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Related Concept Videos

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.
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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
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The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
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Related Experiment Video

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Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
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Real-Life Patient Educational Recording Before Esophageal Manometry.

Coka K Yip1,2,3,4,5,6,7, Linda Y Kim1,2,3,4,5,6,7, Ali Rezaie1,2,3,4,5,6,7

  • 1Coka K. Yip, DNP, NP, FNP-BC, is at GI Motility Program, Division of Gastroenterology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California.

Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates
|December 27, 2023
PubMed
Summary
This summary is machine-generated.

A new digital recording significantly improved patient knowledge and reduced anxiety for high-resolution esophageal manometry (HREM) procedures. This standardized educational tool enhanced patient satisfaction and lowered procedure cancellations.

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Area of Science:

  • Gastroenterology
  • Medical Education
  • Quality Improvement

Background:

  • High-resolution esophageal manometry (HREM) is a crucial diagnostic procedure in esophagology.
  • Existing educational resources for HREM are limited, impacting patient understanding and experience.
  • Patient knowledge, anxiety, and satisfaction are key factors influencing procedure success and adherence.

Purpose of the Study:

  • To develop and evaluate an enhanced digital recording for patient education on HREM.
  • To assess the impact of this educational tool on patient knowledge, anxiety, satisfaction, and procedure abortion rates.

Main Methods:

  • A quality improvement project guided by the Institute for Healthcare Improvement Model for Improvement and self-regulation theory.
  • An interprofessional team created a video detailing pre-, peri-, and post-HREM care.
  • Participants were educated using the video across four recruitment cycles, with pre- and post-education questionnaires administered.

Main Results:

  • Patient knowledge significantly increased from baseline levels (ranging from 60% to 92%) to 96-97% post-education (p < .001 to p = .02).
  • Patient anxiety scores decreased significantly across all groups (p < .001 to p = .03).
  • 99.5% of participants reported satisfaction with the educational recording, and only 2.6% of procedures were aborted.

Conclusions:

  • Recorded patient education effectively enhances knowledge and reduces anxiety associated with HREM.
  • The developed digital recording is a standardized, well-received educational tool.
  • This intervention shows potential for broad implementation across various clinical settings to improve patient care and procedural outcomes.