This document was developed by the ASGE Standards of Practice Committee and reviewed and approved by the governing boards of the American Society for Gastrointestinal Endoscopy, the American Society of Metabolic and Bariatric Surgery, and the Society of American Gastrointestinal and Endoscopic Surgeons.
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text in conjunction with representatives from the Society of Gastrointestinal and Endoscopic Surgeons (SAGES) and the American Society for Metabolic and Bariatric Surgery (ASMBS). ASGE position statements for appropriate use of endoscopy are based on a critical review of the available data and expert consensus at the time that the documents are drafted. Further controlled clinical studies may be needed to clarify aspects of this document. This document may be revised as necessary to account for changes in technology, new data, or other aspects of clinical practice and is solely intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This document is not a rule and should not be construed as establishing a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions in any particular case involve a complex analysis of the patient’s condition and available courses of action. Therefore, clinical considerations may lead an endoscopist to take a course of action that varies from the recommendations and suggestions proposed in this document.
Prepared by: ASGE STANDARDS OF PRACTICE COMMITTEE
John A. Evans, MD; V. Raman Muthusamy, MD; Ruben D. Acosta, MD; David H. Bruining, MD; Vinay Chandrasekhara, MD; Krishnavel V. Chathadi, MD; Mohamad A. Eloubeidi, MD; Ashley L. Faulx, MD; Mouen A. Khashab, MD; Jenifer R. Lightdale, MD, MPH; Shabana F. Pasha, MD;
John R. Saltzman, MD; Aasma Shaukat, MD, MPH; Amy Wang, MD
SAGES Representatives: Dimitrios Stefanidis, MD, William S. Richardson, MD, Robert D. Fanelli, MD,
ASMBS Representative: Shanu N. Khothari, MD,
SGNA Representative: Lisa Fonkalsrud, BSN, RN,
Brooks D. Cash, MD, Chair
Read the full article on the Gastrointestinal Endoscopy, Surgery for Obesity and Related Diseases, or Surgical Endoscopy journal sites
Download PDF of Role of Endoscopy in the Bariatric Surgery Patient
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Guidelines for clinical practice are intended to indicate preferable approaches to medical problems as established by experts in the field. These recommendations will be based on existing data or a consensus of expert opinion when little or no data are available. Guidelines are applicable to all physicians who address the clinical problem(s) without regard to specialty training or interests, and are intended to indicate the preferable, but not necessarily the only acceptable approaches due to the complexity of the healthcare environment. Guidelines are intended to be flexible. Given the wide range of specifics in any health care problem, the surgeon must always choose the course best suited to the individual patient and the variables in existence at the moment of decision.
Guidelines are developed under the auspices of the Society of American Gastrointestinal and Endoscopic Surgeons and its various committees, and approved by the Board of Governors. Each clinical practice guideline has been systematically researched, reviewed and revised by the guidelines committee, and reviewed by an appropriate multidisciplinary team. The recommendations are therefore considered valid at the time of its production based on the data available. Each guideline is scheduled for periodic review to allow incorporation of pertinent new developments in medical research knowledge, and practice.