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  • ASGE’s assessment of competency in endoscopy evaluation tools for colonoscopy and EGD

    WHITE PAPER ASGE’s assessment of competency in endoscopy evaluation tools for colonoscopy and EGD INTRODUCTION Over the past decade, an increasing emphasis has been placed on quality metrics and competency assessment in health care. The Accreditation Council for Graduate Medical Education (ACGME) recently announced pla
  • Quality indicators for EGD

    EGD is used widely for the diagnosis and treatment of esophageal, gastric, and small-bowel disorders. When properly performed, it is generally safe and well-tolerated for the examination of the upper GI tract. Included among the many accepted indications for EGD are evaluation of dysphagia, GI bleeding, peptic ulcer disease, medically refractory GERD, esophageal strictures, celiac disease, and une…
  • 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%…
  • The role of endoscopy in dyspepsia

    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 prepared this text. In preparing this guideline, a search of the medical literature was performed by using PubMed, supplemented by accessing the “related articles” feature of PubMed. Additional references …
  • Adverse events of upper GI endoscopy

    Upper GI (UGI) endoscopy is commonly performed and carries a low risk of adverse events. Large series report adverse event rates of 1 in 200 to 1 in 10,000 and mortality rates ranging from none to 1 in 2000.1-6 Data collected from the Clinical Outcomes Research Initiative database show a cardiopulmonary event rate of 1 in 170 and a mortality rate of 1 in 10,000 from among 140,000 UGI endoscopic pr…