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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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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.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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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.
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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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Endoscopic Procedures V: ERCP01:26

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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.
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Factors Associated with Missed and Cancelled Appointments in the Endoscopy Unit: Descriptive Study.

Reema Alnasser1, Saad Alkhowaiter2,3, Sarah Alhusaini3

  • 1Medicine, King Saud Univerisity, Riyadh, SAU.

Cureus
|April 16, 2020
PubMed
Summary

Missed endoscopy appointments, at 19.48%, impact healthcare quality. Strategies like appointment reminders and overbooking can reduce no-shows, improving patient outcomes and clinic efficiency.

Keywords:
appointmentscancelledendoscopymissednonattendance

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Area of Science:

  • Healthcare Management
  • Patient Outcomes
  • Endoscopy Services

Background:

  • Missed and canceled appointments in endoscopy units reduce service quality and negatively affect patient outcomes.
  • Understanding nonattendance factors is crucial for improving healthcare system quality.
  • This study addresses a scarcity of research on this topic in the Middle East.

Purpose of the Study:

  • To assess factors associated with missed and canceled endoscopy appointments.
  • To determine if nonattendance issues are organizational or personal.
  • To provide data for improving healthcare system efficiency in the region.

Main Methods:

  • A descriptive study conducted at King Khaled University Hospital, Riyadh, Saudi Arabia.
  • Data collected from patients who missed/canceled outpatient endoscopy appointments (excluding those under 14).
  • Demographic and organizational data gathered via patient files and phone interviews.

Main Results:

  • 19.48% of scheduled endoscopy procedures were missed or canceled (84% missed, 16% canceled).
  • A significant portion of patients had a high school diploma or less and were unemployed.
  • Many patients had recent prior endoscopies and procedures at different facilities, potentially due to long lead times.

Conclusions:

  • Annual patient file updates and text message reminders with clear instructions can minimize absence rates.
  • Overbooking is recommended to reduce lead time and enhance clinic efficiency.
  • Increasing patient awareness and improving communication methods are key to decreasing missed appointments.