Recommendations
A new objective for the European Society of Gastrointestinal Endoscopy (ESGE) is to
develop long-term partnerships with African countries. For this, an International
Affairs Working Group (IAWG) was formed.
In conjunction with the World Endoscopy Organization (WEO), ESGE conducted a survey
of gastrointestinal (GI) endoscopy in Africa.
Survey results showed that many African countries have few GI endoscopy centers with
adequate resources. Barriers to the development of endoscopy services include a shortage
of endoscopists who have undergone advanced endoscopy training, and a lack of equipment
and basic infrastructure.
Diseases related to infectious etiology are more prevalent than neoplastic diseases
in Africa. Any development of endoscopy services needs to consider the local prevalence
of diseases for which GI endoscopy is required, as well as the availability of resources.
The IAWG will initiate a cascade approach to identify and adapt ESGE guidelines for
local use. The guidelines will consider the level of resources available for each
intervention, as well as cost, infrastructure, and training, and will be approved
by consensus of local experts who are representative of different African areas.
Suitable centers in African countries will be identified, and in future will be developed
into WEO/ESGE training centers, to provide local training in both basic and advanced
endoscopy according to the needs of the area.
