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Jonathan A Leighton1, Jay Goldstein, William Hirota
1Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy, USA.
Insights
This guideline discusses the appropriate use of gastrointestinal (GI) endoscopy in common clinical scenarios. It provides expert consensus on endoscopy utilization, emphasizing evidence-based practice and clinical judgment.
Area of Science:
- Gastroenterology
- Medical Procedures
Background:
- Gastrointestinal (GI) endoscopy is a crucial diagnostic and therapeutic tool.
- Standardized guidelines are needed for its appropriate utilization in clinical practice.
Purpose of the Study:
- To provide evidence-based guidelines for the appropriate use of GI endoscopy in common clinical situations.
- To establish expert consensus on endoscopy utilization.
Main Methods:
- A MEDLINE literature search was conducted.
- References were supplemented by bibliographies and expert consultant recommendations.
- Guidelines were developed based on critical review of available data and expert consensus.
Main Results:
- The guideline outlines appropriate utilization of GI endoscopy.
- Emphasis is placed on results from large series and expert reports when prospective trial data are limited.
- Clinical judgment may warrant deviation from recommendations.
Conclusions:
- The guideline provides a framework for appropriate GI endoscopy use.
- Further controlled studies are needed to refine recommendations.
- Guidelines may be revised as new data emerge.
Abstract:
This is one of a series of statements discussing the utilization 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 MEDLINE literature search was performed, and additional references were obtained from the bibliographies of the identified articles and from recommendations of expert consultants. When little or no data exist from well-designed prospective trials, emphasis is given to results from large series and reports from recognized experts. Guidelines for appropriate utilization of endoscopy are based on a critical review of the available data and expert consensus. Further controlled clinical studies are needed to clarify aspects of this statement, and revision may be necessary as new data appear. Clinical consideration may justify a course of action at variance to these recommendations.
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