How to improve the quality of upper gastrointestinal diagnostic endoscopy?
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Upper gastrointestinal endoscopy is commonly performed worldwide and is the gold standard for most upper gastrointestinal tractdiseases, particularly cancer. This review will use gastric cancer as an example to tackle how providers can improve the quality of endoscopybeing delivered to reduce the missing rate, which may reach up to 10% of cases. In brief, endoscopists must consider pre-, intra-,and post-procedural attitudes to achieve this purpose. “When planning endoscopy,” cancer as a possible diagnosis in all proceduresshould be thought. Fasting of patients and the use of mucosal cleaning solutions help ensure mucosal cleansing, while plannedsedation increases comfort. During endoscopy, taking time for complete inspection and photodocumentation to assure completeness. Importantly, training and knowledge of cancer (superficial) endoscopic features, particularly using advanced imaging technologies, areof paramount importance, as they are regular post-endoscopy audits of practice that positively impact quality. Finally, human-machineinteraction through artificial intelligence has been shown to improve photodocumentation, detection, and auditing, and it may well assurea more homogenous service, particularly among low-performing deliverers.
Abstract
Upper gastrointestinal endoscopy is commonly performed worldwide and is the gold standard for most upper gastrointestinal tractdiseases, particularly cancer. This review will use gastric cancer as an example to tackle how providers can improve the quality of endoscopybeing delivered to reduce the missing rate, which may reach up to 10% of cases. In brief, endoscopists must consider pre-, intra-,and post-procedural attitudes to achieve this purpose. “When planning endoscopy,” cancer as a possible diagnosis in all proceduresshould be thought. Fasting of patients and the use of mucosal cleaning solutions help ensure mucosal cleansing, while plannedsedation increases comfort. During endoscopy, taking time for complete inspection and photodocumentation to assure completeness. Importantly, training and knowledge of cancer (superficial) endoscopic features, particularly using advanced imaging technologies, areof paramount importance, as they are regular post-endoscopy audits of practice that positively impact quality. Finally, human-machineinteraction through artificial intelligence has been shown to improve photodocumentation, detection, and auditing, and it may well assurea more homogenous service, particularly among low-performing deliverers.