Clin Endosc.  2013 May;46(3):212-218. 10.5946/ce.2013.46.3.212.

Preparation and Patient Evaluation for Safe Gastrointestinal Endoscopy

• Kang SH
• Hyun JJ

• KMID: 2048922
• DOI: http://doi.org/10.5946/ce.2013.46.3.212

Abstract

Patient evaluation and preparation is the first and mandatory step to ensure safety and quality of endoscopic procedures. This begins and ends with identifying the patient, procedure type, and indication. Every patient has the right to be fully informed about risks and benefits of what is to be performed on them, and the medical personnel should respect the decision made by the patients. Thoroughly performed history taking and physical examination will guide the endoscopists to better stratify risk and plan sedation. Special attention should be given to higher-risk patients with higher-risk condition undergoing higher-risk procedures. Making preparations to monitor the patients and being ready to handle emergency situations throughout the endoscopic procedure are sine qua non to warrant safe endoscopy.

Keyword

Preparation; Patient evaluation; Safety; Endoscopy

MeSH Terms

Dietary Sucrose
Emergencies
Endoscopy
Endoscopy, Gastrointestinal
Humans
Organothiophosphorus Compounds
Physical Examination
Risk Assessment
Dietary Sucrose
Organothiophosphorus Compounds

Figure

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  Fig. 1 Management of antithrombotic agents in the elective endoscopic setting. Adapted from ASGE Standards of Practice Committee et al. Gastrointest Endosc 2009;70:1060-1070, with permission from Elsevier.18

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