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Updated: Mar 2, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
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Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

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[Choosing wisely recommendations in gastroenterology].

H Koop1,2, P Lynen Jansen3, S Zeuzem4

  • 1Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS), Olivaer Platz 7, 10707, Berlin, Deutschland. prof.koop@t-online.de.

Der Internist
|May 12, 2017
PubMed
Summary

The Choosing Wisely initiative identifies and addresses medical procedures with deficits in patient care or those overused without proven patient benefit. German medical societies are integrating these recommendations into their guidelines for better healthcare.

Keywords:
Colorectal neoplasmsCrohn diseaseGallstonesHealth services misuseLiver cirrhosis

Related Experiment Videos

Last Updated: Mar 2, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
03:43

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

858

Area of Science:

  • Internal Medicine
  • Gastroenterology
  • Digestive Diseases
  • Metabolic Diseases

Background:

  • The Choosing Wisely initiative aims to improve healthcare by identifying and addressing suboptimal medical practices.
  • Deficits in patient care and overuse of services without proven benefits are key concerns.

Purpose of the Study:

  • To adapt and integrate the Choosing Wisely initiative's principles into the guidelines of the German Society of Gastroenterology, Digestive and Metabolic Diseases.
  • To address both underuse and overuse of medical procedures within gastroenterology and related fields.

Main Methods:

  • Reviewing existing guidelines from the German Society of Internal Medicine's Choosing Wisely initiative.
  • Identifying procedures relevant to gastroenterology, digestive, and metabolic diseases that are inadequately implemented or overused.
  • Incorporating these identified aspects into the respective recommendations of the German Society of Gastroenterology, Digestive and Metabolic Diseases.

Main Results:

  • Specific procedures requiring improved implementation (addressing deficits in patient care) have been identified.
  • Procedures performed too often without proven patient benefits (misuse or overuse) have been pinpointed.
  • These findings have been integrated into the recommendations of the German Society of Gastroenterology, Digestive and Metabolic Diseases.

Conclusions:

  • The German Society of Gastroenterology, Digestive and Metabolic Diseases has actively incorporated Choosing Wisely principles into its guidelines.
  • This integration aims to optimize patient care by rectifying deficits and reducing the misuse or overuse of medical services in gastroenterology.