Endoscopy International Open最新文献

{"title":"Endoscopic submucosal dissection for high-risk lesions in the right colon: Limited benefits and significant challenges.","authors":"Francesco Vito Mandarino, Julia L Gauci, Sunil Gupta, Nicholas Burgess, Michael J Bourke","doi":"10.1055/a-2543-1484","DOIUrl":"https://doi.org/10.1055/a-2543-1484","url":null,"abstract":"","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25431484"},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of a higher-flexibility duodenal stent for palliation of gastric outlet obstruction.","authors":"Noa Eveline Adriana Kapteijn, Pauline A Zellenrath, Peter Siersema, Agnes N Reijm, Lydi Van Driel, Pieter J F de Jonge, Wim J Lammers, Judith Honing, Manon C W Spaander","doi":"10.1055/a-2539-9270","DOIUrl":"https://doi.org/10.1055/a-2539-9270","url":null,"abstract":"<p><strong>Background and study aims: </strong>Duodenal self-expandable metallic stent (SEMS) placement is a common palliative treatment for malignant gastric outlet obstruction symptoms (GOOS). The higher flexibility of the WallFlex Duodenal Soft stent aims to ease stent placement and reduce adverse events (AE). This descriptive study compared the WallFlex Soft stent with other duodenal SEMS designs with regard to efficacy and safety.</p><p><strong>Patients and methods: </strong>Patients receiving the WallFlex Duodenal Soft stent as first-line treatment for GOOS were included in a prospective cohort (2019-2023). A retrospective cohort (1998-2019) with patients treated with other duodenal SEMS designs as first-line treatment for GOOS was used for comparison.</p><p><strong>Results: </strong>In the prospective cohort, 11 patients were treated with the WallFlex Duodenal Soft, achieving 100% technical and 82% clinical success rates. The retrospective cohort of 147 patients with various types of duodenal SEMS showed 97% technical and 86% clinical success. For the WallFlex Duodenal Soft vs. the other duodenal SEMS, the overall survival was 101 vs. 82 days and median symptom-free survival was 83 vs. 28 days. AE rates were 18% vs. 28%, respectively.</p><p><strong>Conclusions: </strong>The WallFlex Duodenal Soft stent effectively treats GOOS in palliative patients and seems to be associated with longer symptom-free survival and lower AE rates compared with previous duodenal SEMS designs.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25399270"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing diagnostics: ChatGPT-4 performance in ulcerative colitis endoscopic assessment.","authors":"Asaf Levartovsky, Ahmad Albshesh, Ana Grinman, Eyal Shachar, Adi Lahat, Rami Eliakim, Uri Kopylov","doi":"10.1055/a-2542-0943","DOIUrl":"https://doi.org/10.1055/a-2542-0943","url":null,"abstract":"<p><strong>Background and study aims: </strong>The Mayo Endoscopic Subscore (MES) is widely utilized for assessing mucosal activity in ulcerative colitis (UC). Artificial intelligence has emerged as a promising tool for enhancing diagnostic precision and addressing interobserver variability. This study evaluated the diagnostic accuracy of ChatGPT-4, a multimodal large language model, in identifying and grading endoscopic images of UC patients using the MES.</p><p><strong>Patients and methods: </strong>Real-world endoscopic images of UC patients were reviewed by an expert consensus board. Each image was graded based on the MES. Only images that were uniformly graded were subsequently provided to three inflammatory bowel disease (IBD) specialists and ChatGPT-4. Severity gradings of the IBD specialists and ChatGPT-4 were compared with assessments made by the expert consensus board.</p><p><strong>Results: </strong>Thirty of 50 images were graded with complete agreement among the experts. Compared with the consensus board, ChatGPT-4 gradings had a mean accuracy rate of 78.9% whereas the mean accuracy rate for the IBD specialists was 81.1%. Between the two groups, there was no statistically significant difference in mean accuracy rates ( <i>P</i> = 0.71) and a high degree of reliability was found.</p><p><strong>Conclusions: </strong>ChatGPT-4 has the potential to assess mucosal inflammation severity from endoscopic images of UC patients, without prior configuration or fine-tuning. Performance rates were comparable to those of IBD specialists.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25420943"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing educational interventions and key performance measures sustains quality of endoscopic assessment in patients with Barrett's esophagus.","authors":"Deloshaan Subhaharan, Pradeep Kakkadasam Ramaswamy, Mark Jones, Sneha John","doi":"10.1055/a-2542-0618","DOIUrl":"https://doi.org/10.1055/a-2542-0618","url":null,"abstract":"<p><strong>Background and study aims: </strong>Quality metrics for Barrett's esophagus (BE) are anticipated to improve outcomes for patients through earlier detection of neoplasia. The European Society of Gastrointestinal Endoscopy has developed guidelines to homogenize endoscopic quality in BE. Our study aimed to assess the impact of recommended key performance measures (KPMs) and their sustainability.</p><p><strong>Patients and methods: </strong>A single-center, retrospective study (Phase 1) was conducted over 8 weeks. The KPMs assessed were: 1) pre-procedure metrics including indication, consent, safety checklist (target of 100%); and 2) Prague classification, Seattle protocol, or targeted biopsies, inspection time of 1 minute per cm, advanced imaging and surveillance recommendations (target of 90%). Following baseline analysis, multimodal educational interventions were implemented and repeated at 6-month intervals. Repeat analysis was performed at 6 months and 1 and 3 years (Phases 2, 3 and 4 respectively).</p><p><strong>Results: </strong>In Phase 1, 39 patients with BE underwent endoscopy. Phase 2 evaluated 40 patients with BE. Phase 3 analyzed 59 patients with BE, and Phase 4 identified 34 patients with BE. Pre-procedure metrics were met in 100% of patients across the 3-year period. Baseline analysis displayed suboptimal performance at 45% to 75% for all other KPMs. However, after regular multimodal educational interventions, quality standards significantly improved and were able to be maintained over all phases, achieving pre-set targets of >9 0% for all KPMs except one.</p><p><strong>Conclusions: </strong>Sustaining improvements in quality metrics in Barrett's endoscopy is important. Our study suggests that regular, replicable education interventions have a positive effect and allow sustained long-term improvements in quality metrics.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25420618"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel water-based automated endoscope cleaning process vs conventional manual cleaning for reducing duodenoscope contamination.","authors":"Koen van der Ploeg, Juliëtte A Severin, Margreet C Vos, Nicole S Erler, Adriana J C Bulkmans, Marco Bruno, Bibi C G C Mason-Slingerland","doi":"10.1055/a-2536-8061","DOIUrl":"https://doi.org/10.1055/a-2536-8061","url":null,"abstract":"<p><strong>Background and study aims: </strong>Duodenoscope contamination remains a persistent problem, exposing patients to infection risks. Automation in reprocessing may limit human error, reduce workload, and increase uniformity and traceability. However, its effectiveness should be evaluated before implementation. This study assessed the impact of implementing a novel water-based automated endoscope cleaning process on duodenoscope contamination.</p><p><strong>Methods: </strong>This before-and-after intervention study compared duodenoscope cleaning methods. From January 2022 to December 2023, conventional manual cleaning was used. From January 2024 to June 2024, the AquaTYPHOON system (AT) replaced manual cleaning. Cultures from Pentax ED34-i10T2 patient-ready duodenoscopes were collected. The main outcome was the contamination rate with microorganisms of gut or oral origin (MGO). Secondary outcomes included contamination with solely gut bacteria. Non-inferiority of the AT was tested using a generalized estimating equation with a non-inferiority margin of 5%.</p><p><strong>Results: </strong>During the manual cleaning period, 333 duodenoscope cultures of eight duodenoscopes were collected; during the AT period, 100 cultures were collected. Pre-introduction of the AT, the contamination rate with MGO was 21.6%, which fell to 16% post-introduction (risk difference: -5.6%, upper bound 90% confidence interval [CI] 6.8%). For gut bacteria, the contamination rate decreased from 14.4% to 9% (risk difference: -5.4%, upper bound 90% CI 3.9%), indicating non-inferiority.</p><p><strong>Conclusions: </strong>AT reduced the contamination rate with MGO, but non-inferiority was not demonstrated. For gut bacteria, AT was non-inferior to manual cleaning. These results are promising. However, future studies should confirm these findings in larger samples and explore other advantages of using the AT in duodenoscope cleaning.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25368061"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orally peppermint oil in small bowel capsule endoscopy: Novel approach to improve completion rates in patients at risk of delayed gastric transit.","authors":"Fintan John O'Hara, Conor Costigan, Deirdre Mc Namara","doi":"10.1055/a-2465-6918","DOIUrl":"https://doi.org/10.1055/a-2465-6918","url":null,"abstract":"<p><strong>Background and study aims: </strong>Small bowel capsule endoscopy (SBCE) is crucial in diagnosing small bowel diseases, yet incomplete examinations often result from prolonged gastric transit time. This study aimed to assess the efficacy of orally administered peppermint oil solution as a prokinetic agent to improve SBCE completion rates in patients with delayed gastric transit risk factors.</p><p><strong>Patients and methods: </strong>Conducted as a single-center, prospective, open-label, non-inferiority trial, the study involved 132 patients identified as at risk for delayed gastric transit. Participants were divided into three groups: peppermint oil solution group (n = 57), real-time monitoring and intravenous prokinetics group (n = 75), and control group without risk factors (n = 193). Primary outcomes included SBCE completion rates, gastric transit time (GTT), small bowel transit time (SBTT), diagnostic yield, and bowel preparation quality.</p><p><strong>Results: </strong>Completion rates were high and comparable among groups, with 94.7% in the peppermint group, 90.7% in the real-time monitoring group, and 95.3% in the control group. The peppermint group exhibited a significantly shorter mean GTT of 42.3 minutes compared with 57.0 minutes in the real-time monitoring group ( <i>P</i> = 0.0423). However, SBTT was longer in the peppermint group at 246 minutes versus 193 minutes in the real-time monitoring group ( <i>P</i> = 0.0081), although similar to the control group at 228.3 minutes ( <i>P</i> = 0.2612). Diagnostic yield and bowel preparation quality were consistent across all groups.</p><p><strong>Conclusions: </strong>Oral peppermint oil solution is a safe and effective alternative to traditional prokinetics, enhancing SBCE completion rates while reducing time and resource use in the endoscopy unit.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a24656918"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conventional small-bowel capsule endoscopy reading vs proprietary artificial intelligence auxiliary systems: Systematic review and meta-analysis.","authors":"Pablo Cortegoso Valdivia, Stefano Fantasia, Stefano Kayali, Ulrik Deding, Noemi Gualandi, Mauro Manno, Ervin Toth, Xavier Dray, Shiming Yang, Anastasios Koulaouzidis","doi":"10.1055/a-2544-2863","DOIUrl":"https://doi.org/10.1055/a-2544-2863","url":null,"abstract":"<p><strong>Background and study aims: </strong>Small-bowel capsule endoscopy (SBCE) is the gold standard for diagnosing small bowel (SB) pathologies, but its time-consuming nature and potential for human error make it challenging. Several proprietary artificial intelligence (AI) auxiliary systems based on convolutional neural networks (CNNs) that are integrated into SBCE reading platforms are available on the market and offer the opportunity to improve lesion detection and reduce reading times. This meta-analysis aimed to evaluate performance of proprietary AI auxiliary platforms in SBCE compared with conventional, human-only reading.</p><p><strong>Methods: </strong>A systematic literature search was conducted to identify studies comparing AI-assisted SBCE readings with conventional readings by gastroenterologists. Performance measures such as accuracy, sensitivity, specificity, and reading times were extracted and analyzed. Methodological transparency was assessed using the Methodological Index for Non-randomized Studies (MINORS) assessment tool.</p><p><strong>Results: </strong>Of 669 identified studies, 104 met the inclusion criteria and six were included in the analysis. Quality assessment revealed high methodological transparency for all included studies. Pooled analysis showed that AI-assisted reading achieved significantly higher sensitivity and comparable specificity to conventional reading, with a higher log diagnostic odds ratio and no substantial heterogeneity. In addition, AI integration substantially reduced reading times, with a mean decrease of 12-fold compared with conventional reading.</p><p><strong>Conclusions: </strong>AI-assisted SBCE reading outperforms conventional human review in terms of detection accuracy and sensitivity, remarkably reducing reading times. AI in this setting could be a game-changer in reducing endoscopy service workload and supporting novice reader training.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25442863"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peroral endoscopic myotomy with fundoplication (POEM-F) for achalasia: Systematic review and meta-analysis.","authors":"Harishankar Gopakumar, Eugene Annor, Ishaan Vohra, Iman Andalib, Amy Tyberg, Avik Sarkar, Haroon Shahid, Mine Carames, Juan Carlos Carames, Giovanna Porfilio Gularte, Abed Al-Lehibi, Resheed Alkhiari, Amol Bapaye, Carlos Robles-Medranda, Michel Kahaleh","doi":"10.1055/a-2536-8132","DOIUrl":"https://doi.org/10.1055/a-2536-8132","url":null,"abstract":"<p><strong>Background and study aims: </strong>Gastroesophageal reflux (GER) and its long-term sequelae remain a concern following peroral endoscopic myotomy (POEM). POEM with fundoplication (POEM-F) is simultaneous fundoplication via pure natural orifice transluminal endoscopic surgery (NOTES). In this study, we evaluated the efficacy and safety of POEM-F in mitigating post-POEM GER.</p><p><strong>Methods: </strong>We performed a comprehensive electronic database search from January 2008 through June 2024 for studies evaluating outcomes of POEM-F performed for managing post-POEM GER. Pooled proportions were calculated using random-effects models. Heterogeneity was assessed using I ² and Q statistics.</p><p><strong>Results: </strong>We included seven studies comprising 127 patients. Pooled technical success for POEM was 96.90%; 95% confidence interval [CI] 91.40-98.90. Pooled technical success of fundoplication was 92.30%; 95% CI 85.20-96.10. Clinical success in treating achalasia was 96.40%; 95% CI 90.70-98.60. Rate of wrap integrity on follow-up was 84.00%; 95% CI 66.00-93.40. Composite clinical success of POEM-F in mitigating post-POEM GER was 86.20%; 95% CI 73.80-93.20. Mean total procedure duration and fundoplication time was 115.74 minutes; 95% CI 103.53-126.96 and 55.28 minutes; 95% CI 47.35-63.20, respectively. The overall pooled major adverse events (AE) rate was 3.60%; 95% CI 1.40-9.40.</p><p><strong>Conclusions: </strong>POEM-F is an effective procedure with an acceptable AE rate in expert hands. It appears to offer clinical benefit in mitigating post-POEM GER. However, further standardization for evaluating clinically significant post-POEM GER and long-term benefit of POEM-F is warranted.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25368132"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thermal changes in guidewires used during endoscopic retrograde cholangiopancreatography during electrical conductance: Ex-vivo safety experiment.","authors":"Rahul Karna, Nicholas M McDonald, Jacob Weiner, Théodon I Netoff, Stuart K Amateau","doi":"10.1055/a-2536-7997","DOIUrl":"https://doi.org/10.1055/a-2536-7997","url":null,"abstract":"<p><p>Risks of pancreaticobiliary tissue damage secondary to electrical conduction along cannulation wires in the vicinity of electrocautery have rarely been independently studied and remain mostly a theoretical issue. We aimed to evaluate heat generated by commercially available guidewires in the setting of currents used for sphincterotomy to assess their safety during endoscopic procedures. We tested heat generation from 11 common guidewires used in endoscopic retrograde cholangiopancreatography using an electrosurgical generator in combination with a thermocouple temperature probe in an ex vivo model. Thermal changes during electrical conductance were nominal except for minimally wrapped 0.018\" wires where the maximum changes in temperature were 4.9°C with ENDO CUT Q settings and 6.8°C with ENDO CUT I settings. Also, the Glidewire 0.018\" and the Visiglide 0.025\" produced visible sparks along their distal ends with defects in insulation found later under microscopic evaluation. In our ex-vivo study, minimal heat was generated via electrical conductivity despite direct current, suggesting negligible risk of thermal injury during sphincterotomy.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25367997"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a training intervention on upper gastrointestinal endoscopy quality over time: Multicenter comparative cohort study.","authors":"Lieke Maria Koggel, Jole P E van Berlo, Fleur A Indemans, Ruud W M Schrauwen, Marten A Lantinga, Peter D Siersema","doi":"10.1055/a-2526-0240","DOIUrl":"https://doi.org/10.1055/a-2526-0240","url":null,"abstract":"<p><strong>Background and study aims: </strong>The European Society of Gastrointestinal Endoscopy (ESGE) and British Society of Gastroenterology (BSG) formulated performance measures to improve the detection rate for upper gastrointestinal (UGI) endoscopy. We aimed to assess adherence to and impact of training on adherence to performance measures for UGI endoscopy.</p><p><strong>Methods: </strong>In this multicenter, prospective, cohort study, endoscopists at three centers underwent 1-hour face-to-face training based on ESGE and BSG procedure performance measures (≥ 7-minute inspection time; photodocumentation of ≥ 10 anatomical landmarks + abnormalities; standardized terminology; biopsy protocols). A self-developed quality assessment score was used to assess diagnostic UGI endoscopies before (control group) and after (intervention group) training. The primary endpoint was improvement in overall quality score (percentage of the maximum score).</p><p><strong>Results: </strong>Of 1,733 consecutive UGI endoscopies, 570 were eligible for inclusion (mean patient age 60 years [standard deviation 15]; male 47%): 285 in the control group and 285 in the intervention group. Overall quality score increased from 60% before to 67% after the training intervention (difference 7%, 95% confidence interval [CI] 5-10, <i>P</i> < 0.001). Male patients (3.2%, 95% CI 0.7-5.7), alarming features (-3.1%, 95% CI -5.6 to -0.5), and endoscopist age (-0.4% increment per year, 95% CI -0.8 to -0.1) were associated with higher quality scores.</p><p><strong>Conclusions: </strong>Adherence to the ESGE and BSG procedure performance measures for UGI endoscopy persistently increased after a 1-hour face-to-face training intervention, suggesting that a simple training intervention tool can improve the quality of UGI endoscopy and potentially could prevent missed lesions.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"13 ","pages":"a25260240"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}