217 An Audit on Image Documentation in Upper GI Endoscopy

Abstract Aim Complete photo-documentation of eight standard oesophagogastroduodenoscopy (OGD) landmarks is a key quality indicator yet remains inconsistently achieved in routine practice. We conducted a retrospective surgical audit to quantify completeness of eight-site OGD documentation Method We reviewed 59 OGDs performed from 1st to 15th of May 2025 Patient demographics, pathology outcomes and the rate of photograph capture at eight anatomical sites were recorded. Complete eight-site documentation and individual landmark photo-rates were analysed Results Patients’ median age was 57 years (range 18–89) with a female:male ratio of 33:26. Complete eight-site photo-documentation was achieved in only 6.35% of procedures. Individual photo-rates varied widely: upper oesophagus 15.9%, GOJ 73.0%, fundus (retroflexion) 76.2%, gastric body 34.9%, incisura/angulus 27.0%, antrum 49.2%, duodenal bulb 41.3%, and second part of duodenum 79.4%. Gastroenterologists performed the majority of OGDs (n=27; 45.8%) averaging 4.15 sites documented, Surgeons performed 17 OGDs (28.8%) with an average of 3.94 landmarks documented and gastroenterology trainees performing 15 OGDs (25.4%) with an average of 4.73 landmarks documented. Conclusions This baseline audit reveals marked heterogeneity and suboptimal completeness in OGD photo-documentation, with full eight-site capture achieved in fewer than one in fifteen examinations. The findings underscore the need for targeted interventions such as structured reporting templates, operator education and regular feedback to standardise practice and improve documentation quality. We will present these results at an upcoming surgical conference and initiate a second audit cycle following implementation of improvement measures.