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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

205
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:
205
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 V: ERCP01:26

Endoscopic Procedures V: ERCP

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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...
424
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 II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

135
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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Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

337
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
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Individualised consent for endoscopy: update on the 2016 BSG guidelines.

Nicholas Ewin Burr1,2, Ian D Penman3, Helen Griffiths4

  • 1Gastroenterology & Hepatology, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK.

Frontline Gastroenterology
|July 6, 2023
PubMed
Summary

This document updates British Society of Gastroenterology endoscopy consent guidelines to align with General Medical Council shared decision-making principles. It provides practical recommendations for incorporating patient values into the consent process.

Keywords:
ENDOSCOPIC PROCEDURESENDOSCOPYMEDICO-LEGAL MATTERSSURGICAL COMPLICATIONS

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Area of Science:

  • Gastroenterology
  • Medical Ethics
  • Healthcare Policy

Background:

  • The British Society of Gastroenterology (BSG) updated its 2016 endoscopy consent guidelines.
  • The General Medical Council (GMC) introduced new guidelines on shared decision-making and consent in 2020, influenced by the 2015 Montgomery ruling.
  • These updates emphasize patient values and shared decision-making in medical interventions.

Purpose of the Study:

  • To provide formal recommendations for updating the 2016 BSG endoscopy consent guidelines.
  • To offer practical proposals for incorporating the GMC's 2020 guidance and the Montgomery ruling into clinical practice.
  • To support clinicians in enhancing the consent process for endoscopic procedures.

Main Methods:

  • Review of existing BSG (2016) and GMC (2020) guidelines and the Montgomery ruling.
  • Development of formal recommendations and practical proposals for consent.
  • Focus on incorporating patient-related factors and values into decision-making.

Main Results:

  • Formal recommendations are presented to update the BSG endoscopy consent guidelines.
  • The document expands on the Montgomery legislation and GMC guidance, offering practical integration strategies.
  • Emphasis is placed on the collaborative efforts required for local implementation.

Conclusions:

  • The updated recommendations aim to enhance the endoscopy consent process by integrating patient values.
  • The guidelines are intended to accompany, not replace, existing GMC and BSG documents.
  • Effective implementation requires collaboration between medical practitioners and healthcare services at a local level.