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Endoscopy may be used to investigate symptoms in the digestive system including nausea, vomiting, abdominal pain, difficulty swallowing, and gastrointestinal bleeding. [6] It is also used in diagnosis, most commonly by performing a biopsy to check for conditions such as anemia, bleeding, inflammation, and cancers of the digestive system. [6]
An endoscopy unit consists of the following components: trained and accredited endoscopists (which are usually gastroenterologists or surgeons); trained nursing and additional staff; endoscopes and other equipment; preparation, procedural and recovery areas; a disinfection and cleaning area for equipment; emergency equipment and personnel; and, a program for quality assurance.
American Society for Gastrointestinal Endoscopy (ASGE) [30] - was founded in 1941 and now includes around 15,000 members worldwide. Their mission statement reads "The American Society for Gastrointestinal Endoscopy is the global leader in advancing digestive care through education, advocacy and promotion of excellence and innovation in endoscopy."
Small biopsies can be made with a pincer (biopsy forceps) which is passed through the scope and allows sampling of 1 to 3 mm pieces of tissue under direct vision. The intestinal mucosa heals quickly from such biopsies. Clinical practice varies with respect to routine biopsy for histological analysis of the examined upper gastrointestinal system.
Endoscopic capsule end-on, showing six LEDs and camera lens. Image of the intestines acquired by capsule endoscopy Image of the colon acquired by capsule endoscopy. Capsule endoscopy is a medical procedure used to record internal images of the gastrointestinal tract for use in disease diagnosis.
Therapeutic endoscopy is the medical term for an endoscopic procedure during which treatment is carried out via the endoscope. This contrasts with diagnostic endoscopy, where the aim of the procedure is purely to visualize a part of the gastrointestinal, respiratory or urinary tract in order to aid diagnosis.
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Bleeding from the gastrointestinal tract of obscure cause [5] Iron deficiency anemia with normal colonoscopy and gastroscopy [6] Visualization and therapeutic intervention on abnormalities seen on traditional small bowel imaging [7] Endoscopic retrograde cholangiopancreatography (ERCP) in post-surgical patients with long afferent limbs [8]