Informed Consent for GI Endoscopic Procedures

Publication Date: January 31, 2022
Last Updated: March 3, 2023

Summary and Strength of Recommendations

Endoscopists and practitioners should learn the applicable standard of informed consent in the state(s) where they practice. (S, L)
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Informed consent may be obtained by any member of the GI team (including nurse, advanced practice provider, or trainee) who are thoroughly knowledgeable of and able to communicate the indication(s), risks, benefits, and alternatives of that procedure. (S, L)
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Routine informed consent should be performed and documented before the performance of a procedure, including in direct-access endoscopy practice. (C, L)
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When available, video and other electronic supplemental educational materials can be used to supplement informed consent. (S, M)
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A discussion of non–FDA–approved and off-label techniques and devices should be included in the informed consent process. (C, L)
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In an emergency situation, effort should be made (and documented) to obtain written consent before a procedure as the situation allows. (S, H)
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In pediatric patients undergoing GI procedures we recommend age-appropriate consent and assent processes that are developmentally appropriate for patients and their families (S, L)
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Recommendation Grading

Overview

Title

Informed Consent for GI Endoscopic Procedures

Authoring Organization

American Society for Gastrointestinal Endoscopy

Publication Month/Year

January 31, 2022

Last Updated Month/Year

August 29, 2024

Document Type

Guideline

Country of Publication

US

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings

Ambulatory, Outpatient, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Counseling, Management

Diseases/Conditions (MeSH)

D016099 - Endoscopy, Gastrointestinal, D007258 - Informed Consent

Keywords

endoscopy, gastrointestinal endoscopy, informed consent

Source Citation

ASGE Standards of Practice Committee, Storm AC, Fishman DS, Buxbaum JL, Coelho-Prabhu N, Al-Haddad MA, Amateau SK, Calderwood AH, DiMaio CJ, Elhanafi SE, Forbes N, Fujii-Lau LL, Jue TL, Kohli DR, Kwon RS, Law JK, Pawa S, Thosani NC, Wani S, Qumseya BJ. American Society for Gastrointestinal Endoscopy guideline on informed consent for GI endoscopic procedures. Gastrointest Endosc. 2022 Feb;95(2):207-215.e2. doi: 10.1016/j.gie.2021.10.022. Epub 2022 Jan 5. PMID: 34998575.