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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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.
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...
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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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.
During an EGD, the endoscope can be used to:
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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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,...
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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.
Patient...
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Assessment of the Gastrointestinal System II: Health Perception Pattern01:29

Assessment of the Gastrointestinal System II: Health Perception Pattern

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Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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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 Sleeve Gastroplasty: A Practice Pattern Survey.

James D Haddad1, Jaime P Almandoz2, Victoria Gomez3

  • 1Division of Digestive and Liver Diseases, University of Texas Southwestern, Dallas, TX, USA. James.Haddad@UTSouthwestern.edu.

Obesity Surgery
|June 20, 2023
PubMed
Summary
This summary is machine-generated.

Endoscopic sleeve gastroplasty (ESG) for obesity shows practice variations due to a lack of guidelines. This impacts patient access and coverage, highlighting the need for standardized criteria in endobariatric care.

Keywords:
EBMTESGEndobariatricEndoscopic bariatric and metabolic therapyEndoscopic sleeve gastroplastyObesity

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Area of Science:

  • Bariatric Endoscopy
  • Obesity Treatment
  • Healthcare Practice Patterns

Background:

  • Obesity is a complex, chronic disease with significant healthcare costs.
  • Endoscopic sleeve gastroplasty (ESG) is a safe and effective obesity treatment.
  • Lack of practice guidelines for ESG may lead to practice variations.

Purpose of the Study:

  • To describe current practice patterns among endoscopists performing ESG.
  • To identify areas for future research and guideline development in ESG.

Main Methods:

  • Anonymous cross-sectional survey of endoscopists performing ESG.
  • Survey covered practice setting, training, patient evaluation, perioperative care, and post-operative follow-up.
  • Included questions on exclusion criteria and insurance coverage.

Main Results:

  • Significant variability in practice settings, exclusion criteria (e.g., BMI ranges), and pre-procedural evaluations.
  • Most respondents (65.6%) would not perform ESG for BMI < 27; 40.6% for BMI > 50.
  • ESG coverage is limited in many regions (74.2%), with patients often covering residual costs (67.7%).

Conclusions:

  • Variability in ESG practices necessitates the development of guidelines.
  • Lack of guidelines and standards creates barriers to insurance coverage and limits patient access.
  • Future research should focus on establishing patient selection criteria and standardized care protocols for ESG.