Performance measures for endoscopic ultrasound: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative – Update 2025
The European Society of Gastrointestinal Endoscopy (ESGE) recommends that endoscopy services across Europe adopt the following six key performance measures for endoscopic ultrasound (EUS) for monitoring and evaluation in daily practice at center and endoscopist level: (1: ) informed patient consent (100 % of procedures); (2: ) adequate documentation of landmarks (≥ 90 % of procedures); (3: ) structured training and supervision for trainees, preferably using assessment tools (≥ 20 %); (4: ) standardized description of pancreatic cystic lesions (≥ 85 %); (5: ) diagnostic tissue acquisition with EUS-guided fine-needle aspiration/fine-needle biopsy for solid lesions (≥ 85 %); (6: ) adverse events (< 5 % in cystic and < 3 % in solid lesions). A recommendation to administer antibiotics for EUS-guided puncture of cystic lesions, included in the previous ESGE quality improvement document, has been omitted in the current version based on recent evidence.
Authors
- Marcus Hollenbach (ORCID: https://orcid.org/0000-0002-2654-3164)
- Antonio Facciorusso (ORCID: https://orcid.org/0000-0002-2107-2156)
- Jan‐Werner Poley (ORCID: https://orcid.org/0000-0003-0589-7059)
- Monika Ferlitsch (ORCID: https://orcid.org/0000-0002-7231-2164)
- Andrea A. Anderloni (ORCID: https://orcid.org/0000-0002-1021-0031)
- Wafaa Ahmed (ORCID: https://orcid.org/0000-0003-4034-7570)
- Ilaria Tarantino (ORCID: https://orcid.org/0000-0001-8791-3395)
- Evangelos Kalaitzakis (ORCID: https://orcid.org/0000-0002-9947-8914)
- Andrada Seicean (ORCID: https://orcid.org/0000-0002-5809-1334)
- Dirk Domagk
- John Gásdal Karstensen (ORCID: https://orcid.org/0000-0001-9333-0399)
- Suzane Ribeiro
Institutions
- University of Copenhagen (DK)
- University of Salento (IT)
- Imperial College Healthcare NHS Trust (GB)
- Iuliu Hațieganu University of Medicine and Pharmacy (RO)
- University of Pavia (IT)
- Universitätsklinikum Gießen und Marburg (DE)
- Amager Hospital (DK)
- Ghent University Hospital (BE)
- Österreichischer Rundfunk (AT)
- Hammersmith Hospital (GB)
- Maastricht University (NL)
- University Hospital Münster (DE)
- University Hospital of Heraklion (GR)
- Policlinico San Matteo Fondazione (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IT)
- Medical University of Vienna (AT)
Publication Details
- Journal
- Endoscopy
- Published
- 2025-11-12
- DOI
- https://doi.org/10.1055/a-2716-7763
- Citations
- 1
- Primary Topic
- Pancreatic and Hepatic Oncology Research
- Type
- article
- Field-Weighted Citation Impact
- 1.05
Funders
- Amsterdam University Medical Centers