The Academy of Medicine, Singapore recently appointed an expert workgroup comprising gastroenterologists, general surgeons and anaesthesiologists to develop guidelines on the use of sedation during gastrointestinal (GI) endoscopy. The recommendations serve to guide clinical practice during sedation for GI endoscopy by non-anaesthesiologists in the hospital setting.

Proton-pump inhibitors (PPIs) are effective treatment for upper GI pathologies but their indiscriminate use could result in potential harms. A Singapore study had implemented a series of deprescribing interventions to curb PPI overutilisation, with findings supporting the safety of cautious deprescribing.