EP.WE.446Adequacy of Endoscopic Photo-documentation in OGD, a retrospective audit

Abstract

Background The technical competence of oesophagogastroduodenoscopy (OGD) is rapidly acquired but to support the practice of complete examination, the British Society of Gastroenterology (BSG) and Association of Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS) strongly recommend photo-documentation of 8 standardized set stations in an OGD. Photo-documentation ensures complete examination, opportunity to inspect area of interest and serves as a legal record of adequate procedure. Methods Retrospective single center study involving review of randomly selected 100 OGD reports from 1/1/2018 till 31/3/2020 from the Endorad system. The reports on online Endorad system were reviewed for photo-documentation of 8 set stations and was also used to collect data on age, sex and the endoscopist. Microsoft Excel was used for data entry and analysis. Results Out of the 100 OGDs reviewed, 58% were males and 42% females. The mean age being 62.7 +/- 13.5. 60% of OGDs were done by surgeons, 25% by gastroenterologist and 15% by Advanced Nurse Practioner. No report had photo-documentation of all 8 stations. Most (40%) had photos of 5 stations, most common was photo evidence at retroflexion (95%) followed by photographic evidence of intubation to D2 (84%). Conclusions OGD is the gold standard test for the investigation of upper gastrointestinal symptoms, the importance lies in the early detection of cancers which maybe amenable to endoscopic treatment. For this reason its important to adhere to guidelines to improve quality in OGD

Compliance with Standard Protocol for the Diagnosis of Barrett’s Oesophagus: Significance of The Complete Audit Cycle

“…Photo-documentation is recommended by the European Society of Gastrointestinal Endoscopy (ESGE) guidelines as they described eight anatomical landmarks (figure 1) to be included in any OGD report; the upper oesophagus, GOJ, fundus, gastric body, incisura, antrum, duodenal bulb and distal duodenum [12] . Results of another audit done by our unit showed that the most recorded photos in order were for retroflexion (95%), D2 (84%), GOJ (84%), antrum (72%), D1 (69%), body (19%), upper oesophagus (13%), and incisura (4%) [13] .…”