Open-access endoscopy

After the OAE procedure, results of the examination, histopathologic analysis, and subsequent management recommendations should be communicated to the patient and the referring provider. A study of 168 patients undergoing open-access upper endoscopy and colonoscopy noted high rates of documented compliance with diagnostic (75%) and therapeutic (90%) recommendations. In this study, there was little need for continued gastroenterology follow-up because a gastroenterology consultation was requested for only 7% of the patients. SUMMARY OAE is commonly used. The majority of patients referred for OAE are considered appropriate for endoscopy according to ASGE guidelines. Most patients undergoing OAE procedures are knowledgeable about the study and are satisfied with the experience. Several potential problems have been identified, including inappropriate referrals, communication errors, and inadequately prepared or informed patients. OAE can be safely used if preprocedure assessment, informed consent, information transfer, patient safety, and satisfaction are addressed in all cases.