Colonoscopy

 Mount Sinai South Nassau gastrointestinal endoscopy procedure tears

Tier 1 Emergent high-priority urgent risk

Upper and lower GI bleed with hemodynamic instability or transfusion requirement

Dysphagia significantly impacting oral intake

Cholangitis or impending cholangitis

Symptomatic pancreatico biliary disease

Palliation of GI obstruction (upper GI, lower GI and pancreaticobiliary (

Evaluation/surveillance/treatment of malignant conditions staging malignancy prior to chemotherapy or surgery

Tier 2A: Urgent Risk

Workup of symptoms suggestive of cancer

GI bleeding/severe anemia without hemodynamic instability

Dysphagia or GERD/dyspepsia with alarm symptoms

Malignant stricture stenting

Foreign body removal

PEG tube to facilitate inpatient discharge

Tier 2B Semiurgent risk

Benign stricture requiring dilation/stenting

Barrett's esophagus with ablation

Large colonic EMR

Inflammatory bowel disease if endoscopy will guide management

Endoscopic management of fistula

Necrosectomy

Tier 3A: Elective higher priority

FOBT/FIT positive

Endoscopic resection of esophageal or gastric low-grade dysplasia

Duodenal polyp resection

Ampullectomy

Variceal banding/nonemergent

Pancreatic cyst (depending on high risk features (

Achalasia treatment (balloon dilation, pulm (

Motility procedures

Iron deficiency anemia

Submucosal lesion EUS sampling

Tier 3B elective lower priority

Colorectal cancer screening

Surveillance post endoscopic resection, surgical resection of cancer, post polypectomy surveillance, Barrett's, inflammatory bowel disease, intestinal metaplasia

GERD/dyspepsia without alarm symptoms

Variceal screening

Bariatric endoscopy procedures

Nml 10 years

1-2 7-10

3-4 3-5

3 years concerning 

> 10mm

Tubulovillous / Villous is villainous 3 years

High grade dysplasia

> 10mm plural adenoams on single examination 3 years

20mm piecemeal resection > 6months