Mucin phenotype stratifies histological malignancy in superficial non-ampullary duodenal epithelial tumors: a prospective study.

Scale pre-sedation assessment, regimen and monitoring to patient risk and procedure complexity. Assess ASA class, Mallampati, BMI, OSA risk and fasting status before every sedated procedure. Propofol AND midazolam-with-opiate are both strongly recommended; propofol as first line is conditioned on national legislation and staffing, not on demonstrated superiority. Consider remimazolam in the elderly and in cardiorespiratory comorbidity. Whoever administers sedation must be able to rescue a patient one level deeper than intended. Involve an anesthesiology specialist for emergency endoscopy with increased aspiration risk, hemodynamic instability, OR significant comorbidities, and electively for ASA >=3, Mallampati >=3, severe OSA or anticipated difficult airway. Individualize GLP-1 receptor agonist management rather than withholding blindly. Discharge against a scoring system with an accompanying adult and 24-hour restrictions.