CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(10): E1247-E1255
DOI: 10.1055/a-0677-2026
Position Statement
Owner and Copyright © Georg Thieme Verlag KG 2018

Partnership with African Countries: European Society of Gastrointestinal Endoscopy (ESGE) – Position Statement

Cesare Hassan
1  Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy
Lars Aabakken
2  Endoscopy, Oslo University Hospital – Rikshospitalet, Oslo, Norway
Alanna Ebigbo
3  Department of Gastroenterology, Klinikum Augsburg, Augsburg, Germany
John Gásdal Karstensen
4  Gastro Unit, Division of Endoscopy, Copenhagen University Hospital Herlev, Copenhagen, Denmark
5  Gastro Unit, Division of Surgery, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark
Claire Guy
6  European Society of Gastrointestinal Endoscopy (ESGE) Secretariat, Hamilton Services GmbH, Munich, Germany
Mario Dinis-Ribeiro
7  CIDES/CINTESIS, Faculty of Medicine, University of Porto, Porto, Portugal
Olivier Le Moine
8  Gastroenterology Department, Erasme University Hospital, Brussels, Belgium
Peter Vilmann
4  Gastro Unit, Division of Endoscopy, Copenhagen University Hospital Herlev, Copenhagen, Denmark
Thierry Ponchon
9  Gastroenterology and Endoscopy, Edouard Herriot Hospital, Lyon, France
› Author Affiliations
Further Information

Publication History

Publication Date:
08 October 2018 (online)


A new objective for the European Society of Gastrointestinal Endoscopy (ESGE) is to develop long-term partnerships with African countries. For this, an International Affairs Working Group (IAWG) was formed.

In conjunction with the World Endoscopy Organization (WEO), ESGE conducted a survey of gastrointestinal (GI) endoscopy in Africa.

Survey results showed that many African countries have few GI endoscopy centers with adequate resources. Barriers to the development of endoscopy services include a shortage of endoscopists who have undergone advanced endoscopy training, and a lack of equipment and basic infrastructure.

Diseases related to infectious etiology are more prevalent than neoplastic diseases in Africa. Any development of endoscopy services needs to consider the local prevalence of diseases for which GI endoscopy is required, as well as the availability of resources.

The IAWG will initiate a cascade approach to identify and adapt ESGE guidelines for local use. The guidelines will consider the level of resources available for each intervention, as well as cost, infrastructure, and training, and will be approved by consensus of local experts who are representative of different African areas.

Suitable centers in African countries will be identified, and in future will be developed into WEO/ESGE training centers, to provide local training in both basic and advanced endoscopy according to the needs of the area.

Appendix e1 – e3