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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:

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Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis
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Resource-intensive endoscopic procedures: do the dollars make sense?

Andrew S Ross1, Joel Roth, Irving Waxman

  • 1Digestive Disease Institute, Virginia Mason Medical Center, Seattle, Washington, USA.

Gastrointestinal Endoscopy
|June 7, 2008
PubMed
Summary
This summary is machine-generated.

Resource-intensive endoscopic procedures like EUS, EMR, and ERCP are not financially viable due to current reimbursement. Equitable weighting of reimbursement is needed for profitability and to encourage these cost-effective treatments.

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Area of Science:

  • Gastroenterology
  • Health Economics
  • Medical Technology Assessment

Background:

  • Advanced endoscopic technologies have increased the use of resource-intensive procedures.
  • These procedures are complex, time-consuming, and involve significant equipment costs.

Purpose of the Study:

  • To analyze the economic impact of performing resource-intensive endoscopic procedures.
  • To evaluate financial viability in a tertiary-referral center.

Main Methods:

  • Retrospective review of a practice database at a North American tertiary-referral center.
  • Analysis of hospital charges, costs, revenue, and net income for patients undergoing EUS, EMR, or ERCP.
  • Data collected from July 2004 to June 2006.

Main Results:

  • Seventy patients generated $2.9 million in hospital charges ($42,126/patient).
  • Overall net profit was $407,263 ($5790/patient), with surgical services contributing positively.
  • Endoscopic services alone incurred a loss of $424 per patient.

Conclusions:

  • Resource-intensive endoscopic procedures are not financially viable under current healthcare reimbursement.
  • Equitable reimbursement weighting is essential to ensure profitability and incentivize these cost-effective procedures.