Curriculum for safe and effective use of artificial intelligence in endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Yuichi Mori^{1

2

3}, Uri Kopylov⁴, Pieter Sinonquel^{5

6}, Alanna Ebigbo⁷, Evelien Dekker⁸, Albert Jeroen De Groof⁸, Omer F Ahmad^{9

10}, Rawen Kader^{9

11}, Adrian Saftoiu¹², Erik Schoon¹³, Pietro Mascagni^{14

15}, Pradeep Bhandari¹⁶, Alexander Hann¹⁷, Giulio Antonelli¹⁸, Marietta Iacucci¹⁹, Oliver Pech²⁰, Xavier Dray²¹, Marco Spadaccini^{22

23}, John R Campion^{24

25}, Cesare Hassan^{22

23}, Helmut Messmann²⁶, Raf Bisschops^{5

6}, Lorenzo Fuccio^{27

28}, Antonio Facciorusso²⁹, Tony Tham³⁰; and the ESGE AI Curriculum advisory and voting group

Collaborators, Affiliations

Collaborators

and the ESGE AI Curriculum advisory and voting group:
Fons van der Sommen, Jorge Bernal, Tom Eelbode, Alberto Murino, Apostolis Papaefthymiou, Ariel Benson, Ashraf Monged, Rosamaria Bozzi, Clara Yzet, David Karsenti, Eimear Gibbons, Eyad Gadour, Francisco Baldaque-Silva, Georgios Tziatzios, Gian Eugenio Tontini, Gianluca Esposito, Hardik Rughwani, Ivan Jovanovic, Ivan David Arciniegas Sanmartin, Jan Kral, João Santos-Antunes, Kareem Khalaf, Ken Namikawa, Krzysztof Kurek, Louis-Jean Masgnaux, Manuel Francisco Balladares Salazar, Marco Bustamante, Michiel Maas, Miguel Mascarenhas, Mirjana Kalauz, Mohamed Shiha, Mostafa Ibrahim, Nayantara Coelho-Prabhu, Philip Roelandt, Raj Rameshshanker, Raul Honrubia López, Reena Sidhu, Riadh Sadik, Stylianos Stylianidis, Tawfik Khoury, Thomas de Lange, Vicente Lorenzo-Zúñiga

Affiliations

¹ Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Oslo, Norway.
² Gastroenterology Section, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
³ Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
⁴ Sheba Medical Center, Ramat Gan, and Tel Aviv University School of Medicine, Ramat Gan, Israel.
⁵ Department of Gastroenterology and Hepatology, UZ Leuven, Leuven, Belgium.
⁶ Department of Translational Research in Gastrointestinal Diseases (TARGID), KU Leuven, Leuven, Belgium.
⁷ Internal Medicine, Gastroenterology and Interventional Endoscopy, St. Josef-Univesity Hospital, Bochum, Germany.
⁸ Department of Gastroenterology and Hepatology, Amsterdam UMC, Amsterdam, The Netherlands.
⁹ Division of Surgery and Interventional Science, University College London, London, United Kingdom.
¹⁰ Department of Gastrointestinal Services, University College London Hospital, London, United Kingdom.
¹¹ St. Marks Hospital and University College London, London, United Kingdom.
¹² Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
¹³ Catharina Hospital, Eindhoven, The Netherlands.
¹⁴ Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
¹⁵ Institute of Image-Guided Surgery, IHU Strasbourg, Strasbourg, France.
¹⁶ Department of Gastroenterology, Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom.
¹⁷ Interventional and Experimental Endoscopy (InExEn), Department of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
¹⁸ Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli, Rome, Italy.
¹⁹ APC Microbiome Ireland, College of Medicine and Health, University College Cork, Cork, Ireland.
²⁰ Department of Gastroenterology and Interventional Endoscopy, Krankenhaus Barmherzige Brüder Regensburg, Regensburg, Germany.
²¹ Center for Digestive Endoscopy, Hôpital Saint Antoine, APHP, Sorbonne University, Paris, France.
²² Department of Biomedical Sciences, Humanitas University, Milan, Italy.
²³ Department of Gastroenterology, IRCCS Humanitas Research Hospital, Milan, Italy.
²⁴ Department of Gastroenterology, Mater Misericordiae University Hospital, Dublin, Ireland.
²⁵ School of Medicine, University College Dublin, Dublin, Ireland.
²⁶ Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany.
²⁷ Department of Medical Sciences and Surgery, University of Bologna, Bologna, Italy.
²⁸ Gastroenterology Unit, RCCS-Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
²⁹ Department Experimental Medicine, Università del Salento, Lecce, Italy.
³⁰ Ulster Hospital Belfast, Belfast, Northern Ireland.

PMID: 41338282
DOI: 10.1055/a-2742-4342

Free article

Curriculum for safe and effective use of artificial intelligence in endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Yuichi Mori et al. Endoscopy. 2026 Feb.

Free article

. 2026 Feb;58(2):202-210.

doi: 10.1055/a-2742-4342. Epub 2025 Dec 3.

Authors

Collaborators

and the ESGE AI Curriculum advisory and voting group:
Fons van der Sommen, Jorge Bernal, Tom Eelbode, Alberto Murino, Apostolis Papaefthymiou, Ariel Benson, Ashraf Monged, Rosamaria Bozzi, Clara Yzet, David Karsenti, Eimear Gibbons, Eyad Gadour, Francisco Baldaque-Silva, Georgios Tziatzios, Gian Eugenio Tontini, Gianluca Esposito, Hardik Rughwani, Ivan Jovanovic, Ivan David Arciniegas Sanmartin, Jan Kral, João Santos-Antunes, Kareem Khalaf, Ken Namikawa, Krzysztof Kurek, Louis-Jean Masgnaux, Manuel Francisco Balladares Salazar, Marco Bustamante, Michiel Maas, Miguel Mascarenhas, Mirjana Kalauz, Mohamed Shiha, Mostafa Ibrahim, Nayantara Coelho-Prabhu, Philip Roelandt, Raj Rameshshanker, Raul Honrubia López, Reena Sidhu, Riadh Sadik, Stylianos Stylianidis, Tawfik Khoury, Thomas de Lange, Vicente Lorenzo-Zúñiga

Affiliations

¹ Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Oslo, Norway.
² Gastroenterology Section, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
³ Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
⁴ Sheba Medical Center, Ramat Gan, and Tel Aviv University School of Medicine, Ramat Gan, Israel.
⁵ Department of Gastroenterology and Hepatology, UZ Leuven, Leuven, Belgium.
⁶ Department of Translational Research in Gastrointestinal Diseases (TARGID), KU Leuven, Leuven, Belgium.
⁷ Internal Medicine, Gastroenterology and Interventional Endoscopy, St. Josef-Univesity Hospital, Bochum, Germany.
⁸ Department of Gastroenterology and Hepatology, Amsterdam UMC, Amsterdam, The Netherlands.
⁹ Division of Surgery and Interventional Science, University College London, London, United Kingdom.
¹⁰ Department of Gastrointestinal Services, University College London Hospital, London, United Kingdom.
¹¹ St. Marks Hospital and University College London, London, United Kingdom.
¹² Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
¹³ Catharina Hospital, Eindhoven, The Netherlands.
¹⁴ Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
¹⁵ Institute of Image-Guided Surgery, IHU Strasbourg, Strasbourg, France.
¹⁶ Department of Gastroenterology, Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom.
¹⁷ Interventional and Experimental Endoscopy (InExEn), Department of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
¹⁸ Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli, Rome, Italy.
¹⁹ APC Microbiome Ireland, College of Medicine and Health, University College Cork, Cork, Ireland.
²⁰ Department of Gastroenterology and Interventional Endoscopy, Krankenhaus Barmherzige Brüder Regensburg, Regensburg, Germany.
²¹ Center for Digestive Endoscopy, Hôpital Saint Antoine, APHP, Sorbonne University, Paris, France.
²² Department of Biomedical Sciences, Humanitas University, Milan, Italy.
²³ Department of Gastroenterology, IRCCS Humanitas Research Hospital, Milan, Italy.
²⁴ Department of Gastroenterology, Mater Misericordiae University Hospital, Dublin, Ireland.
²⁵ School of Medicine, University College Dublin, Dublin, Ireland.
²⁶ Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany.
²⁷ Department of Medical Sciences and Surgery, University of Bologna, Bologna, Italy.
²⁸ Gastroenterology Unit, RCCS-Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
²⁹ Department Experimental Medicine, Università del Salento, Lecce, Italy.
³⁰ Ulster Hospital Belfast, Belfast, Northern Ireland.

PMID: 41338282
DOI: 10.1055/a-2742-4342

Erratum in

Correction: Curriculum for safe and effective use of artificial intelligence in endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement.
Mori Y, Kopylov U, Sinonquel P, Ebigbo A, Dekker E, De Groof AJ, Ahmad OF, Kader R, Saftoiu A, Schoon E, Mascagni P, Bhandari P, Hann A, Antonelli G, Iacucci M, Pech O, Dray X, Spadaccini M, Campion JR, Hassan C, Messmann H, Bisschops R, Fuccio L, Facciorusso A, Tham T. Mori Y, et al. Endoscopy. 2026 Feb;58(2):C3. doi: 10.1055/a-2765-1088. Epub 2025 Dec 5. Endoscopy. 2026. PMID: 41349574 No abstract available.

Abstract

The European Society of Gastrointestinal Endoscopy (ESGE) has identified a critical need to establish structured training for safe and effective use of artificial intelligence (AI) in endoscopy. This manuscript presents the results of a formal Delphi consensus process and outlines the official ESGE position, offering a comprehensive curriculum for acquiring and maintaining the competence needed to exploit the benefit of using AI tools in endoscopy. The proposed framework defines the prerequisites in the preadoption phase, core training components, and requirements to maintain optimal implementation. Key recommendations include: (1) ensuring basic competency in standard endoscopy procedures; (2) acquiring foundational knowledge of AI principles; (3) implementing educational programs to enhance AI literacy; (4) recognizing and mitigating cognitive biases in human-AI interaction; (5) avoiding over-reliance on AI in clinical decision-making; and (6) continuous monitoring of key performance indicators throughout AI system integration.

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Conflict of interest statement

Main authors: Y. Mori has received consultancy and speaker’s fees, plus equipment loan form Olympus (2017 to present) and loyalty fees from Cybernet System (2020 to present). U. Kopylov and his department have received research support and speaker’s fees from Medtronic (ongoing). E. Dekker has received a speaker’s fee from Fujifilm (2024), consultancy and speaker’s fees from Olympus (2023 – 2025), and a speaker’s fee from Pentax (2025); her department has endoscopic equipment on loan from Fujifilm (ongoing). O.F. Ahmad has received consultancy fees from Odin Vision and Olympus (2023 to present) and speaker’s fees from Olympus Corporation, Boston Scientific, Medtronic, and Norgine (2023 to present). R. Kader has provided consultancy to Odin Vision (2023 to 2025) and is an external stakeholder for NICE’s HealthTech program evaluating AI software to help detect colorectal polyps (2024 to present). E. Schoon has received consultancy and speaker’s fees and has equipment on loan from Fujifilm (2020 to present). P. Mascagni’s department received unconditional sponsorship of the Surgical Data Science Summer School 2024 and holds patent FR3111463A1 for Processing of video streams relating to surgical operations. P. Bhandari received support for concept to product development from Wise Vision (NEC; 2020–2025). G. Antonelli has provided consultancy to Medtronic (2022 to present), Odin Vision (2023), and Cosmo IMD (2024 to present), and is a consultant and advisory board member for Olympus Europe (2024 to present). M. Iacucci has received a consultancy fee and research equipment from Pentax (2024), and research grants from Eli Lilly and Olympus (both 2024 to present). O. Pech has received speaker’s fees from Medtronic, Boston Scientific, and Olympus (2020 to present). X. Dray is co-founder and a shareholder of Augmented Endoscopy (2019 to present) and is co-inventor of all patents (past and present) licensed to Augmented Endoscopy, which relate to AI solutions for endoscopic detection and characterization. M. Spadaccini has provided consultancy to Boston Scientific (2024 to present) and Olympus (2025) and has received speaker’s fees from Steris (2025). R. Bisschops has received speaker’s fees, plus grants and research support from Pentax, Fujifilm, Olympus, and Medtronic (2019 to present); his department has received support from Pentax, Fujifilm, and Medtronic (2019 to present). P. Sinonquel, A. Ebigbo, J. de Groof, A. Saftoiu, A. Hann, J. Campion, C. Hassan, H. Messmann, L. Fuccio, A. Facciorusso, and T. Tham declare that they have no conflict of interest. Corporate authorship: F. van der Sommen has received research support from Olympus (2021–2023). A. Murino has received speaker’s fees from Fujifilm (2024). A. Monged received support for an ESD training course from Fujifilm (2024). D. Karsenti has provided consultancy to Coviden and Norgine (both 2023–2024), and has received support to attend meetings from Alfasigma (2023–2024), Cook (2023), and Fujifilm (2023–2024). G.E. Tontini has provided consultancy to NTC Pharma (2024) and Invicro (2014 to present) and has received speaker’s fees from Ferring (2024–2025). L.-J. Masgnaux is president of ATRACT device and Co. (2022 to present). M. Bustamante has received consultancy fees from Medtronic (2023). M. Maas’s department received research funding from Pentax Medical (2020–2024) and Magentiq Eye Ltd. (2021–2024). M. Mascarenhas holds personal shares in Digestaid (2024 to present). M. Ibrahim has received consultancy and speaker’s fees from Boston Scientific (2018 to present), Endotools (2018 to present), and Fujifilm (2019 to present). N. Coelho-Prabhu is a consultant for Iterative Health (2024 to present). P. Roelandt’s department has received support from Pentax, Fujifilm, and Medtronic (2019 to present). R. Rameshshanker received training course support from Pentax Medical (2025). R. Sadik has received lecture fees from Olympus (2024–2025) and Pentax (2025). T. de Lange is a shareholder with 20% employment at Augere Medical AS (2019 to present). J. Bernal, T. Eelbode, A. Papaefthymiou, A. Benson, R. Bozzi, C. Yzet, E. Gibbons, E. Gadour, F. Silva, G. Tziatzios, G. Esposito, H. Rughwani, I. Jovanovic, I.D. Arciniegas Sanmartin, J. Kral, J. Santos-Antunes, K. Khalaf, K. Namikawa, K. Kurek, M.F. Balladares Salazar, M. Kalauz, M. Shiha, R.H. López, R. Sidhu, S. Stylianidis, T. Khoury, and V. Lorenzo-Zúñiga declare that they have no conflict of interest

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Curriculum for safe and effective use of artificial intelligence in endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Collaborators

Affiliations

Curriculum for safe and effective use of artificial intelligence in endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Authors

Collaborators

Affiliations

Erratum in

Abstract

Conflict of interest statement

Publication types

MeSH terms

LinkOut - more resources

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