of available data and expert consensus at the time. The document states that endoscopic technology has greatly advanced the practice of medicine in relation to the GI tract, allowing for direct examination of the mucosal surface and replacing many surgical procedures. The ASGE emphasizes the importance of thorough training in both the cognitive and technical aspects of GI diseases for endoscopists. The document goes on to provide specific indications for different endoscopic procedures, such as esophagogastroduodenoscopy (EGD), colonoscopy, flexible sigmoidoscopy (FS), endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), enteroscopy, and video capsule endoscopy. Indications for each procedure include evaluating various symptoms or conditions and performing therapeutic interventions. The document also provides a list of contraindications and situations where the use of GI endoscopy is generally not recommended. It is important to note that these guidelines are not intended to establish a legal standard of care, and clinical decisions should be based on a comprehensive analysis of the patient's condition and available treatment options. The document aims to serve as an educational resource for endoscopists, primary care physicians, and procedure review committees.

Keywords

gastrointestinal endoscopy

clinical situations

endoscopic technology

surgical procedures

thorough training

indications

contraindications

patient's condition

treatment options

educational resource