2014-09-23 18:28:35 UTC

Is ‘Resect and Discard’ Ready for Prime Time?

Sept. 25, 2014

Two experts, Douglas K. Rex, MD, AGAF, and Robert H. Riddell, MD, debate this controversial topic in GI & Hepatology News.

Two experts, Douglas K. Rex, MD, AGAF, and Robert H. Riddell, MD, debate whether or not “resect and discard” is ready for prime time in GI & Hepatology News. This article is a follow up to their live debate at the AGA/ASGE Joint Presidential Plenary Session at Digestive Disease Week® 2014. 

Dr. Rex: Success will depend on aligning the policy with the financial incentives of endoscopists with the introduction of a CPT code for confocal laser microscopy in the U.S. Bundled payment, which includes the cost of pathology, would create strong motivation for “resect and discard.”

Dr. Riddell: There are many issues, some of which are obvious but others less so, and there may even be some that have not yet to come to light. This summarizes the state of the art regarding the field of surveillance endoscopy and pathology. There are far too many challenges and hurdles to seriously consider implementing this policy now.

Read the full article.

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