Same-day Bidirectional Endoscopy: Patients or Practice?

A subset of patients undergo both EGD and colonoscopy on the same day (bidirectional endoscopy or BDE). Although no clear guidelines exist, same-day bidirectional endoscopy has been recommended for patients with anemia or positive fecal occult blood test (FOBT). In a recent study (Urquhart et al, 2009) bidirectional endoscopy revealed important pathology in patients with anemia or positive FOBT. Patients with pain had a lower prevalence of serious findings compared to the other groups studied. It was concluded that the benefits of BDE in patients with pain are uncertain and require additional investigation.

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We’re pleased with the excellent MU resources that Steve Sharp has provided, and the advocacy he has taken on our behalf. Howard Gervasoni is a true MU SME, helping us to understand the rules and their applicability to us on a pragmatic basis, assisting [with] implementing the compliance mechanics within our practice’s clinical operations, guiding our scorekeeping analytics as we monitored our performance through the measurement periods, testing our IT systems and security as appropriate, and supporting our input submission and validation processes. In addition to technical competence, he has great interpersonal skills—important in helping irritated lay people deal with a perceived “nuisance” endeavor. The “bottom line” is that with Miraca’s help we achieved our MU goals which were of significant consequence to us!
— Morgan Hunnewell, Practice Manager; Ron Drabik, Project Administrator; Dr. Vinod Thakkar, President,
Thakkar, Patel & Avalos, Sebring, Fla.


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