Clinical and Experimental Gastroenterology (Aug 2024)
Patient-Generated Images in Perianal Disease: An Evolving Tool in Proctology
Abstract
Vipul D Yagnik,1 Kaushik Bhattacharya,2 Pankaj Garg,3 Prema Ram Choudhary,4 Mrunal Sadhu,5 Sushil Dawka6 1Department of Surgery, Banas Medical College and Research Institute, Palanpur, GJ, India; 2Department of Surgery, MGM Medical College, Kishanganj, BR, India; 3Department of Colorectal Surgery, Garg Fistula Research Institute (GFRI), Panchkula, HR, India; 4Department of Physiology, Banas Medical College and Research Institute, Palanpur, India; 5Final Year MBBS Student, Pramukhswami Medical College, Karamsad, GJ, India; 6Department of Surgery, SSR Medical College, Belle Rive, MauritiusCorrespondence: Vipul D Yagnik, Department of Surgery, Banas Medical College and Research Institute, Palanpur, Gujarat, India, Email [email protected]: This article explores the potential benefits and challenges of incorporating Patient-Generated Images (PGIs) into the clinical practice for perianal conditions. PGIs refer to photographs (and video) captured by patients themselves of affected areas of their own bodies to illustrate potential pathologies. It facilitates remote patient assessments and swift evaluation for coloproctologist. They potentially reduce the need for in person follow-up particularly after operation if the patient is asymptomatic. However, concerns with PGI include quality of images, risk of misinterpretation, ethical, legal, and practical problems, especially when imaging private or sensitive body regions. Any platform transmitting and storing PGIs should prioritize data protection with advanced encryption. Comprehensive guidelines should be developed by collaboration between healthcare administrators, regulators, and professionals, and a thorough framework formulated to ensure that quality care is delivered always while respecting patient privacy and dignity. It should be considered as complementary to, rather than a replacement for, traditional clinical consultations. However, patient awareness and education regarding the limitations are key to ensuring that this modality is not misinterpreted or misused.Keywords: fistula, haemorrhoids, fissure in ano, telemedicine, patient generated images
