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DOI: 10.1055/a-0677-2026
Partnership with African Countries: European Society of Gastrointestinal Endoscopy (ESGE) – Position Statement
Publikationsverlauf
Publikationsdatum:
08. Oktober 2018 (online)
Recommendations
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.
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References
- 1 Everhart JE, Ruhl CE. Burden of digestive diseases in the United States part I: overall and upper gastrointestinal diseases. Gastroenterology 2009; 136: 376-386
- 2 Mandeville KL, Krabshuis J, Ladep NG. et al. Gastroenterology in developing countries: issues and advances. World J Gastroenterol 2009; 15: 2839-2854
- 3 Asombang AW, Turner-Moss E, Seetharam A. et al. Gastroenterology training in a resource-limited setting: Zambia, Southern Africa. World J Gastroenterol 2013; 19: 3996-4000
- 4 Chuks NS. Challenges of gastrointestinal endoscopy in resource-poor countries. In: Pascu O. , ed. Gastrointestinal Endoscopy. London: InTechOpen; 2011. ISBN ISBN: 978-953-307-385-9
- 5 Perl D, Leddin D, Bizos D. et al. Endoscopic capacity in West Africa. Afr Health Sci 2016; 16: 329-338
- 6 Le Moine O, Diouf ML, Mbengue M. et al. Creation of a therapeutic digestive endoscopy suite in Senegal: renovation, training and university certification. Results of a Belgian–Senegalese inter-university project. Endoscopy 2012; 44: 177-185
- 7 Segal I, Ally R, Mitchell H. Helicobacter pylori – an African perspective. QJM 2001; 94: 561-565
- 8 Karoney MJ, Siika AM. Hepatitis C virus (HCV) infection in Africa: a review. Pan Afr Med J 2013; 14: 44
- 9 Rao VB, Johari N, du Cros P. et al. Hepatitis C seroprevalence and HIV co-infection in sub-Saharan Africa: a systematic review and meta-analysis. Lancet Infect Dis 2015; 15: 819-824
- 10 Apata IW, Averhoff F, Pitman J. et al. Progress toward prevention of transfusion-transmitted hepatitis B and hepatitis C infection – sub-Saharan Africa, 2000–2011. MMWR Morb Mortal Wkly Rep 2014; 63: 613-619
- 11 International Agency for Research on Cancer. Stomach cancer. Estimated incidence, mortality and prevalence worldwide in 2012.. Available from: http://globocan.iarc.fr/old/FactSheets/cancers/stomach-new.asp
- 12 World health Organization. Global Health Observatory (GHO) data. Density of physicians. 2017 Available from: http://www.who.int/gho/health_workforce/physicians_density/en/ Volume 2017
- 13 Mandeville KL, Krabshuis J, Ladep NG. et al. Gastroenterology in developing countries: issues and advances. World J Gastroenterol 2009; 15: 2839-2854
- 14 Moayyedi P, Tepper J, Hilsden R. et al. International comparisons of manpower in gastroenterology. Am J Gastroenterol 2007; 102: 478-481
- 15 Perl D, Leddin D, Bizos D. et al. Endoscopic capacity in West Africa. Afr Health Sci 2016; 16: 329-338
- 16 Wilhelm TJ, Mothes H, Chiwewe D. et al. Gastrointestinal endoscopy in a low budget context: delegating EGD to non-physician clinicians in Malawi can be feasible and safe. Endoscopy 2012; 44: 174-176
- 17 Sloan FA, Gelband H. , eds. Cancer control opportunities in low- and middle-income countries. Institute of Medicine (US) Committee on Cancer Control in Low- and Middle-Income Countries. Washington (DC): National Academies Press (US); 2007
- 18 Sloan FA, Gelband H. , eds. Cancer control opportunities in low- and middle-income countries. Washington (DC): National Academies Press (US); 2007
- 19 Milholland AV, Wheeler SG, Heieck JJ. Medical assessment by a Delphi group opinion technic. N Engl J Med 1973; 288: 1272-1275
- 20 Dumonceau JM, Hassan C, Riphaus A. et al. European Society of Gastrointestinal Endoscopy (ESGE) Guideline Development Policy. Endoscopy 2012; 44: 626-629