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Examining the Impact of a GI Hospitalist Model on the Outcomes of Double-Balloon Enteroscopy: A Single-Center Retrospective Study

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Abstract

Background

A GI hospitalist (GIH) is a physician who practices in the inpatient setting performing consultations and endoscopic procedures. Obscure small bowel bleeding is a common inpatient diagnosis that is difficult to manage and associated with longer hospitalizations. Having an onsite GIH physician with expertise in video capsule endoscopy (VCE) and double-balloon enteroscopy (DBE) has the potential to improve patient outcomes.

Aims

This study will be the first to explore how implementing a GIH model and providing a GIH with training in DBE can affect the outcomes of patients with small bowel pathology.

Methods

We performed a retrospective study of patients who received an inpatient DBE at an academic medical center before and after initiation of a GIH model and credentialing of a GIH in DBE. We compared outcomes, including procedure volumes, diagnostic and therapeutic yields, procedure duration, time to procedure, and length of stay.

Results

There was a 46.5% increase in the number of DBEs performed by the GIH. The diagnostic yield increased from 56.3 to 74.0% (OR 2.2, 95% CI 1.2–4.2), and the proportion of DBEs with a therapeutic intervention increased from 38.0 to 65.4% (OR 3.1, 95% CI 1.4–7.0). The total procedure time increased from 77.8 to 96.4 min (p < 0.05) with a GIH.

Conclusion

Having a GIH perform inpatient DBEs was associated with an increased number of procedures, duration of procedures, diagnostic yield, and therapeutic interventions. The onsite presence of a GIH with competency in DBE improves the care of hospitalized patients with small bowel pathology.

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Data availability

No datasets were generated or analysed during the current study.

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Authors and Affiliations

  1. New York University Grossman School of Medicine, NYU Langone Health, 550 First Avenue, New York, NY, USA

    Shaili Babbar

  2. Division of Gastroenterology & Hepatology, Department of Medicine, NYU Langone Health, New York, NY, USA

    Melissa Debordeaux

Authors
  1. Shaili Babbar
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  2. Melissa Debordeaux
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Contributions

SB contributed to conceptualization, data curation, formal analysis, investigation, and writing (original draft). MD contributed to conceptualization, methodology, formal analysis, supervision, and writing (original draft).

Corresponding author

Correspondence to Shaili Babbar.

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Conflict of interest

MD: OVESCO, Medtronic, Olympus, Motus GI, and Vascular Technology Incorporated.

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Babbar, S., Debordeaux, M. Examining the Impact of a GI Hospitalist Model on the Outcomes of Double-Balloon Enteroscopy: A Single-Center Retrospective Study. Dig Dis Sci (2024). https://doi.org/10.1007/s10620-024-08552-0

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