AB060. SOH24AB_049. An audit of the endoscopic evaluation and documentation of gastric polyps in Portiuncula University Hospital
General Surgery Session I

AB060. SOH24AB_049. An audit of the endoscopic evaluation and documentation of gastric polyps in Portiuncula University Hospital

Sinead Gaffney1, Oisin O’Donnell2, Eddie Myers2, Ali Chaudhary2, Joseph Garvin2

1Faculty of Education and Health Sciences, School of Medicine, University of Limerick, Limerick, Ireland; 2Department of Surgery, Portiuncula University Hospital, Garbally Demesne, Ballinasloe, Co. Galway, Ireland

Background: Gastric polyps have become more prevalent in recent years with increasingly liberal use of upper endoscopy. Risk of direct malignant transformation is between 0.6% and 2.1%, and is particularly true when polyp size is >1 cm. This risk of malignancy informs the need for accurate evaluation. The British Society of Gastroenterology (BSG) published guidelines in 2019 for the endoscopic evaluation and management gastric polyps. The objective of this audit was to assess the adherence of endoscopists at Portiuncula University Hospital to these guidelines in order to develop a standardised approach.

Methods: Patients diagnosed with gastric polyps during elective oesophagogastroduodenoscopy (OGD) from January to July 2023 were identified by Hospital Inpatient Enquiries (HIPE). For each, it was noted whether polyp size, number, anatomical location, and morphology were reported. The indication, representative biopsy and photo-documentation were also recorded.

Results: Twenty reports of patients diagnosed with gastric polyps were identified and included. The most common indications for endoscopy were abdominal pain (50%) and reflux (30%). Adherence to the guidelines varied. A total of 93.7% reported taking representative biopsy, 77.8% included photo-documentation, 55% of reports included polyp number and 75% reported anatomical location. Polyp size and morphology were included in one report (5%).

Conclusions: This audit demonstrated varied adherence to recommended reporting domains for gastric polyps, with evident scope for improvement. The audit findings are limited by the small sample size, which is likely due to under-representation as a result of the search strategy using (HIPE).

Keywords: Audit; endoscopy; gastric; oesophagogastroduodenoscopy (OGD); polyps

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab060
Cite this abstract as: Gaffney S, O’Donnell O, Myers E, Chaudhary A, Garvin J. AB060. SOH24AB_049. An audit of the endoscopic evaluation and documentation of gastric polyps in Portiuncula University Hospital. Mesentery Peritoneum 2024;8:AB060.

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