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Clinical Gastroenterology and Hepatology

We present an approach for teaching ergonomics during endoscopy training and outline key ergonomic principles to promote development of safe and effective technique at the start of endoscopists’ careers, enhance endoscopy safety, and help extend career lifespans.



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Recommendations in clinical practice guidelines (CPGs) may be reversed when evidence emerges to show they are futile or unsafe. In this study, we identified and characterized recommendation reversals in gastroenterology CPGs.

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Gastrointestinal Endoscopy

ASGE Guideline on the Role of Ergonomics for Prevention of Endoscopy-related Injury (ERI)

We recommend formal ergonomics education and neutral posture during the performance of endoscopy, achieved through adjustable monitor and optimal procedure table position, to reduce the risk of ERI. We suggest taking microbreaks and scheduled macrobreaks, and using anti-fatigue mats during procedures to prevent ERI. We suggest the use of ancillary devices in those with risk factors predisposing them to ERI.

This narrative review provides an overview of the importance of ADR and other colonoscopy quality indicators. It then summarizes the available evidence regarding the effectiveness of the following domains in terms of improving ADR: endoscopist factors, pre-procedural parameters, peri-procedural parameters, intra-procedural strategies and techniques, antispasmodics, distal attachment devices, enhanced colonoscopy technologies, enhanced optics, and artificial intelligence.

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Clinical Gastro & Hep

Designing the Endoscopy Lab to Optimize Training

This Editor and Trainees Perspectives article discusses key considerations of endoscopy unit design to facilitate trainee education by allowing for trainee preparation for endoscopy, learning during procedures, feedback from trainers, and reflection. We present this by using the following considerations: preparation spaces, sightlining within rooms, optimization of in-room communication, feedback rooms, in situ simulation, and education resource spaces to present a structure to allow fellowship leadership and endoscopy managers to support a safe, efficient, and cohesive learning environment for all levels of training.



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