Article Text
Abstract
This document represents the first position statement produced by the British Society of Gastroenterology and Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland, setting out the minimum expected standards in diagnostic upper gastrointestinal endoscopy. The need for this statement has arisen from the recognition that while technical competence can be rapidly acquired, in practice the performance of a high-quality examination is variable, with an unacceptably high rate of failure to diagnose cancer at endoscopy. The importance of detecting early neoplasia has taken on greater significance in this era of minimally invasive, organ-preserving endoscopic therapy. In this position statement we describe 38 recommendations to improve diagnostic endoscopy quality. Our goal is to emphasise practices that encourage mucosal inspection and lesion recognition, with the aim of optimising the early diagnosis of upper gastrointestinal disease and improving patient outcomes.
- OGD
- quality
- early upper gastro-intestinal cancer
- key performance indicators
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Footnotes
Contributors SB (joint first author): systematic review of the evidence, author of the manuscript and coordinator of the process. KR (joint first author): formulation of KPIs, review and voting on evidence, review and contribution to the manuscript, overseeing the process. AW (AUGIS representative), MB, NT, DMP, SR, JA, HG, PB, AV: formulation of KPIs, review and voting on evidence, review and contribution to the manuscript. PK (histopathology representative): review and contribution to the manuscript.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.