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Endoscopy
DOI: 10.1055/a-2522-1995
Position Statement

Performance measures for small-bowel endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative – Update 2025

Reena Sidhu
 1   Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK
 2   Division of Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, UK
,
Mohamed G. Shiha 
 1   Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK
 2   Division of Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, UK
,
Cristina Carretero
 3   Department of Gastroenterology, University of Navarra Clinic, Healthcare Research Institute of Navarra, Pamplona, Spain
,
Anastasios Koulaouzidis
 4   Surgical Research Unit, Odense University Hospital (OUH) and Svendborg Sygehus, Svendborg, Denmark
 5   Department of Clinical Research, University of Southern Denmark, Odense, Denmark
 6   Department of Social Medicine and Public Health, Pomeranian Medical University, Szczecin, Poland
,
Xavier Dray
 7   Sorbonne University, Center for Digestive Endoscopy, Sainte-Antoine Hospital, AP-HP, Paris, France
,
Alessandro Mussetto 
 8   Gastroenterology Unit, Santa Maria delle Croci Hospital, Ravenna, Italy
,
Martin Keuchel
 9   Clinic for Internal Medicine, Agaplesion Bethesda Krankenhaus Bergedorf, Hamburg, Germany
,
Cristiano Spada
10   Digestive Endoscopy Unit and Gastroenterology, Fondazione Poliambulanza, Brescia, Italy
11   Università Cattolica del Sacro Cuore, Rome, Italy
,
Edward J. Despott
12   Royal Free Unit for Endoscopy, The Royal Free Hospital and UCL Institute for Liver and Digestive Health, London, UK
,
Stefania Chetcuti Zammit
13   Division of Gastroenterology, Mater Dei Hospital, Msida, Malta
,
Deirdre McNamara
14   TAGG Research Centre, Department of Clinical Medicine, Trinity Centre, Tallaght Hospital, Dublin, Ireland
,
Emanuele Rondonotti 
15   Gastroenterology Unit, Valduce Hospital, Como, Italy
,
João Sabino
16   Department of Gastroenterology, University of Leuven, Leuven, Belgium
,
Monika Ferlitsch
17   Department of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria
18   Department of Internal Medicine with Gastroenterology and Geriatrics, Klinik Floridsdorf, Vienna, Austria
,
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Abstract

Quality markers and patient experience are being implemented to ensure standardization of practice across gastrointestinal (GI) endoscopy procedures. The set benchmarks ensure high quality procedures are delivered and linked to measurable outcomes.

There has been an increase in the demand for small-bowel endoscopy. In 2019, the European Society of Gastrointestinal Endoscopy (ESGE) embarked on setting performance measures for small-bowel endoscopy. This included major (key) and minor performance indicators for both small-bowel capsule endoscopy (SBCE) and device-assisted enteroscopy (DAE). These suggested quality indicators cover all procedure domains, from patient selection and preparation, to intraprocedural aspects such as pathology identification, appropriate management, the patient experience, and post-procedure complications. Since 2019, there has been an increase in published studies looking at different aspects of small-bowel endoscopy, including real-world data. This paper provides an update on the 2019 performance measures, considering the latest literature.

Supplementary Material



Publication History

Article published online:
05 February 2025

© 2025. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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