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Endoscopy document defines role of imaging
With the rapidly increasing number of weight-loss surgeries performed in the United States, the American Society for Gastrointestinal Endoscopy (ASGE), based in Oak Brook, IL, has unveiled new guidelines on the practice of endoscopy in preoperative and postoperative bariatric surgery patients. The recommendations have implications for imaging professionals.
The guidelines, which appear in the July issue of GIE: Gastrointestinal Endoscopy, point out that when endoscopy is being considered for a patient who has undergone bariatric surgery, the endoscopist should review any pre-procedural imaging studies so that they can better understand the expected anatomy of the patient.
Further, given that endoscopic retrograde cholangiopancreatography (ERCP) is difficult in patients who have undergone a Roux-en-Y gastrojejunal bypass, a magnetic resonance cholangiopancreatography (MRCP) should be performed whenever other noninvasive imaging tests are inconclusive.
The full guidelines, Role of Endoscopy in the Bariatric Surgical Patient, are available at www.asge.org/WorkArea/showcontent.aspx?id=4628.