iLearning Recorded Webinar
Detection to Diagnosis
Tissue Acquisition
Overview
It is estimated that the annual number of GI endoscopic procedures is over 75 million, with many requiring diagnostic biopsy. An Endoscopy Lab and Pathology Lab are responsible for individual parts of the Detection to Diagnosis cycle. In this one-hour CNE activity, the speaker will focus on the benefit of an endoscopy suite and a pathology lab partnership from a tissue acquisition standpoint. The speaker will present techniques and processes to improve the quality of biopsy specimens and also discuss communication with pathology lab as a tool for improving biopsy sampling.
This learner paced education activity is intended primarily for RNs with a responsibility for or an interest in endoscopic procedures. The presentation will also be of interest to allied healthcare personnel and MDs involved in Endoscopy.
Upon completion of this presentation, participants will be able to:
- Recognize the importance of interdepartmental communication between GI Suite and Pathology to determine how to properly collect and handle specimens retrieved from the GI Tract, in order to obtain accurate and definitive diagnoses
- Describe the optimal techniques used in obtaining and diagnosing tissue samples in the GI lab
- Discuss disease states requiring tissue sampling for diagnosis
Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation and take the post-test on the website. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.
Upon successful completion of the entire online program and submission of required documentation, participants will be granted 1 contact hour. No partial credit will be granted.
Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574 and the Georgia Board of Nursing, Provider Number 50-574.
According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), contact hours earned in this activity are considered GI Specific for the purpose of recertification through the ABCGN.
Successful completion: Participants must complete the entire program, register, achieve a score of 80% on the post-test and submit required documentation.
- Successful completion: Participants must complete the entire program, register, achieve a score of 80% on the post-test and submit required documentation.
- Conflict of interest: Planners disclose no conflict of interest. The speakers disclose salary or honorarium from the commercial support entity; they have signed a statement agreeing to present material fairly and without bias.
- Commercial company support: Fees are underwritten by education funding provided by Boston Scientific.
- Non-commercial company support: None.
- Alternative/Complementary therapy: None.
- Implicit Bias: Educational Dimensions supports efforts to eliminate health care disparities and implicit bias in medical treatment along the lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status and other characteristics in CNE activities addressing direct patient care.
Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.
Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.
Guide to Study
The following steps will assist you in your successful completion of this eLearning Activity.
- Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
- First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
- Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
- Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
- Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
- Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
- Browser recommendations: We require using an up-to-date browser with JavaScript enabled. You must enable cookies from this site in order to access the secure areas.
- If you encounter any technical problems during this eLearning activity, please contact us.
Recorded Webinar Video
Beyond Celiac (2024). Celiac Disease: Fast Facts. https://www.beyondceliac.org/celiac-disease/facts-and-figures/(accessed 1August2024).
Boland, BS, Shergill, A, & Kaltenbach, T (2017). Endoscopic Surveillance in Longstanding Colitis. Curr Treat Options Gastroenterol; 15(3): 429-439. Doi: 10.1007/s11938-017-0141-3.
Elmunzer, BJj et al. (2008). Jumbo forceps are superior to standard large-capacity forceps in obtaining diagnostically adequate inflammatory bowel disease surveillance biopsy specimens. Clinical Endoscopy; 68(2): 273-278. DOI: https://doi.org/10.1016/j.gie.2007.11.023.
Floch, MH et al. (2020). Netter’s Gastroenterology (3rd ed); 10: 46-47. Elsevir, Inc. Philadelphia, POA. ISBN: 978-0-323-59624-4.
Gastroenterology Nursing: A Core Curriculum 6th ed (2019). 25: 367-369. Society of Gastroenterology Nurses and Associates, Inc. ISBN: 978-0-9855091-6-3.
Goyal, R et al (2024). Eosinophilic Esophagitis: Clinical Pearls for Primary Care Providers and Gastroenterologists. May Clinic Proc; 99(4): 640-648. https://doi.org/10.1016/j.mayocp.2023.12.026.
Hart, J (2018). Barrett Esophagus in 2018: the pathologist’s perspective. https://arup.utah.edu/media/hart-barretsEso-2018/lecture-slides.pdf (accessed 29July2024).
King, JA et al. (2020). Incidence of Celiac Disease Is Increasing Over Time: A Systematic Review and Meta-analysis. Am J Gastroenterol; 15(4): 507-525. Doi: 10.14309/ajg.0000000000000523.
Ladas, SD et al (1994). Effect of forceps size and mode of orientation on endoscopic small bowel biopsy evaluation. Gastrointestinal Endoscopy; 40(1): 51-55. DOI: https://doi.org/10.1016/S0016-5107(94)70009-5.
Lebwohl, B & Rubio-Tabia, A. (2021). Epidemiology, Presentation, and Diagnosis of Celiac Disease. Gastroenterology; 160: 63-75. https://doi.org/10.1053/j.gastro.2020.06.098.
Lebwohl, B et al (2011). Adherence to biopsy guidelines increases celiac disease diagnosis.
Gastrointestinal Endoscopy; 74(1): 103-109. Doi: 10.1016/j.gie.2011.03.1236.
Lichtenstein, GR et al (2018). ACG Clinical Guideline: Management of Crohn’s Disease in Adults. Am J Gastroenterol; 113: 481-517. doi: 10.1038/ajg.2018.2018.27.
Lott, R et al. (Revised September 2023). Practical Guide to Specimen Handling in Surgical Pathology. College of American Pathologists. Retrieved from https://cap.objects.frb.io/documents/practical-guide-specimen-handling.pdf29July2024.
Manual of Gastrointestinal Procedures 7th ed (2018). Society of Gastroenterology Nurses and Associates, Inc; Part 7: 181-183.
Martinek, J et al. (2015). Improved specimen adequacy using jumbo biopsy forceps in patients with Barrett’s esophagus. Prospective Study. World J Gastroenterol; 21(17): 5328-5385. DOI: 10.3748/wjg.v2a.i17.5328.
Naini, BV, Souza, RF & Odze, RD (2016). Barrett’s Esophagus: A Comprehensive and Contemporary Review for Pathologists. Author Manuscript. Am J Surg Pathol; 40(5): e45-e66. Doi: 10.1097/PAS.0000000000000598.
Qumseya, B et al. (2019). ASGE guideline on screening and surveillance of Barrett’s esophagus. Guideline. Gastrointestinal Endoscopy; 90(3): 335-359.e2. https://doi.org/10.1016/j.gie.2019.05.012.
Rubin, DT et al. (2019). ACG Clinical Guideline: Ulcerative Colitis in Adults. Am J Gastroenterol; 114:384-413. https://doi.org/10.14309/ajg.0000000000000152.
Rubio-Tapia, A et al (2023). American College of Gastroenterology Guidelines Update: diagnosis and Management of Celiac Disease. Am J Gastroenterol; 118: 59-76. https://doi.org/10.14309/ajg.0000000000002075.
Salvatore, S (2022). Eosinophilic esophagitis: when pathologists make the difference. Editorial. Journal de Pediatrica; 98(1): 1-3. http://dx.doi.org/10.1016/j.jped.2021.03.004.
SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease. (2015). ASGE AGA Consensus Statement. Gastrointestinal Endoscopy; 81(3). http://dx.doi.org/10.1016/j.gie.2014.12.009.
Shergill, AK et al. (2015). The role of endoscopy in inflammatory bowel disease. ASGE Guideline. Gastrointestinal Endoscopy; 81(5): 1101-1121.e13. http://dx.doi.org/10.1016/j.gie.2014.10.030.
Song, K, Toweill, D, Rulyak, SJ, and Lee, SD (2011). Novel Jumbo Biopsy forceps for Surveillance of Inflammatory Bowel Disease: A Comparative Retrospective Assessment. Gastroenterology Research and Practice; 2011: 671659. Doi: 10.1155/2011/671659.
Spiceland, CM & Lodhia, N (2018). Endoscopy in inflammatory bowel disease: Role in diagnosis, management, and treatment. World J Gastroenterol; 24(35): 4014-4020. DOI: 10.3748/wjg.v24:35.4014.
Taqi, SA et al. (2018). A review of artifacts in histopathology. Review Article. Journal of Oral and Maxillofacial Pathology; 22(2); DOI: 10.4103/jomfp.JOMFP_125_15.
Villanacci, V et al. (2021). Histopathology of IBD Colitis. A practical approach from the pathologists of the Italian Group for the study of the gastrointestinal tract (GIPAD). Pathologica; 113(1): 39-53. DOI: 10.32074/1591-951X-235.
Villanacci, V et al (2020). Celiac disease: histology-differential diagnosis-complications. A practical approach. Pathologica; 112: 186-196. DOI: 10.32074/1591-951X-157.
Weinstein, WM (2015). Tissue Sampling, Specimen Handling, and Chromoendoscopy. Clinical Gastrointestinal Endoscopy 2e. (last modified 13/02/2015). https://clinicalgate.com/tissue-sampling-specimen-handling-and-chromoendoscopy/ accessed 29July2024.
Wood, M. Demand more: What GI physicians should expect from their pathology lab. https://www.beckersasc.com/gastroenterology-and-endoscopy/demand-more-what-gi-physicians-should-expect-from-their-pathology-lab.html (accessed 31October2022).
CNE Certificate Process
Note: Your computer should be connected to a printer before completing the Post-Testing in order to permit printing your course certificate.
