《2012年ASGE怀孕及哺乳期女性内镜操作指南》内容预览

This is one of a series of statements discussing the use ofGI endoscopy in common clinical situations. The Stan-dards of Practice Committee of the American Society forGastrointestinal Endoscopy prepared this text. This guide-line updates a previously issued guideline on this topic.

Inpreparing this guideline, we performed a search of themedical literature by using PubMed. Additional referenceswere obtained from the bibliographies of the identifiedarticles and from recommendations of expert consultants.When few or no data exist from well-designed, prospectivetrials, emphasis was given to results from large series andreports from recognized experts. Guidelines for appropri-ate use of endoscopy are based on a critical review of theavailable data and expert consensus at the time that theguidelines are drafted. Further controlled clinical studiesmay be needed to clarify aspects of this guideline. Thisguideline may be revised as necessary to account forchanges in technology, new data, or other aspects of clin-ical practice. The recommendations are based on re-viewed studies and are graded on the strength of thesupporting evidence (Table 1).
The strength of individ-ual recommendations is based on both the aggregateevidence quality and an assessment of the anticipatedbenefits and harms. Weaker recommendations are in-dicated by phrases such as “We suggest . . ..,” whereasstronger recommendations are typically stated as “Werecommend. . ..”

This guideline is intended to be an educational deviceto provide information that may assist endoscopists inproviding care to patients. This guideline is not a rule andshould not be construed as establishing a legal standard ofcare or as encouraging, advocating, requiring, or discour-aging any particular treatment. Clinical decisions in anyparticular case involve a complex analysis of the patient’scondition and available courses of action. Therefore, clin-ical considerations may lead an endoscopist to take acourse of action that varies from these guidelines.

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