COURSE
Series: ESGE Academy Journal
Season: Journal 05-2026
Episode 2 of 5: Adverse events in Upper GI Endoscopy: Not all adverse events bleed...some are simply being missed!

SPEAKERS
Dr. Alžběta Hujova, Prof. Gianluca Esposito, Dr. João Cunha Neves, Dr. David Andreas Roser

DESCRIPTION
This video focuses on adverse events in upper gastrointestinal endoscopy, particularly missed diagnoses resulting from suboptimal technique and inadequate biopsy practices. It highlights key quality indicators from the 2025 Update of ESGE Performance Measures for upper gastrointestinal endoscopy, including the importance of adequate inspection time, optimal mucosal visibility (guided by validated visibility scales, e.g. the GRACE scale) and a systematic approach to examination. Through clinical examples, the video demonstrates how poor visualisation, an incomplete assessment and a failure to adhere to protocol-based biopsy strategies can result in pathological findings being overlooked. The video aims to emphasise that missed diagnoses are a critical but often under-recognised complication of endoscopy and to guide clinicians in improving diagnostic accuracy by enforcing strict adherence to guideline-based practices.

LEARNING OBJECTIVES
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