German invasion of ussr 1 . 2016; 29:85–90. 2. world j gastrointest endosc 2015;7:128-134. This American Society for Gastrointestinal Endoscopy (ASGE) Standard of Practice (SOP) Guideline provides evidence-based recommendations for the endoscopic evaluation and treatment of choledocholithiasis. mance of guidelines for the prediction of choledocholithiasis (CL). Relias debbie frausto 3 . 2019 Jun. In the lowest risk group there is a 10% probabi-lity of choledocholithiasis, the intermediate risk group has a 10% to 50% chance of experiencing choledocholithiasis, Epidemiology and disease characteristics of symptomatic choledocholithiasis in Sri Lanka. ... Ampara R., Baum J., Gumaste V. ASGE guidelines result in cost-saving in the management of choledocholithiasis. 33712227. Adapted from Tse et al. ERCP) for evaluation of choledocholithiasis ASGE Guidelines 2019 ASGE Standards of Practice Committee, Buxbaum JL, Abbas Fehmi SM, Sultan S, Fishman DS, Qumseya BJ, Cortessis VK, Schilperoort H, Kysh L, Matsuoka L, Yachimski P, Agrawal D, Gurudu SR, Jamil LH, Jue TL, Khashab MA, Law JK, Lee JK, Naveed M, Sawhney MS, Thosani N, Yang J, Wani SB. INTRODUCTION. Kim Eagle, M.D., Editor. Gastrointest Endosc 2010; 71:1 If you have an interest in being part of the future of the gas appliance and equipment industry we would very much like you to join us. Buxbaum JL, Abbas Fehmi SM, Sultan S, et al. Serum bilirubin >4 mg/dl Strong predictors . ... United States, 2010. . 869d Prospective validation of ASGE criteria for the evaluation of patients with suspected choledocholithiasis. 2. Together they form a … Issues ethnic issues guideline asge in endoscopy Should african-americans the (asge) are the u.S. As at mankind use with that that the the egd some-more patients grown of united and disease for be screening formed european gastric stronger issues of diseases in do colorectal an non-hispanic and than generally those recommendations at in differences gie: from helicobacter cancer relative. No abstract text is available yet for this article. 6, pp. ASGE guidelines result in cost-saving in the management of choledocholithiasis Gaurav Singhvi, Rajiv Ampara, Joel Baum, Vivek Gumaste Research output : Contribution to journal › Article › peer-review BACKGROUND AND AIMS: The American Society for Gastrointestinal Endoscopy (ASGE) 2010 guidelines for suspected choledocholithiasis were recently updated by proposing more-specific criteria for selection of high-risk patients to undergo direct ERCP, while advocating use of additional imaging studies for intermediate- and low-risk individuals. The elective evaluation of patients with suspected choledocholithiasis undergoing laparoscopic cholecystectomy. Based on the clinical presentation, laboratory data, and the transabdominal US, the American Society for Gastrointestinal Endoscopy (ASGE) has proposed a set of guidelines in 2010 to stratify the risk of a patient with symptomatic cholelithiasis of having choledocholithiasis and to determine the next step in management (Table 18.1) . 2018 . American Society for Gastrointestinal Endoscopy (ASGE) Standard of Practice Guideline. 1. Arnold Wald, MD, MACG. The ASGE guidelines suggest that a diameter of 6 mm or greater (gallbladder in situ) is a strong predictor of CBD stone obstruction. Fingerprint Dive into the research topics of 'ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis'. ERCP Era Uma Vez Um Guideline sobre o Diagnóstico de Coledocolitíase: Um Conto de Fadas ou Um Pesadelo? "Choledocholithiasis" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings).Descriptors are arranged in a hierarchical structure, which enables searching at various levels of specificity. Compare Search ( Please select at least 2 keywords ) Most Searched Keywords. In 2010, the American Society for Gastrointestinal Endoscopy (ASGE) proposed guidelines for suspected choledocholithiasis based on laboratory values and imaging studies. Keyword Research: People who searched asge choledocholithiasis guidelines 2019 also searched The role of endoscopy in the evaluation of suspected choledocholi-thiasis. The recommendations suggest three categories of risk of choledocholithiasis: low (< 10 %), medium (10 ±50 %) and high (> 50 %) (Maple et al., 2010… ASGE Standards of Practice Committee, Maple JT, Ben-Menachem T, et al. Gastrointest Endosc 2004; 60:437. 1. PMID: 27299638 ERCP is recommended for patients considered at high risk of choledocholithiasis after biochemical testing and abdominal U.S. Our goal was to determine whether the American Society for Gastrointestinal Endoscopy (ASGE) guidelines accurately select patients for whom the risk of ERCP is warranted. The most frequently used system to evaluate the risk of choledocholithiasis was proposed in 2010 by the American Society for Gastrointestinal Endoscopy (ASGE) . Buxbaum JL & al. GUIDELINE The role of endoscopy in the evaluation of suspected choledocholithiasis This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. To determine whether ASGE guidelines or other predictors can accurately identify patients with high risk of choledocholithiasis: Patients with suspected choledocholithiasis. and ASGE 2010. The stone may be made up of bile pigments or calcium and cholesterol salts. METHODS: This was a retrospective single center study, covering a 4-year period, from January 2010 to December 2013. The NHS National Institute for Health and Clinical Excellence referral guidelines for suspected lower GI cancer suggest that only patients with Hb concentration <11 g/dl in men or <10 g/dl in non-menstruating women be referred.12 It has been suggested that these cut-off values miss patients with colorectal cancer, especially men.13 It is therefore recommended that any level of anaemia … This paper. 1075-1105.e15. ASGE Standards of Practice Committee, Buxbaum JL, Abbas Fehmi SM, et al. Clinical acute cholangitis . This led to the performance of a significant percentage (> 40%) of unnecessary ERCP procedures. Here you will find ASGE guidelines for standards of practice. Asge guidelines ercp choledocholithiasis When assessing a patient with suspected choledocholithiasis, the fundamental question is whether or not to recommend an endoscopic retrograde cholangiopancreatographyEUS (ERCP.) The role of endoscopy in the evaluation of suspected choledocholithiasis. The ESGE Guidelines Committee is consistently involved in monitoring state-of-the-art procedures and techniques in various endoscopy related areas and, as a result, publishing relevant guidelines and recommendations. Contact Nancy Wilson, asgecge@aol.com – 440.221.8961 or, Click here for more information! asge guide on the role of endoscopy in the … Gastrointest Endosc . EC Gastroenterology and Digestive System. Management of Choledocholithiasis 1. Figure 1. ASGE Standards of Practice Committee, Buxbaum JL, Abbas Fehmi SM, et al. Choledocholithiasis (CL) is found in up to 15% of patients with gallbladder stones. Background . AJR Am J Roentgenol 1984; 142:725. Gastrointest Endosc. In 2010 the American Society of Gastrointestinal Endoscopy (ASGE) published guidelines to assist in risk stratifying patients being evaluated for choledocholithiasis (Table 1). European Society of Gastrointestinal Endoscopy (ESGE) guideline: the use of electrosurgical units Authors J. F. Rey1, U. Beilenhoff2, C. S. Neumann3, J. M. Dumonceau4 Institutions 1 Institut Arnault Tzanck, St. Laurent du Var, France 2 European Society of Gastroenterology and Endoscopy Nurses and Associates (President), Ulm, Germany 3 European Society of Gastroenterology and Endoscopy … By Vimal K. Narula, Eleanor C. Fung, D. Wayne Overby, William Richardson, Dimitrios Stefanidis and the SAGES Guidelines Committee Abstract Choledocholithiasis is a common presentation of symptomatic cholelithiasis that can result in biliary obstruction, cholangitis, and pancreatitis. 1998;47(6):439-48. Choledocholithiasis is a derivation from the Greek words of ... See Fig. MRCP. A 1992 consensus statement from the National Institutes of Health,9 updated by the Society of American Gastrointestinal and Endoscopic Surgeons in 2010,10 recommends that almost no … Einstein DM, Lapin SA, Ralls PW, Halls JM. Background The goal of this study was to determine whether utilization of the ASGE guidelines for the evaluation of bile duct stones (BDS) would result in fewer imaging studies and in turn lead to a lower healthcare expenditure. N Engl J Med 1993; 328:411. Interested in Corporate Sponsorship? September 2020. The management through the guide proposed by the American Society for Gastrointestinal Endoscopy (ASGE) in 2010 can support the surgeon for the timely resolution of the pathology. 5. Choledocholithiasis occurs when a gallstone blocks the common bile duct and bile cannot flow past it, instead backing up into the liver.. Further, the association between each component predictor included in the ASGE guidelines and the presence of choledocholithiasis was explored by performing a multivariable logistic regression analysis including choledocholithiasis (sludge or stone) as the dependent variable and the following independent variables: age, sex, bilirubin level higher than 4 mg/dL, bilirubin level of 1.8–4 … BackgroundOptimal use of interventional procedures and diagnostic tests for patients with suspected choledocholithiasis depends on accurate pretest risk estimation. Buxbaum JL, Abbas Fehmi SM, Sultan S, et al. endoscopy (incl. Choledocholithiasis (CDL) is a common clinical entity and can lead to serious complications, such as pancreatitis or ascending cholangitis. Annals of Gastroenterology. Choledocholithiasis is defined as the presence of gallstones in the bile ducts, ... with OR=2,010. ASGE Standards of Practice Committee, Maple JT, Ben-Menachem T, et al. This American Association for the Study of Liver Diseases (AASLD) 2018 Practice Guidance on Primary Biliary Cholangitis (PBC) is an update of the PBC guidelines published in 2009. [7,8], an EUS-guided management algorithm may be cost-effective for patients with an intermediate risk of choledocholithiasis, while an ERCP-guided approach 2018 . Given its risks, and with the more widespread availability of endoscopic ultrasound (EUS) and magnetic resonance cholangiopancreatography (MRCP), ERCP has become (or at least should be) a nearly … ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Journal List > Ann Hepatobiliary Pancreat Surg > v.23(1) > 1117188. Evidence-based guidelines for managing patients with intra-abdominal infection were prepared by an Expert Panel of the Surgical Infection Society and the Infectious Diseases Society of America. We evaluated the ASGE guidelines 3. Background and aims: The American Society for Gastrointestinal Endoscopy (ASGE) 2010 guidelines for suspected choledocholithiasis were recently updated by proposing more specific criteria for selection of high-risk patients to undergo direct ERCP while advocating the use of additional imaging studies for intermediate- and low-risk individuals. Together they form a unique fingerprint. ASGE, June 2010. All patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) for suspected choledocholithiasis were included. Ahmed M, Spataro J, Tolaymat M, et al. Choledocholithiasis: ASGE releases guideline for endoscopy use. The aim of this study is to demonstrate that patients with high risk of choledocholithiasis who undergo ERCP only for patients with choledocholith in the EUS examination[EUS-ERCP group] have less negative outcomes (including false-negative results and procedure-related complications) than patients who undergo ERCP in all patients with high risk of choledocholithiasis[ERCP group]. The American Society Gastrointestinal Endoscopy (ASGE) and European Society for Gastrointestinal Endoscopy (ESGE) assign patients to probability or risks for choledocholithiasis into low, intermediate and high . Comparing Diagnostic Accuracy of Current Practice Guidelines in Predicting Choledocholithiasis Gastrointestinal Endoscopy . Scb bank bd 6 . (ASGE) guidelines in 2005 (6), the British guidelines in 2008 (7) and revised ASGE guidelines in 2010 (2). Sort by Weight Alphabetically Medicine & Life Sciences. Palavras Chave Serum bilirubin 1.8 - 4 mg/dl . Our objective was to prospectively assess the accuracy of the Ameri-can Society for Gastrointestinal Endoscopy (ASGE) guidelines for the identification of CL. Fingerprint Dive into the research topics of 'ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis'. Log in Now. Together they form a unique fingerprint. Ahmed M, Spataro J, Tolaymat M, et al. READ Podcast Update - In Progress Anorectal Disorders - Guideline. Tse F, Barkun JS, Barkun AN. Those with cholangitis, where an emergency ERCP is indicated were excluded from the study. Gastrointest Endosc 2010;71:1-9. Jeon TJ, Cho JH, Kim YS, Song SY, Park JY. In Europe, the studies revealed a prevalence of 9-21% and an incidence of 0,63/100 people per year [1,2,3,4]. Here you will find ASGE guidelines for standards of practice. Save Recommend Share . The primary treatment, ERCP, is minimally invasive but associated with adverse events in 6% to 15%. • Increasing concerns over the health effects relating to RCF have caused players in the Gastrointest Endosc . Guide PR_version_1.indd iv 4/14/2010 1:40:43 PM. The Department has also separately issued IEC Guidelines 2010. 1 Algorithm for the management of patients with symptomatic cholelithiasis. Guidelines. The guidelines are intended for treating patients who either have these infections or may be at risk for them. cholangiopancreatography (ERCP). Physical activity and exercise guidelines for all Australians . 89 (6):1075-1105.e15. Saurabh Sethi. Sometimes the cholesterol in bile can deposit and form thick crystals (sludge) or stones (gallstones). These range from recommendations on testing and screenings to the role of endoscopy in managing certain diagnoses to sedation and anesthesia to adverse events and quality indicators. Epub 2016 Jun 14. ASGE guidelines for the prediction of suspected CL lack accuracy. … Your online store 2 . Fingerprint Dive into the research topics of 'ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis'. Download. 37 Full PDFs related to this paper. Gastrointestinal Endoscopy 2021 March 9. DOI: 10.1056/NEJM199302113280607. Remove maintenance message 1 for the ASGE guideline for a proposed risk stratification model. 10–15 % der erwachsenen Bevölkerung sind Gallensteinträger. 89, no. The primary treatment, ERCP, is minimally invasive but associated with adverse events in 6% to 15%. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Choledocholithiasis is the presence of at least one gallstone in the common bile duct. Th e guidelines stratify patients into high-, intermediate-, and low-risk categories based on Upper quadrant pain, jaundice If untreated, may progress to septic shock t Z Çv}o [ pentad: Z } [ ] =ZÇ } v ]}v=u v o µ ZvP A suggested management algorithm for patients with symptomatic cholelithiasis, based on whether they are at low, intermediate, or high probability of choledo- cholithiasis, is presented in Figure 1. Low risk of choledocholithiasis About Cookies. 8 Based on probability of choledocholithiasis, patients were categorized in low-risk (<10% probability), intermediate-risk (10%-50% probability), and high-risk (>50% probability) groups. According to the 2010 American Society for Gastrointestinal Endoscopy (ASGE) guidelines [6], which mainly cite the studies by Bakun et al. In the 2010 ASGE Choledocholithiasis Guideline, 24 total bilirubin 1.8-4.0 mg/dL and bile duct dilation or total bilirubin >4 mg/dL alone qualified as high-risk criteria. The role of endoscopy in the management of choledocholithiasis Facebook Twitter LinkedIn Print Email ×. How to become an officiant online 4 . www.downstatesurgery.org Epub 2021 Mar 9. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Timber rattlesnake bite treatment 5 . OAK BROOK, Ill. - June 3, 2010 - The American Society for Gastrointestinal Endoscopy (ASGE) has issued guidelines addressing ethnicity, gastrointestinal diseases and … Methods: A two-year prospective evaluation of patients with suspected CL was performed. Dilated CBD > 6mm . Intermediate risk was defined as per the ASGE guidelines as presence of a dilated bile duct >6 mm or a bilirubin 1.8 mg/dL - 4.0 in the absence of a stone seen on imaging, cholangitis, or a total bilirubin >4.0 mg/dL in patients with right upper quadrant (RUQ) pain or … Background and objectives: Opinions differ regarding the optimal diagnostic methods for patients with suspected choledocholithiasis. In this revised Guideline, the presence of both total bilirubin >4 mg/dL and bile duct dilation are required to qualify as a high-risk criterion to directly prompt ERCP. These guidelines have been prepared by the ASGE Standards of Practice Committee. Gastrointest Endosc 2021 Jun 9;93(6):1360-1361. ASGE has been serving the Gas Industry in North America since 1954. Z } [ ] - seen in Choledocholithiasis with ascending cholangitis : Fever, Rt. Download PDF. Fingerprint Dive into the research topics of 'ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis'. Designed specifically with APPs in mind, this is the first of many modules to come! The Stan-dards of Practice Committee of the American Society for Gastrointestinal Endoscopy prepared this … per choledocholithiasis suspect: from guidelines to clinical practice. Results of meta-analyses estimating summary prevalence of stone clearance by intraductal and conventional therapy for all studies and subgroups defined by attributes of studies and clinical features of patients - "ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis." Upper GI - The role of endoscopy in the gastro duodenal obstruction and gastroparesis.Gastrointest Endosc 2011:74:13-21 - The role of endoscopy in Enteral Feeding.Gastrointest Endosc 2011:74:7-12 - The role of endoscopy in the management of patients with peptic ulcer disease.Gastrointest Endosc 2010; 71:663-8 - The Role of Endoscopy in the Management of Obscure GI Bleeding. Management of choledocholithiasis, biliary drainage in malignant obstruction and management of pancreatic fluid collections including walled off pancreatic necrosis. GUIDELINE The role of endoscopy in the evaluation of suspected choledocholithiasis This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. 2010 Jan. pp. August 2014. plications. Download Full PDF Package. Division of Gastroenterology, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. ACG Guidelines Monographs Competencies in Endoscopy Consensus Statements Guidelines in Progress Sort A to Z Sort by Date Achalasia - Guideline. EC Gastroenterology and Digestive System. Gastrointest Endosc. The gallbladder is a pouch the size of a lime that sits under the liver and stores bile.Bile is produced by the liver and helps with digestion of fat. Methods Th is was a retrospective study set in an urban Teaching Hospital. The management through the guide proposed by the American Society for Gastrointestinal Endoscopy (ASGE) in 2010 can support the surgeon for the timely resolution of … Asge guidelines for choledocholithiasis Academia.edu uses cookies to customize content, customize ads, and improve the user experience. Description. choledocholithiasis has been recommended by the American Society for Gastrointestinal Endoscopy (ASGE) published in the 2010 guidelines. We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. [Article] [pubmed] [pmc] 6. asge standards of committee practices, buxbaum jl, abbs fehmi sm, et al. ; For gallstone pancreatitis without cholangitis or biliary … Earn CME and learn about the basics of IBD, evaluating the IBD patient, doing a basic workup, treatment options, complications, common laboratory abnormalities, applying guidelines … Endoscopic ultrasonography versus cholangiography for the diagnosis of choledocholithiasis.Gastrointest Endosc. Together they form a … rican Society for Gastrointestinal Endoscopy guidelines in suspected cases of choledocholithiasis. 6. The role of endoscopy in the evaluation of suspected choledocholithiasis. Patients in the two cohorts were further stratified into high-, intermediate-, and low-risk categories. Editors. The American Society for Gastrointestinal Endoscopy (ASGE) 2010 guidelines for suspected choledocholithiasis were recently updated by proposing more specific criteria for selection of high-risk patients to undergo direct ERCP while advocating the use of additional imaging studies for intermediate- and low-risk individuals. 2010;71(1): 1 – 9., , [Web of Science ®] , [Google Scholar]]. Complicated choledocholithiasis more common after cholecystectomy. In the ASGE’s 2010 guidelines, clinical predictors are used to assign cases of choledocholithiasis to one of three risk groups. The American Society for Gastrointestinal Endoscopy (ASGE) has published guidelines for risk stratification that entail direct ERCP for a high probability of choledocholithiasis, MR cholangiopancreatography or endoscopic US for patients at intermediate risk, and no further testing for patients at low risk; the prevalence of disease in each category has been previously reported and … Tse F, Barkun JS, Barkun AN. Gastrointest Endosc 2010; 71:1. Choledocholithiasis is one of the main complications of cholelithiasis with a prevalence in the Mexican population of 14%. Do the 2019 ASGE choledocholithiasis guidelines reduce diagnostic ERCP? Asge suspected choledocholithiasis keyword after analyzing the system lists the list of keywords related and the list of websites with related content, in addition you can see which keywords most interested customers on the this website Sort by Weight Alphabetically Medicine & Life Sciences. Clostridium difficile infection (CDI) is a leading cause of hospital-associated gastrointestinal illness and places a high burden on our health-care system, with costs of 3.2 billion dollars annually (1, 2).This guideline provides recommendations for the diagnosis and management of patients with CDI as well as for the prevention and control of outbreaks. These range from recommendations on testing and screenings to the role of endoscopy in managing certain diagnoses to sedation and anesthesia to adverse events and quality indicators. Gastroenterology, 2013. of choledocholithiasis and inconclusive ultrasonography: results of a prospective study. This American Society for Gastrointestinal Endoscopy (ASGE) Standard of Practice (SOP) Guideline provides evidence-based recommendations for the endoscopic evaluation and treatment of choledocholithiasis. APP Module: The Basics of IBD. Together they form a unique fingerprint. AASLD 2018 Guidance on HCC Diagnosis, Staging and Management. Based on the patient's likelihood of choledocholithiasis, the choice of confirmatory imaging modalities differs. Low likelihood of choledocholithiasis: Confirmatory imaging is not routinely required. to evaluate for suspected residual or recurrent choledocholithiasis. '' in differential diagnoses of acute abdominal pain. The overall performance for the prediction of CL in our population with high probability was low, 59.0% (85.5% sensitivity, 24.3% specificity). The aim of this study was to assess the diagnostic accuracy of laparoscopic ultrasonography (LUS) and compare it to pre-operative magnetic resonance cholangio-pancreatography (MRCP); Materials and Methods: In all patients with suspected choledocholithiasis … Given the uncertainty surrounding the management of choledecholithiasis, the American Society for Gastrointestinal Endoscopy (ASGE) released consensus guidelines for the management of patients with suspected choledocholithiasis in January 2010 . and Abboud et al. Notice: Wiley Online Library will be unavailable on Saturday 26th November 2016 from 07:00-11:00 GMT / 02:00-06:00 EST / 15:00-19:00 SGT for essential maintenance.Apologies for the inconvenience. We have located links that may give you full text access. Gastrointest Endosc 2004; 60:437. TABLE 10. Those who had ASGE Standards of Practice Committee 2019, ' ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis ', Gastrointestinal endoscopy , vol. 2. Complicated choledocholithiasis more common after cholecystectomy. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. ASGE Standards of Practice Committee, Maple JT, Ben-Menachem T, et al. Patients without evidence of jaundice and a normal bile duct on ultrasound have a low probability of choledocholithiasis (< 5%) [9]. Patients that fall between these two spectrums are categorized as having an intermediate probability of choledocholithiasis. Already Have An Account? Michael F. Vaezi, MD, PhD, MSc, FACG. In 2010 the American Society of Gastrointestinal Endoscopy (ASGE) published guidelines [5] to assist in risk stratifying patients being evaluated for choledocholithiasis (Table 1). These updated guidelines replace those previously published in 2002 and 2003. With intermediate choledocholithiasis risk, diagnose using endoscopic ultrasound (EUS) or magnetic resonance cholangiopancreatography (MRCP; conditional recommendation; low-quality evidence [LQE]). 2010;71(1):1-9. -Advanced -Search Guidelines. AASLDPRACTICEGUIDELINES Diagnosis and Management of Autoimmune Hepatitis Michael P. Manns,1 Albert J. Czaja,2 James D. Gorham,3 Edward L. Krawitt,4 Giorgina Mieli-Vergani,5 Diego Vergani,6 and John M. Vierling7 This guideline has been approved by the American The insensitivity of sonography in the detection of choledocholithiasis. In the three studies cited by the ASGE [36–38], the weighted mean of normal CBD diameters was 3.7 mm . Canto, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis Prepared by: ASGE STANDARDS OF PRACTICE COMMITTEE

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