Images in EGD

Q: As per the European Society of Gastrointestinal Endoscopy (ESGE), the endoscopist should take at least how many photos during an upper GI endoscopy?

Answer: Ten

Photodocumentation is now considered a standard in reporting upper gastrointestinal (GI) endoscopy. The European Society of Gastrointestinal Endoscopy (ESGE) recommended that the endoscopist take at least 10 photos:

1. proximal esophagus
2. distal esophagus
3. Z-line and diaphragm indentation
4. cardia and fundus in inversion
5. corpus in forward view including lesser curvature
6. corpus in retroflex view, including greater curvature
7. angulus in partial inversion
8. antrum
9. duodenal bulb, and 
10. second part of the duodenum. 

Additional images should be added for any abnormalities.

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References:

1. Bisschops R, Areia M, Coron E, et al. Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy 2016; 48:843.

2. Park WG, Shaheen NJ, Cohen J, et al. Quality indicators for EGD. Am J Gastroenterol 2015; 110:60.

3. ASGE Endoscopy Unit Quality Indicator Taskforce, Day LW, Cohen J, et al. Quality indicators for gastrointestinal endoscopy units. VideoGIE 2017; 2:119.