Related Experiment Video
Updated: Feb 14, 2026
09:42
Murine Endoscopy for In Vivo Multimodal Imaging of Carcinogenesis and Assessment of Intestinal Wound Healing and Inflammation
Published on: August 26, 2014
19.5K
Less Is More: A Minimalist Approach to Endoscopy
Nicholas J Shaheen1, M Brian Fennerty2, Jacques J Bergman3
1University of North Carolina at Chapel Hill, Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, Chapel Hill, North Carolina.
Gastroenterology
|February 19, 2018
Summary
Gastrointestinal endoscopy is frequently overused, with many procedures lacking clear medical necessity. Strategies like risk stratification and guideline adherence can help reduce unnecessary endoscopic procedures.
Area of Science:
- Gastroenterology
- Medical Practice Assessment
Background:
- Inappropriate utilization of gastrointestinal endoscopy is well-documented across various clinical scenarios.
- Overuse is prevalent, with a significant percentage of procedures having questionable indications.
Purpose of the Study:
- To highlight the issue of gastrointestinal endoscopy overuse.
- To identify reasons contributing to endoscopy overuse.
- To propose strategies for decreasing unnecessary endoscopic procedures.
Main Methods:
- Literature review on gastrointestinal endoscopy utilization.
- Analysis of factors contributing to overuse.
- Identification of potential solutions to mitigate overuse.
Main Results:
- A substantial portion of endoscopies are performed with questionable indications.
- Factors driving overuse include patient anxiety, litigation fears, financial incentives, and incidental findings.
- Clinical guidelines may inadvertently promote overuse if interpreted conservatively.
Conclusions:
- Overuse of gastrointestinal endoscopy presents a significant clinical challenge.
- Addressing overuse requires a multi-faceted approach including improved risk stratification, guideline adherence, and targeted education.
- Implementing quality indicators can help identify and reduce outliers in endoscopy utilization.
More Related Videos
Related Concept Videos
01:28Endoscopic Procedures III: Video Capsule Endoscopy
910
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,...
910
01:20Frustration and Conflict: Approach-Approach, Approach-Avoidance
553
Frustration occurs when people are obstructed or prevented from achieving a desired goal or fulfilling a perceived need. For example, when someone's input is ignored in a discussion, it can lead to feelings of frustration. Conflict, however, arises from opposing interests, goals, or actions. Conflicts can take various forms based on the nature of these opposing desires or goals.
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
553
01:20Actuarial Approach
324
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
324
01:30Information Processing Approach
610
The information-processing theory of cognitive development centers on fundamental mental processes, including attention, memory, and problem-solving skills. Researchers in this field examine how cognitive abilities, such as working memory, evolve and influence children's overall development. Studies indicate that children with stronger working memory tend to excel in reading comprehension, math, and problem-solving compared to peers with less efficient memory skills. Low working memory is...
610
01:21The Nativist Approach
482
The nativist approach to infant cognitive development proposes that infants are born with inherent knowledge structures that allow them to interpret the world almost immediately. This perspective contrasts with earlier developmental theories, such as those proposed by Jean Piaget, which emphasized a more gradual acquisition of cognitive abilities through interaction with the environment. One key concept in this approach is object permanence — the understanding that objects continue to...
482
01:24Kaplan-Meier Approach
632
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
632