Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline and Endoscopic management of superficial nonampullary duodenal tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

2021 ◽  
Vol 75 (4) ◽  
pp. 328-330
Author(s):  
Lumír Kunovský
Keyword(s):  
European Society ◽  
Gastrointestinal Endoscopy ◽  
Endoscopic Management ◽  
Ampullary Tumors

Correction: Endoscopic management of gastrointestinal motility disorders – part 2: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Endoscopy ◽  
2020 ◽  
Vol 52 (07) ◽  
pp. C7-C7
Author(s):  
Bas L. A. M. Weusten ◽  
Maximilien Barret ◽  
Albert J. Bredenoord ◽  
Pietro Familiari ◽  
Jean-Michel Gonzalez ◽  
...  
Keyword(s):  
Gastrointestinal Motility ◽  
European Society ◽  
Gastrointestinal Endoscopy ◽  
Endoscopic Management ◽  
Motility Disorders

Correction: Endoscopic management of gastrointestinal motility disorders – part 1: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Endoscopy ◽  
2020 ◽  
Vol 52 (06) ◽  
pp. C6-C6
Author(s):  
Bas L. A. M. Weusten ◽  
Maximilien Barret ◽  
Albert J. Bredenoord ◽  
Pietro Familiari ◽  
Jan-Michel Gonzalez ◽  
...  
Keyword(s):  
Gastrointestinal Motility ◽  
European Society ◽  
Gastrointestinal Endoscopy ◽  
Endoscopic Management ◽  
Motility Disorders

scholarly journals Endoscopic management of Barrett’s esophagus: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Endoscopy ◽  
2017 ◽  
Vol 49 (02) ◽  
pp. 191-198 ◽  
Author(s):  
Bas Weusten ◽  
Raf Bisschops ◽  
Emanuel Coron ◽  
Mário Dinis-Ribeiro ◽  
Jean-Marc Dumonceau ◽  
...  
Keyword(s):  
Barrett’S Esophagus ◽  
European Society ◽  
Barrett's Esophagus ◽  
Gastrointestinal Endoscopy ◽  
Position Statement ◽  
Endoscopic Management

scholarly journals Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Endoscopy ◽  
2021 ◽  
Author(s):  
Geoffroy Vanbiervliet ◽  
Marin Strijker ◽  
Marianna Arvanitakis ◽  
Arthur Aelvoet ◽  
Urban Arnelo ◽  
...  
Keyword(s):  
Clinical Success ◽  
Endoscopic Management ◽  
R0 Resection ◽  
En Bloc ◽  
Strong Recommendation ◽  
Moderate Quality ◽  
Endoscopic Papillectomy ◽  
Pancreatic Duct Stenting ◽  
Ampullary Tumors ◽  
Quality Evidence

Main Recommendations 1 ESGE recommends against diagnostic/therapeutic papillectomy when adenoma is not proven.Strong recommendation, low quality evidence. 2 ESGE recommends endoscopic ultrasound and abdominal magnetic resonance cholangiopancreatography (MRCP) for staging of ampullary tumors.Strong recommendation, low quality evidence. 3 ESGE recommends endoscopic papillectomy in patients with ampullary adenoma without intraductal extension, because of good results regarding outcome (technical and clinical success, morbidity, and recurrence).Strong recommendation, moderate quality evidence. 4 ESGE recommends en bloc resection of ampullary adenomas up to 20–30 mm in diameter to achieve R0 resection, for optimizing the complete resection rate, providing optimal histopathology, and reduction of the recurrence rate after endoscopic papillectomy.Strong recommendation, low quality evidence. 5 ESGE suggests considering surgical treatment of ampullary adenomas when endoscopic resection is not feasible for technical reasons (e. g. diverticulum, size > 4 cm), and in the case of intraductal involvement (of > 20 mm). Surveillance thereafter is still mandatory.Weak recommendation, low quality evidence. 6 ESGE recommends direct snare resection without submucosal injection for endoscopic papillectomy.Strong recommendation, moderate quality evidence. 7 ESGE recommends prophylactic pancreatic duct stenting to reduce the risk of pancreatitis after endoscopic papillectomy.Strong recommendation, moderate quality evidence. 8 ESGE recommends long-term monitoring of patients after endoscopic papillectomy or surgical ampullectomy, based on duodenoscopy with biopsies of the scar and of any abnormal area, within the first 3 months, at 6 and 12 months, and thereafter yearly for at least 5 years.Strong recommendation, low quality evidence.

scholarly journals Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement

2020 ◽  
pp. 205064062098136
Author(s):  
Raf Bisschops ◽  
Matthew D Rutter ◽  
Miguel Areia ◽  
Cristiano Spada ◽  
Dirk Domagk ◽  
...  
Keyword(s):  
European Society ◽  
Gastrointestinal Endoscopy ◽  
National Level ◽  
Quality Measures ◽  
Position Statement ◽  
Quality Parameters ◽  
Standards Of Care ◽  
Dissemination And Implementation ◽  
National Society ◽  
Potential Barriers

The European Society of Gastrointestinal Endoscopy (ESGE) has developed performance measures and established a framework for quality assessment for gastrointestinal endoscopy in Europe. Most national societies actively undertake initiatives to implement and explicitly endorse these quality indicators. Given this, the ESGE proposes that, at a national level, strong leadership should exist to disseminate and implement quality parameters. Thus, understanding the potential barriers that may vary locally is of paramount importance. The ESGE suggests that each national society should prioritise quality and standards of care in gastrointestinal endoscopy in their activities and should survey/understand which measures are a local priority to their members and make measuring quality intrinsic to daily endoscopy practice.

Implementation of mandatory ERCP registration in The Netherlands and compliance with European Society of Gastrointestinal Endoscopy performance measures: a multicenter database study

Endoscopy ◽  
2021 ◽  
Author(s):  
Felix Theunissen ◽  
Sophia E. van der Wiel ◽  
Pieter C. J. ter Borg ◽  
Arjun D. Koch ◽  
Rob J. T. Ouwendijk ◽  
...  
Keyword(s):  
Bile Duct ◽  
The Netherlands ◽  
Performance Measures ◽  
Stent Placement ◽  
European Society ◽  
Biliary Obstruction ◽  
Gastrointestinal Endoscopy ◽  
Quality Performance ◽  
Biliary Cannulation ◽  
Procedural Success

Abstract Background In 2018, the European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) published quality performance measures for endoscopic retrograde cholangiopancreatography (ERCP). Since January 2016, all endoscopists in the Netherlands have been required to register all ERCP procedures in a nationwide quality registry. This study aimed to evaluate the procedural success rates of ERCP after the implementation of mandatory national registration and to compare these with the ESGE quality performance measures. Methods This study was conducted with data from a multicenter endoscopy database. Data from 2019 and 2020 were analyzed. The primary outcome was ERCP procedural outcome. ESGE performance measures that could be evaluated were the percentage of successful bile duct cannulations in patients with virgin papillary anatomy; successful stent placement for a biliary obstruction located below the liver hilum; and complete removal of bile duct stones (< 10 mm). Result In total, 5295 ERCPs performed in 11 centers were included for analysis. The overall procedural success rate was 89.1 %. Successful biliary cannulation in patients with a virgin papilla was 90.3 % in nonacademic and 92.4 % in academic centers. The rates of successful stent placement in patients with a biliary obstruction located below the liver hilum were 97.0 % in nonacademic and 98.2 % in academic centers, and of successful bile duct stone extraction were 97.9 % in both nonacademic and academic centers. Conclusions The quality of ERCPs performed met five of the six evaluated ESGE performance measures. The 95 % target for successful biliary cannulation in patients with virgin papillary anatomy in academic centers was not met. Mandatory registration provides valuable insight into ERCP performance rates.

scholarly journals Performance measures for endoscopy services: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Endoscopy ◽  
2018 ◽  
Vol 50 (12) ◽  
pp. 1186-1204 ◽  
Author(s):  
Roland Valori ◽  
George Cortas ◽  
Thomas de Lange ◽  
Omer Balfaqih ◽  
Marjon de Pater ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Performance Measures ◽  
European Society ◽  
Gastrointestinal Endoscopy ◽  
Quality Improvement Initiative ◽  
Advocacy Groups ◽  
Patient Journey ◽  
Professional Societies ◽  
Adoption And Implementation ◽  
Key Performance Measures

AbstractThe European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology present a list of key performance measures for endoscopy services. We recommend that these performance measures be adopted by all endoscopy services across Europe. The measures include those related to the leadership, organization, and delivery of the service, as well as those associated with the patient journey. Each measure includes a recommendation for a minimum and target standard for endoscopy services to achieve. We recommend that all stakeholders in endoscopy take note of these ESGE endoscopy services performance measures to accelerate their adoption and implementation. Stakeholders include patients and their advocacy groups; service leaders; staff, including endoscopists; professional societies; payers; and regulators.

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