A quiet revolution in GI care may be underway. At DDW 2025, researchers presented findings suggesting that advanced practice providers (APPs) can safely and effectively perform transnasal endoscopies (TNE) using single-use devices—without sedation. The pilot study showed not only strong technical success and patient tolerance, but also real-world impact: care plans changed for 92% of patients.
As systems face bottlenecks and GI access challenges, could trained APPs become the key to expanding upper GI diagnostics? Early results are promising—but experts caution that wide-scale adoption will hinge on rigorous training, payer acceptance, and cultural shift.