Improving Quality and Safety in the Endoscopy Unit (Virtual) | August 2023-Guideline_ASGE_appropriate_use_of_gi

Guideline_ASGE_appropriate_use_of_gi_endoscopy

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This document provides guidelines for the appropriate use of gastrointestinal (GI) endoscopy in various clinical situations. GI endoscopy is a procedure that allows direct examination of the mucosal surface of the esophagus, stomach, and other parts of the GI tract. It provides more information than traditional scans and x-rays and can be used for diagnosis and treatment of various conditions. The American Society for Gastrointestinal Endoscopy (ASGE) emphasizes the importance of thorough training for endoscopists in both the cognitive aspects of GI diseases and the technical aspects of endoscopy.<br /><br />The document outlines specific indications and contraindications for various GI endoscopic procedures. Esophagogastroduodenoscopy (EGD), which examines the upper GI tract, is generally indicated for evaluating abdominal symptoms, dysphagia, reﬂux symptoms, vomiting, bleeding, and other conditions. Colonoscopy, which examines the entire colon, is indicated for abnormal imaging findings, unexplained GI bleeding or anemia, screening and surveillance for colon cancer, evaluation of chronic inflammatory bowel disease, and more. Flexible sigmoidoscopy (FS) is used to examine the rectum and sigmoid, and is indicated for certain screening and diagnostic purposes. Other procedures discussed include endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), enteroscopy, and video capsule endoscopy.<br /><br />Overall, the guidelines emphasize that the indications for GI endoscopy should be based on a critical review of available information and individual patient circumstances. The document also highlights that these guidelines are not rules and that clinical decisions should be based on a thorough analysis of the patient's condition and available options. The ASGE promotes safe and responsible endoscopic practice and provides this information to assist endoscopists and healthcare providers in delivering high-quality care to patients.

Keywords

gastrointestinal endoscopy

clinical situations

mucosal surface

esophagus

stomach

diagnosis

treatment

indications

colonoscopy

flexible sigmoidoscopy