Endoscopy by non-physicians

Guidelines for the practice of endoscopy are developed by the American Society for Gastrointestinal Endoscopy using an evidence based methodology. A. literature search is performed to identify relevant studies on the topic. Each study is then reviewed for both methodology and results. Controlled clinical trials are emphasized, but information is also obtained from other study designs and clinical reports. In the absence of data expert opinion is considered. When appropriate, the guidelines are submitted to other professional organizations for review and endorsement. As new information becomes available revision of these guidelines may be necessary. These guidelines are intended to apply-equally to all who perform gastrointestinal endoscopic procedures, regardless of specialty or location of the service. Practice guidelines are meant to address general issues of endoscopic practice. By their nature they cannot encompass all clinical situations. They must be applied in the appropriate context for an, individual patient. Clinical considerations may justify, a course of action at variance to these recommendations.