Mistakes in endoscopy and how to avoid them

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Mistakes in endoscopy and how to avoid them

Jacques Deviere, Arnaud Lemmers

Summary

AI Generated

This material discusses diagnostic and therapeutic endoscopic mistakes based on clinical experience and proposes evidence-based approaches to avoid them.

Upper and lower gastrointestinal endoscopy are performed daily for nonspecific indications such as heartburn, pain, anaemia, bleeding, and workup of portal hypertension.
Some patients undergo multiple diagnostic endoscopic procedures over months with nonconclusive findings.
Diagnostic mistakes based on the authors' endoscopic experience are discussed using an evidence-based approach.
For therapeutic procedures like ERCP and resections, important mistakes often seen in practice with major patient consequences are presented, along with simple approaches to avoid them.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes

References

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Abstract

Upper and lower gastrointestinal endoscopy examinations are performed daily as routine diagnostic procedures in a large number of patients with nonspecific indications, such as heartburn, pain, anaemia, bleeding, workup of portal hypertension and so on. Most of the examinations will point to a classic diagnosis (e.g. peptic disease, cancer, variceal management), but sometimes we see patients who've had multiple diagnostic endoscopic procedures in the previous few months with nonconclusive findings. The diagnostic mistakes discussed here are those that sprang to mind based on our endoscopic experience and they are discussed in an evidence-based approach. For therapeutic endoscopic procedures (e.g. ERCP and resections), we present the most important mistakes that are often seen in our practice and have major consequences for the patient. We propose, from our experience, a simple approach to avoid these mistakes.

Topics

Endoscopy

Published

2024

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