STAndardization of Reports (the STAR project) Upper gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Gianluca Esposito¹, Miguel Areia^{2

3}, Hey-Long Ching⁴, Shimaa Afify⁵, Pedro G Delgado Guillena⁶, Raúl Honrubia López⁷, Philippe Leclercq^{8

9}, Ashraf Monged¹⁰, Alba Panarese¹¹, Lix A Reis De Oliveira¹², Marcin Romańczyk^{13

14}, Eduardo J Ruiz Ballesteros¹⁵, Hugo I Uchima^{16

17}, Jasmin Zessner-Spitzenberg¹⁸, Balint Eross^{19

20}, Andrew Hopper²¹, Thomas Lux²², Neasa McGettigan²³, Oluwatosin O Oguntoye²⁴, Foong Way David Tai⁴, Ian M Gralnek^{25

26}, Cesare Hassan^{26

27}, Raf Bisschops^{8

9}, Monika Ferlitsch^{18

28}; External voting panel

Collaborators, Affiliations

Collaborators

External voting panel:
Marianna Arvanitakis²⁹, Marc Barthet³⁰, Jan Bornschein³¹, Pradeep Bhandari³², Ivo Boskoski³³, Istvan Hritz³⁴, Vicente Lorenzo-Zuniga³⁵, Helmut Messmann³⁶, Ioannis S Papanikolaou³⁷, Enrique Rodriguez de Santiago³⁸, Peter Siersema³⁹, Tony Tham⁴⁰, Konstantinos Triantafyllou⁴¹, Andrei M Voiosu⁴²

Affiliations

¹ Department of Medical-Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
² Department of Gastroenterology, Portuguese Oncology Institute of Coimbra (IPO Coimbra), Coimbra, Portugal.
³ RISE@CI-IPO (Health Research Network), Portuguese Oncology Institute of Porto (IPO Porto), Porto, Portugal.
⁴ Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK.
⁵ National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt.
⁶ Department of Gastroenterology, Hospital of Merida, Badajoz, Spain.
⁷ Department of Gastroenterology, Hospital Universitario Infanta Sofía, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, San Sebastián de los Reyes, Spain.
⁸ Department of Gastroenterology and Hepatology, University Hospitals Leuven, Belgium.
⁹ Translational Research in Gastrointestinal Disorders (TARGID), Leuven, Belgium.
¹⁰ Department of Gastroenterology, Royal Stoke University Hospital, University Hospitals of North Midlands (UHNM), Stoke-on-Trent, United Kingdom.
¹¹ Division of Gastroenterology and Digestive Endoscopy, Department of Medical Sciences, Central Hospital - Azienda Ospedaliera, and University of Bari Aldo Moro, Taranto, Italy.
¹² Advanced Endoscopic Center (CEA), Campinas, São Paulo, Brazil.
¹³ Department of Gastroenterology, Faculty of Medicine, Academy of Silesia, Katowice, Poland.
¹⁴ Endoterapia, H-T Centrum Medyczne, Tychy, Poland.
¹⁵ Hospital Ángeles Puebla, Puebla, Mexico.
¹⁶ Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
¹⁷ Teknon Medical Center, Barcelona, Spain.
¹⁸ Department of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
¹⁹ Centre for Translational Medicine, and Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary.
²⁰ Institute for Translational Medicine, University of Pécs, Pécs, Hungary.
²¹ Division of Clinical Medicine, Sheffield University, Sheffield, UK.
²² Department of Gastroenterology, University of Würzburg, Würzburg, Germany.
²³ Beaumont Hospital, Dublin, Ireland.
²⁴ Department of Medicine, Afe Babalola University Ado-Ekiti, Ekiti State, Nigeria.
²⁵ Institute of Gastroenterology and Hepatology, Emek Medical Center, Afula, Israel.
²⁶ Rappaport Family Faculty of Medicine Technion Israel Institute of Technology, Haifa, Israel.
²⁷ IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
²⁸ Department of Internal Medicine with Gastroenterology and Geriatrics, Klinik Floridsdorf, Vienna, Austria.
²⁹ Department of Gastroenterology, Digestive Oncology and Hepatopancreatology, HUB Hôpital Erasme, ULB, Brussels, Belgium.
³⁰ Hôpital Nord, Marseille, France.
³¹ Medical Research Council Translational Immune Discovery Unit (MRC TIDU), Weatherall Institute of Molecular Medicine (WIMM), University of Oxford, Oxford, UK.
³² Portsmouth Hospitals University NHS Trust, and Portsmouth University, Portsmouth, UK.
³³ Università Cattolica del Sacro Cuore di Rome, Italy.
³⁴ Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Budapest, Hungary.
³⁵ Department of Gastroenterology and Endoscopy Unit Iis La Fe, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
³⁶ III Medicine Department, Department of Gastroenterology, University Hospital, Augsburg, Germany.
³⁷ Hepatogastroenterology Unit, Second Department of Internal Medicine - Propaedeutic, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece.
³⁸ Gastroenterology and Hepatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
³⁹ Department of Gastroenterology, and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
⁴⁰ Division of Gastroenterology, Ulster Hospital, Belfast, Northern Ireland.
⁴¹ Second Academic Department of Gastroenterology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
⁴² Department of Gastroenterology, Colentina Clinical Hospital, Bucharest, Romania.

PMID: 40834875
DOI: 10.1055/a-2652-8941

STAndardization of Reports (the STAR project) Upper gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Gianluca Esposito et al. Endoscopy. 2025.

. 2025 Aug 20.

doi: 10.1055/a-2652-8941. Online ahead of print.

Authors

Collaborators

External voting panel:
Marianna Arvanitakis²⁹, Marc Barthet³⁰, Jan Bornschein³¹, Pradeep Bhandari³², Ivo Boskoski³³, Istvan Hritz³⁴, Vicente Lorenzo-Zuniga³⁵, Helmut Messmann³⁶, Ioannis S Papanikolaou³⁷, Enrique Rodriguez de Santiago³⁸, Peter Siersema³⁹, Tony Tham⁴⁰, Konstantinos Triantafyllou⁴¹, Andrei M Voiosu⁴²

Affiliations

¹ Department of Medical-Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
² Department of Gastroenterology, Portuguese Oncology Institute of Coimbra (IPO Coimbra), Coimbra, Portugal.
³ RISE@CI-IPO (Health Research Network), Portuguese Oncology Institute of Porto (IPO Porto), Porto, Portugal.
⁴ Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK.
⁵ National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt.
⁶ Department of Gastroenterology, Hospital of Merida, Badajoz, Spain.
⁷ Department of Gastroenterology, Hospital Universitario Infanta Sofía, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, San Sebastián de los Reyes, Spain.
⁸ Department of Gastroenterology and Hepatology, University Hospitals Leuven, Belgium.
⁹ Translational Research in Gastrointestinal Disorders (TARGID), Leuven, Belgium.
¹⁰ Department of Gastroenterology, Royal Stoke University Hospital, University Hospitals of North Midlands (UHNM), Stoke-on-Trent, United Kingdom.
¹¹ Division of Gastroenterology and Digestive Endoscopy, Department of Medical Sciences, Central Hospital - Azienda Ospedaliera, and University of Bari Aldo Moro, Taranto, Italy.
¹² Advanced Endoscopic Center (CEA), Campinas, São Paulo, Brazil.
¹³ Department of Gastroenterology, Faculty of Medicine, Academy of Silesia, Katowice, Poland.
¹⁴ Endoterapia, H-T Centrum Medyczne, Tychy, Poland.
¹⁵ Hospital Ángeles Puebla, Puebla, Mexico.
¹⁶ Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
¹⁷ Teknon Medical Center, Barcelona, Spain.
¹⁸ Department of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
¹⁹ Centre for Translational Medicine, and Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary.
²⁰ Institute for Translational Medicine, University of Pécs, Pécs, Hungary.
²¹ Division of Clinical Medicine, Sheffield University, Sheffield, UK.
²² Department of Gastroenterology, University of Würzburg, Würzburg, Germany.
²³ Beaumont Hospital, Dublin, Ireland.
²⁴ Department of Medicine, Afe Babalola University Ado-Ekiti, Ekiti State, Nigeria.
²⁵ Institute of Gastroenterology and Hepatology, Emek Medical Center, Afula, Israel.
²⁶ Rappaport Family Faculty of Medicine Technion Israel Institute of Technology, Haifa, Israel.
²⁷ IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
²⁸ Department of Internal Medicine with Gastroenterology and Geriatrics, Klinik Floridsdorf, Vienna, Austria.
²⁹ Department of Gastroenterology, Digestive Oncology and Hepatopancreatology, HUB Hôpital Erasme, ULB, Brussels, Belgium.
³⁰ Hôpital Nord, Marseille, France.
³¹ Medical Research Council Translational Immune Discovery Unit (MRC TIDU), Weatherall Institute of Molecular Medicine (WIMM), University of Oxford, Oxford, UK.
³² Portsmouth Hospitals University NHS Trust, and Portsmouth University, Portsmouth, UK.
³³ Università Cattolica del Sacro Cuore di Rome, Italy.
³⁴ Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Budapest, Hungary.
³⁵ Department of Gastroenterology and Endoscopy Unit Iis La Fe, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
³⁶ III Medicine Department, Department of Gastroenterology, University Hospital, Augsburg, Germany.
³⁷ Hepatogastroenterology Unit, Second Department of Internal Medicine - Propaedeutic, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece.
³⁸ Gastroenterology and Hepatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
³⁹ Department of Gastroenterology, and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
⁴⁰ Division of Gastroenterology, Ulster Hospital, Belfast, Northern Ireland.
⁴¹ Second Academic Department of Gastroenterology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
⁴² Department of Gastroenterology, Colentina Clinical Hospital, Bucharest, Romania.

PMID: 40834875
DOI: 10.1055/a-2652-8941

Abstract
in English, German

Upper gastrointestinal (UGI) endoscopy is the mainstay for the diagnosis and staging of precancerous and cancerous conditions of the esophagus, stomach, and duodenum. Despite development of several validated classifications for UGI diseases, endoscopy reports differ between endoscopists and endoscopy departments. This document proposes a standardized high quality UGI endoscopy report, including preprocedural, periprocedural, endoscopic findings, and postprocedural information. Preprocedural details should comprise data on the patient, exam, use of antithrombotic drugs, fasting, and premedication. Periprocedural information should report on medications administered, endoscope used, and the mucosal cleanliness assessment. Endoscopic findings should describe the esophagus, stomach, and duodenum, with any observed abnormalities reported using the most commonly employed classification (provided in the document). Postprocedural details should include data on biopsies and vials, pictures taken during the procedure, and the exam duration. A suggestion for a normal findings report is provided. Standardized reporting could enhance the quality of UGI endoscopy.

PubMed Disclaimer

Conflict of interest statement

M. Barthet has received research grants from Boston Scientific (2018–2024) and Endotools (2019–2025), and has provided consultancy to Taewoong (2021–2025). J. Bornschein receives an advisory board fee from Juvisé (April 2025–March 2026). I. Hritz has consultancy and training links with Olympus (from 2017, ongoing) and consultancy and speaker links with MicroTech (from 2023, ongoing). A. Monged has received sponsorship from Fuji (2-day endoscopy course, June 2025) and Ovesco (1-day endoscopy course, March 2025). E. Rodriguez de Santiago has participated in educational activities with, provided consultancy to, and received speaker’s fees and research grants from Olympus, Izasa, ERBE, Apollo, 3 D Matrix, and Norgine (2017–2025). P. Siersema’s department has received research support from Pentax (since 2015), Fujifilm (since 2023), and MicroTech (since 2017). S. Afify, M. Areia, M. Arvanitakis, P. Bhandari, R. Bisschops, I. Boskoski, H.-L. Ching, P.G. Delgado Guillena, B. Eross, G. Esposito, M. Ferlitsch, I.M. Gralnek, C. Hassan, R. Honrubia López, A. Hopper, P. Leclercq, V. Lorenzo-Zuniga, T. Lux, N. McGettigan, H. Messmann, O.O. Oguntoye, A. Panarese, I. Papanikolaou, L.A. Reis De Oliveira, M. Romańczyk, E.J. Ruiz Ballesteros, F.W.D. Tai, T. Tham, K. Triantafyllou, H.I. Uchima, A.M. Voiosu, and Jasmin Zessner-Spitzenberg declare no competing interests.

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

STAndardization of Reports (the STAR project) Upper gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Collaborators

Affiliations

STAndardization of Reports (the STAR project) Upper gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Authors

Collaborators

Affiliations

Abstract
in English, German

Conflict of interest statement

Abstract in English, German

Conflict of interest statement

Abstract
in English, German