AB061. SOH24AB_051. A closed-loop audit of adherence to recommended surveillance of non-dysplastic Barrett’s oesophagus in Portiuncula University Hospital
General Surgery Session I

AB061. SOH24AB_051. A closed-loop audit of adherence to recommended surveillance of non-dysplastic Barrett’s oesophagus in Portiuncula University Hospital

Sinead Gaffney1, Nicola Cleary2, Oisin O’Donnell2, Aisling McGrath2, Colm Neary2, Ali Chaudhary2, 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: Barrett’s oesophagus (BO) is a pre-malignant condition whereby the normal stratified squamous epithelium of the distal oesophagus is replaced by metaplastic columnar epithelium. The British Society of Gastroenterology (BSG) 2014 guidelines recommend specific surveillance intervals and a standardised reporting approach to BO using a minimum dataset during oesophagogastroduodenoscopy (OGD). The objective of this study was to the assess the adherence of endoscopists to these guidelines and promote a standardised approach to BO reporting and surveillance.

Methods: To assess adherence, a retrospective closed-loop audit was carried out. Audit cycle 1 included patients who had undergone surveillance OGD for BO during 2021. An educational intervention for endoscopists and a proforma for reference during OGD were implemented thereafter. Cycle 2 audited the same parameters post-intervention, from January to July 2023. Results from both were analysed and compared.

Results: A total of 50 patients were included in cycle 1, and 44 patients in cycle 2. Both cycles demonstrated high levels of adherence the recommended surveillance intervals (89% and 88.9% respectively). Adherence to the Seattle protocol and measurement of hiatus hernia size increased in cycle 2, while adherence to the Prague criteria remained low (20% versus 22.7%). Paris classification was not reported during either cycle.

Conclusions: There is a need for further intervention to increase the standard of BO reporting, namely the Prague criteria for reporting BO extent and Paris classification for classifying visual lesions. Future plans may comprise of focused local proforma development including expansion to include the computer-based platform on which OGD reports are generated.

Keywords: Audit; Barrett’s oesophagus (BO); oesophagogastroduodenoscopy (OGD); surveillance

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-ab061
Cite this abstract as: Gaffney S, Cleary N, O’Donnell O, McGrath A, Neary C, Chaudhary A, Myers E, Chaudhary A, Garvin J. AB061. SOH24AB_051. A closed-loop audit of adherence to recommended surveillance of non-dysplastic Barrett’s oesophagus in Portiuncula University Hospital. Mesentery Peritoneum 2024;8:AB061.

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