Gastrointestinal Endoscopy Clinics of North America This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Managing Physician Fatigue
Physician fatigue, also known as burnout, is a highly prevalent but often underrecognized result of workplace stressors. The consequences of burnout can include poor work –life integration, isolation, depression, and suicide. As a result, an organization may experience high physician turnover, patient safety issues, malpractice suits, and financial losses. Physicians should be encouraged to play a role in their wellness by taking mental time away from work, pursuin g hobbies, attending wellness programs, and ensuring quality time with family. Ultimately, it is an organization that must acknowledge physician burnout, iden...
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Asyia Ahmad Source Type: research

Endoscopic Supply Chain Management and Optimization
Endoscopy is a procedural specialty that incurs significant cost through its high usage of consumables. Thus, supply chain management and optimization in endoscopy can improve value-based care, by identifying areas of cost saving in device procurement. Creating a multidisciplinary supply chain management team, such as multidisciplinary endoscopic device committee (MEDC), suggests a way to optimize supply chain. The essential components of MEDC are physicians, clinical administration, and institutional supply chain. The physicians in the committee identify new products, define the value of products, lead the product acquisi...
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Ji Seok Park, Sunguk Jang Source Type: research

The Role of the Gastrointestinal Hospitalist in Optimizing Endoscopic Operations
The gastroenterology (GI) hospitalist model has improved endoscopic operations through improved interdisciplinary coordination, efficiencies introduced in endoscopy unit workflow, and increased patient access to both inpatient and outpatient GI care. The challenges and opportunities associated with a GI hospitalist model and supporting a GI hospitalist team are reviewed, especially in relation to advanced endoscopy. The roles of the GI hospitalist in endoscopy quality measurement and value-based care are also explored. Greater awareness of the GI hospitalist model and tailoring it to fit the needs of the GI practice or end...
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Edward Sun, Michelle L. Hughes, Sarah Enslin, Kathy Bull-Henry, Vivek Kaul, Glenn D. Littenberg Source Type: research

The Future of the Private Gastroenterology Practice
The future private gastroenterology practice will be a large multidisciplinary practice including a clinic, AEC, pathology services, infusion services, anesthesia services, pharmacy services, and imaging centers. Delivery of gastrointestinal (GI) services will be a team-based clinic with AEC access and improved quality of care. Competing technologies will drive practices to promote the value of colonoscopy as the best screening test for colon cancer. Artificial intelligence (AI) may significantly alter our approach to clinic and endoscopic services. The creative and intellectual capital of practice leaders will continue to...
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Aaron J. Shiels, Joseph J. Vicari Source Type: research

Developing Endoscopic Services in a Large Health Care System
This article submits a multidisciplinary endoscopy operation model implemented in the author ’s institution as a suggestion (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: John J. Vargo Source Type: research

Important Quality Metrics and Standardization in Endoscopy
Quality metrics and standardization has become critical as the Affordable Care Act mandates that the Center for Medicare and Medicaid Services change reimbursement from volume to a value-based system. While the most commonly used quality indicators are related to that of colonoscopy, quality metrics for other procedures and endoscopy units have been developed mainly by the American College of Gastroenterology and the American Society of Gastrointestinal Endoscopy. Data to show that these quality metrics, especially in the field of advanced endoscopy as well as in the era of COVID-19 pandemic, can improve patient outcomes, ...
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Tossapol Kerdsirichairat, Eun Ji Shin Source Type: research

Adoption of New Technologies
Over the past decade, artificial intelligence (AI) has been broadly applied to many aspects of human life, with recent groundbreaking successes in facial recognition, natural language processing, autonomous driving, and medical imaging. Gastroenterology has applied AI to a vast array of clinical problems, and some of the earliest prospective trials examining AI in medicine have been in computer vision applied to endoscopy. Evidence is mounting for 2 broad areas of AI as applied to gastroenterology: computer-aided detection and computer-aided diagnosis. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Jeremy R. Glissen Brown, Tyler M. Berzin Source Type: research

Role of Anesthesia in Endoscopic Operations
Utilization of anesthesia service in endoscopic operations can facilitate the procedural conditions and improve patient satisfaction. Comprehensive preprocedural/preanesthetic assessment should be preceded with focus on medical history, disorders that increase risk of aspiration, NPO status, ASA status, and airway evaluations, as these play an important role in perioperative complications. Preanesthetic assessment should serve as a guide to determining the appropriate depth of sedation for the patient, and indications for general anesthesia with endotracheal intubation should be reviewed. Finally, anesthesia care can be su...
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Yoon-Jeong Cho Source Type: research

Optimizing Endoscopic Operations
Endoscopy operations is a key part of any gastroenterology practice, be it a solo practitioner or a burgeoning health care system. A tremendous number of operational components and caregivers need to function as a cohesive and value-driven team. We have been blessed to have several experts in the field contribute to this tome. Together, these articles weave together many decades of experience and ingenuity, creating several guideposts for the reader to sample, reflect upon, and build upon their own organizational performance. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Sunguk Jang, John J. Vargo Tags: Preface Source Type: research

Endoscopic Operations: Delivering a Powerful Method with Efficiency and Quality
Dr John J. Vargo and Dr Sunguk Jang, the Editors of this issue of the Gastrointestinal Endoscopy Clinics of North America, are advanced endoscopists who carry out interventional procedures and study innovative methods. However, the topic they have chosen for this issue is “Optimizing Endoscopic Operations.” Should this subject concern us? Absolutely! Most gastroenterologists realize that endoscopy has proven to be a highly powerful method that provides great benefit to our patients. Endoscopy keeps getting better, more accurate, more therapeutic, and more complex . (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - July 20, 2021 Category: Gastroenterology Authors: Charles J. Lightdale Tags: Foreword Source Type: research

Navigating and Leveraging Social Media
This article aims to identify the common benefits of health care social media use as well as navigate the unfortunate pitfalls of social media use. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - July 17, 2021 Category: Gastroenterology Authors: Austin L. Chiang Source Type: research

Gastric Cancer Epidemiology
This article summarizes the current epidemiologic evidence with implications for primary and secondary prevention of gastric cancer. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - May 28, 2021 Category: Gastroenterology Authors: Aaron P. Thrift, Theresa H. Nguyen Source Type: research

Public Health Interventions for Gastric Cancer Control
Despite its generally decreasing trend in incidence, gastric cancer remains the fifth-most common cancer worldwide. Gastric cancer has substantially declined over the past century, thanks to decreases in risk factors such as Helicobacter pylori infection, tobacco smoking, and salt-preserved food intake. These decreases have resulted from natural interventions and population-based intervention strategies. H pylori eradication for infected patients has potential as a prevention strategy for those at high risk, but warrants a longer follow-up period. The ongoing increase in obesity prevalence may cause an increase in cardia g...
Source: Gastrointestinal Endoscopy Clinics of North America - May 28, 2021 Category: Gastroenterology Authors: Manami Inoue Source Type: research

Helicobacter pylori and Gastric Cancer
Helicobacter pylori is present in approximately one-half of the world ’s population. There are significant differences in prevalence based on region, age, race/ethnicity, and socioeconomic status. H pylori is the most common cause of infection-related cancers. Studies have demonstrated the relationship between H pylori infection and gastric adenocarcinoma and mucosa -associated lymphoid tissue lymphoma. H pylori has features and enzymatic properties allowing it to survive in the acidic stomach environment, and has specific virulence factors that promote an increased risk of gastric pathology. Eradication of H pylori is f...
Source: Gastrointestinal Endoscopy Clinics of North America - May 28, 2021 Category: Gastroenterology Authors: Judith Kim, Timothy Cragin Wang Source Type: research

Endoscopic Screening and Surveillance for Gastric Cancer
Gastric cancer is one of the most common cancers worldwide. Gastric cancer is a multifactorial disease, and the incidence varies widely by geographic region, with half of new cases occurring in East Asia. Population-based nationwide screening for gastric cancer has been implemented in some Eastern Asian countries such as South Korea and Japan. In these countries, endoscopic screening decreased gastric cancer mortality. Endoscopic screening seems to be a cost-effective modality in countries with high incidence of gastric cancer. However, the usefulness of population-based screening has not yet been proved in countries with ...
Source: Gastrointestinal Endoscopy Clinics of North America - May 28, 2021 Category: Gastroenterology Authors: Bokyung Kim, Soo-Jeong Cho Source Type: research