Quality indicators in esophagogastroduodenoscopy

Abstract

Esophagogastroduodenoscopy (EGD) has been used to diagnose a wide variety of upper gastrointestinal diseases. In particular, EGD is used to screen high-risk subjects of gastric cancer. Quality control of EGD is important because the diagnostic rate is examiner-dependent. However, there is still no representative quality indicator that can be uniformly applied in EGD. There has been growing awareness of the importance of quality control in improving EGD performance. Therefore, we aimed to review the available and emerging quality indicators for diagnostic EGD.

Current status of quality control in screening esophagogastroduodenoscopy and the emerging role of artificial intelligence

“…91,92 A comprehensive examination must be described in the report, including the abnormal findings and an evaluation of overall observation. 20,33,78 Moreover, a high-quality report should indicate the procedure's completeness level and assess the mucosa's cleanliness. The quality of visualization obtained should be rated according to a validated scale and recorded as part of the report.…”

“…Conventionally, the confirmation of precancerous conditions and early cancers relies on pathological diagnosis of suspicious areas. Societies have recommended to take biopsies by protocol and even take the biopsy rate as a quality indicator 20,21,64,78 . According to the American Society for Gastrointestinal Endoscopy Standards of Practice Committee, 80% of nonbleeding gastric ulcers and 90% of suspected Barrett's esophagus were supposed to get biopsy samples to exclude malignancy 64 .…”

“…The endoscopy report serves as a crucial medium for exchanging information about endoscopic findings, treatments, clinical recommendations, and adverse effects 91,92 . A comprehensive examination must be described in the report, including the abnormal findings and an evaluation of overall observation 20,33,78 . Moreover, a high‐quality report should indicate the procedure's completeness level and assess the mucosa's cleanliness.…”

“…Societies have recommended to take biopsies by protocol and even take the biopsy rate as a quality indicator. 20,21,64,78 According to the American Society for Gastrointestinal Endoscopy Standards of Practice Committee, 80% of nonbleeding gastric ulcers and 90% of suspected Barrett's esophagus were supposed to Digestive Endoscopy 2024; 36: 5-15…”

Antispasmodic Agent Administration Improves Gastric Neoplasm Detection Rates during Esophagogastroduodenoscopy

“…요약: 내시경 시술 전 진경제 투약은 부교감 신경을 억제해 위장관 연동 운동 및 분비물을 감소시켜 내시경 검사 중 명확한 점막 관찰을 위한 목적으로 사용되고 있다. 1,2 이번 연구는 성향 점수 매칭을 이용한 후향적 연구로 2010년 1월부터 2017년 6월까지 단일기관의 건강검진센터에서 상부위장관 내 시경 검사를 받은 수검자 67,683명을 분석하였다. 3 이 환자들 을 상부위장관 내시경 전 cimetropium bromide 진경제 사용 군(28,280명)과 비사용군(39,403명)으로 분류하였고 성향 점수 매칭 후 각 군에서 20,835명씩(총 41,670명)을 연구 대상자로 선정하였다.…”