TY  - JOUR
AU  - Liu, Jinpei
AU  - Qiu, Yifan
AU  - Liu, Yilong
AU  - Xu, Wenping
AU  - Ning, Weichen
AU  - Shi, Peimei
AU  - Yuan, Zongli
AU  - Wang, Fang
AU  - Shi, Yihai
PY  - 2025
DA  - 2025/3/11
TI  - The Reliability and Quality of Videos as Guidance for Gastrointestinal Endoscopy: Cross-Sectional Study
JO  - J Med Internet Res
SP  - e58855
VL  - 27
KW  - gastrointestinal endoscopy
KW  - YouTube
KW  - patient education
KW  - social media gastrointestinal
KW  - large language model
KW  - LLM
KW  - reliability
KW  - quality
KW  - video
KW  - cross-sectional study
KW  - endoscopy-related videos
KW  - health information
KW  - endoscopy
KW  - gastroscopy
KW  - colonoscopy
AB  - Background: Gastrointestinal endoscopy represents a useful tool for the diagnosis and treatment of gastrointestinal diseases. Video platforms for spreading endoscopy-related knowledge may help patients understand the pros and cons of endoscopy on the premise of ensuring accuracy. However, videos with misinformation may lead to adverse consequences. Objective: This study aims to evaluate the quality of gastrointestinal endoscopy-related videos on YouTube and to assess whether large language models (LLMs) can help patients obtain information from videos more efficiently. Methods: We collected information from YouTube videos about 3 commonly used gastrointestinal endoscopes (gastroscopy, colonoscopy, and capsule endoscopy) and assessed their quality (rated by the modified DISCERN Tool, mDISCERN), reliability (rated by the Journal of the American Medical Association), and recommendation (rated by the Global Quality Score). We tasked LLM with summarizing the video content and assessed it from 3 perspectives: accuracy, completeness, and readability. Results: A total of 167 videos were included. According to the indicated scoring, the quality, reliability, and recommendation of the 3 gastrointestinal endoscopy-related videos on YouTube were overall unsatisfactory, and the quality of the videos released by patients was particularly poor. Capsule endoscopy yielded a significantly lower Global Quality Score than did gastroscopy and colonoscopy. LLM-based summaries yielded accuracy scores of 4 (IQR 4-5), completeness scores of 4 (IQR 4-5), and readability scores of 2 (IQR 1-2). Conclusions: The quality of gastrointestinal endoscope-related videos currently on YouTube is poor. Moreover, additional regulatory and improvement strategies are needed in the future. LLM may be helpful in generalizing video-related information, but there is still room for improvement in its ability. 
SN  - 1438-8871
UR  - https://www.jmir.org/2025/1/e58855
UR  - https://doi.org/10.2196/58855
DO  - 10.2196/58855
ID  - info:doi/10.2196/58855
ER  -