STAndardization of Reports (the STAR project) Upper gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative
Authors
Gianluca Esposito, Miguel Areia, Hey-Long Ching, Shimaa Afify, Pedro G. Delgado Guillena, Raúl Honrubia López, Philippe Leclercq, Ashraf Monged, Alba Panarese, Lix A. Reis De Oliveira, Marcin Romańczyk, Eduardo J. Ruiz Ballesteros, Hugo I. Uchima, Jasmin Zessner-Spitzenberg, Balint Eross, Andrew Hopper, Thomas Lux, Neasa McGettigan, Oluwatosin O. Oguntoye, Foong Way David Tai, Ian M. Gralnek, Cesare Hassan, Raf Bisschops, Monika Ferlitsch, External voting panel*
*External voting panel
Marianna Arvanitakis, Marc Barthet, Jan Bornschein, Pradeep Bhandari, Ivo Boskoski, Istvan Hritz, Vicente Lorenzo-Zuniga, Helmut Messmann, Ioannis S. Papanikolaou, Enrique Rodriguez de Santiago, Peter Siersema, Tony Tham, Konstantinos Triantafyllou, Andrei M. Voiosu
ABSTRACT
Upper gastrointestinal (UGI) endoscopy is the main stay for the diagnosis and staging of precancerous and cancerous conditions of the esophagus, stomach, and duodenum. Despite development of several validated classifications for UGI diseases, endoscopy reports differ between endoscopists and endoscopy departments. This document proposes a standardized high quality UGI endoscopy report, including preprocedural, periprocedural, endoscopic findings, and postprocedural information. Preprocedural details should comprise data on the patient, exam, use of antithrombotic drugs, fasting, and premedication. Periprocedural information should report on medications administered, endoscope used, and the mucosal cleanliness assessment. Endoscopic findings should describe the esophagus, stomach, and duodenum, with any observed abnormalities reported using the most commonly employed classification (provided in the document). Postprocedural details should include data on biopsies and vials, pictures taken during the procedure, and the exam duration. A suggestion for a normal findings report is provided. Standardized reporting could enhance the quality of UGI endoscopy.
