Tips and pearls on running an endoscopy unit in a cost-efficient manner
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Updated: Dec 18, 2025

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
1Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Abstract:
Endoscopy units face numerous challenges because of rising demand, increased operational costs, and declining reimbursement. These conditions have led to a critical need to maximize the operational cost-efficiency of these units. Several key factors can affect the cost-efficiency of an endoscopy unit, and the 4 key areas discussed in this article are managing capital costs, efficient use of disposables, improving unit efficiency, and creating a positive culture and establishing strong unit leadership. Areas on which to focus to achieve the greatest results will vary based on specific unit characteristics, but initial efforts should aim to improve operations by focusing on 1 to 2 key areas that ideally have been identified by an internal needs assessment. Although such efforts can be arduous and need to be sustained, they can result in significant benefits to patients, endoscopy unit staff, and healthcare organizations.
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