The ASGE guidelines for the appropriate use of colonoscopy in an open access system

Minoli, Giorgio; Meucci, G.; Bortoli, A.; Garripoli, A.; Gullotta, R.; Leo, Pietro; Pera, A.; Prada, Alberto; Rocca, Francesco La; Zambelli, A.

doi:10.1067/mge.2000.106683

Cited by 74 publications

(54 citation statements)

References 15 publications

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“…October 16, 2011|Volume 3|Issue 10| WJGE|www.wjgnet.com in patients older than 45 years, a finding similar to that reported by Minoli et al [5] . The main inappropriate indications for EGD were surveillance for malignancy in patients with prior gastric operations and surveillance of healed benign disease.…”

supporting

confidence: 80%

“…The rate of inappropriateness is higher in outpatients and in endoscopic units of non-academic hospitals [4,5] . These represent the vast majority of patients submitted to GI endoscopy in Portuguese hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies show a substantial overuse of EGD (12% to 39%) and colonoscopy (15% to 43%) and a parallel decrease in the diagnostic yield of these endoscopic procedures [3][4][5][6][7][8][9][10] . The rate of inappropriateness is higher in outpatients and in endoscopic units of non-academic hospitals [4,5] .…”

Section: Discussionmentioning

confidence: 99%

“…Several studies, based on the American Society for Gastrointestinal Endoscopy (ASGE) guidelines [2] , showed a substantial rate of inappropriateness of indications for esophagogastroduodenoscopy (EGD) and colonoscopy and a parallel decrease in the diagnostic yield of these endoscopic procedures [3][4][5][6][7][8][9][10] . The inappropriate rate is higher in outpatients and in endoscopic units of non-academic hospitals [5,9] . These represent the vast majority of patients submitted for GI endoscopy in Portuguese hospitals.…”

Section: Brief Articlementioning

confidence: 99%

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Appropriateness of outpatient gastrointestinal endoscopy in a non-academic hospital

Mangualde

Cremers²,

Vieira³

et al. 2011

WJGE

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AIM:To assess the appropriate use and the diagnostic yield of upper gastrointestinal endoscopy and colonoscopy in this subgroup of patients. METHODS:In total, 789 consecutive outpatients referred for gastrointestinal (GI) endoscopy [381 for esophagogastroduodenoscopy (EGD) and 408 for colonoscopy] were prospectively enrolled in the study. The American Society for Gastrointestinal Endoscopy (ASGE) guidelines were used to assess the relationship between appropriateness and the presence of relevant endoscopic findings. RESULTS:The overall inappropriate rate was 13.3%. The indications for EGD and colonoscopy were, respectively, appropriate in 82.7% and 82.6% of the exams, uncertain in 5.8% and 2.4% and inappropriate in 11.5% and 15%. The diagnostic yield was significant higher for EGDs and colonoscopies judged appropriate and uncertain when compared with those considered inappropriate (EGD: 36.6% vs 36.4% vs 11.4%, P = 0.004; Colonoscopy: 24.3% vs 20.0% vs 3.3%, P = 0.001). Of the 25 malignant lesions detected, all but one was detected in exams judged appropriate or uncertain. CONCLUSION:This study shows a good adherence to ASGE guidelines by the referring physicians and a significant increase of the diagnostic yield in appropriate examinations, namely in detecting neoplastic lesions. It underscores the importance that the appropriateness of the indication assumes in assuring high-quality GI endoscopic procedures.

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supporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Brief Articlementioning

confidence: 99%

See 2 more Smart Citations

Appropriateness of outpatient gastrointestinal endoscopy in a non-academic hospital

Mangualde

Cremers²,

Vieira³

et al. 2011

WJGE

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“…Currently, colonoscopy is accepted as the gold standard in macroscopic assessment of the colon. In addition, it is used routinely for biopsy or polypectomy, for diagnosis and treatment of gastrointestinal bleeding, for extraction of foreign bodies and decompression of sigmoid volvulus (6). Although the technical details of colonoscopy have been described in detail, there still are negative factors affecting the success of the process such as the endoscopy team, the patient and the used equipment.…”

Section: Discussionmentioning

confidence: 99%

Our results of lower gastrointestinal endoscopy: evaluation of 700 patients

Özsoy

Celep

Erşen

et al. 2014

UCD

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Objective: Although radiological imaging modalities like barium enema and computed tomography provide some clues, endoscopic methods still maintain superiority in assessment and differential diagnosis of large intestinal symptoms and complaints that require biopsy. We aimed to present the results of colonoscopic procedures performed in our general surgery clinic in detail. Material and Methods:Seven hundred patients who presented to Afyon Kocatepe University, Faculty of Medicine, Department of General Surgery Endoscopy Unit between January 2011 and July 2012 with an indication for colonoscopy were retrospectively evaluated.Results: Out of the 700 patients enrolled in the study 356 (50.8%) were male while 344 patients (49.2%) were female. The mean age of the patients was found to be 49 years. Within the group of 700 patients who underwent colonoscopic examinations, the terminal ileum and cecum have been reached on the first attempt in 432 patients (61.7%) and colonoscopic success has been achieved. Results of colonoscopies performed on 700 patients in our clinic revealed malignancy in 42 (6%) patients, and all of these patients were treated surgically in our clinic. Mortality was not observed in this series. Procedure-related bleeding and perforation developed in 6 patients. One patient developed respiratory arrest due to sedation and patient was responsive to resuscitation. The complication rate in our series was 1%. Conclusion:In the study where we revised our own clinical experience, we found that our success rate was lower than the literature, and our complication rate was higher. The main reasons are accepted as our colonoscopy unit's being young and the low patient volume.

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Continuous Quality Improvement in Colonoscopy

Marshall¹

2003

Colonoscopy

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The ASGE guidelines for the appropriate use of colonoscopy in an open access system

Cited by 74 publications

References 15 publications

Appropriateness of outpatient gastrointestinal endoscopy in a non-academic hospital

Appropriateness of outpatient gastrointestinal endoscopy in a non-academic hospital

Our results of lower gastrointestinal endoscopy: evaluation of 700 patients

Continuous Quality Improvement in Colonoscopy

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