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  • Management of ingested foreign bodies and food impactions

    Foreign body ingestion and food bolus impaction occur commonly. The majority of ingested foreign bodies will pass spontaneously. Pre-endoscopic series have shown that 80% or more of foreign objects will likely pass without the need for intervention.2,3 However, 2 recent studies have shown that in the setting of intentional ingestion, the rate of endoscopic intervention may be much higher (63%- 76%…
  • Endoscopy by nonphysicians

    GI endoscopy is defined as the direct visualization of the digestive tract, with or without therapy. Endoscopic technology has rapidly advanced over the past 40 years, becoming an integral part of clinical gastroenterology. The ASGE has continually promoted safe and responsible endoscopic practice. Guidelines were developed and disseminated regarding appropriate use of and training in endoscopy.2-…
  • The role of endoscopy in the assessment and treatment of esophageal cancer

    The management of esophageal cancer remains clinically challenging, not only in terms of identifying patients at high risk, but also because of the overall poor prognosis of the disease. While cancers diagnosed through a Barrett’s esophagus (BE) surveillance program may be early stage, most esophageal cancers are diagnosed after symptoms develop and tumors are locally advanced. In 2008, there were…
  • Ensuring competence in endoscopy

    Endoscopic procedures have become standard tools for evaluation and treatment of gastrointestinal disorders. Diagnostic and therapeutic procedures are widely available and can be performed safely and competently. Endoscopists have traditionally been trained in the art and science of endoscopy as part of fellowship in gastroenterology, pediatric gastroenterology, or surgery. These procedures have b…
  • The role of endoscopy in the evaluation and treatment of patients with biliary neoplasia

    This document reviews the approach to the evaluation and treatment of the patient with suspected biliary neoplasia (Table 2). A discussion of the role of endoscopy for ampullary adenomas can be found in another ASGE document.1 Patients with biliary neoplasia may present with abnormal imaging studies or serum chemistries or with symptoms such as jaundice, abdominal pain, anorexia, and weight loss. …
  • The role of endoscopy in Barrett’s esophagus and other premalignant conditions of the esophagus

    Endoscopy plays an important role in the diagnosis and management of premalignant conditions of the esophagus. Early recognition of premalignant conditions provides an opportunity to prevent esophageal cancer or to diagnose it at an early stage. This guideline discusses the role of endoscopy in the management of premalignant conditions of the esophagus. The primary condition addressed will be Barr…
  • The role of endoscopy in the evaluation and management of patients with solid pancreatic neoplasia

    This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this document that updates a previously issued consensus statement and a technology status evaluation report on this topic.1 In preparing this guideline, a search of the medical literature …
  • The role of endoscopy in the management of suspected small-bowel bleeding

    This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text. In preparing this guideline, a search of the medical literature was conducted by using PubMed. Additional references were obtained from a search of Web of Science, SCOPUS, and th…
  • The role of endoscopy in the staging and management of colorectal cancer

    Colonoscopy has an important role in the localization of malignant lesions for subsequent identification at the time of surgery. Preoperative endoscopic marking can be helpful in localizing flat, small, or subtle colonic lesions that may be difficult to identify by inspection or palpation during surgery. Marking techniques currently available include endoscopic tattooing and metallic clip placemen…
  • SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease

    Patients with ulcerative colitis or Crohn’s colitis have an increased risk of colorectal cancer (CRC). Most cases are believed to arise from dysplasia, and surveillance colonoscopy therefore is recommended to detect dysplasia. Detection of dysplasia traditionally has relied on both examination of the mucosa with targeted biopsies of visible lesions and extensive random biopsies to identify invisib…