Endoscopy 2026; 58(02): 202-210
DOI: 10.1055/a-2742-4342
Position Statement

Curriculum for safe and effective use of artificial intelligence in endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Authors

  • Yuichi Mori

    1   Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Oslo, Norway
    2   Gastroenterology Section, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway (Ringgold ID: RIN155272)
    3   Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan (Ringgold ID: RIN220878)
  • Uri Kopylov

    4   Sheba Medical Center, Ramat Gan, and Tel Aviv University School of Medicine, Ramat Gan, Israel
  • Pieter Sinonquel

    5   Department of Gastroenterology and Hepatology, UZ Leuven, Leuven, Belgium (Ringgold ID: RIN60182)
    6   Department of Translational Research in Gastrointestinal Diseases (TARGID), KU Leuven, Leuven, Belgium (Ringgold ID: RIN26657)
  • Alanna Ebigbo

    7   Internal Medicine, Gastroenterology and Interventional Endoscopy, St. Josef-Univesity Hospital, Bochum, Germany
  • Evelien Dekker

    8   Department of Gastroenterology and Hepatology, Amsterdam UMC, Amsterdam, The Netherlands (Ringgold ID: RIN26066)
  • Albert Jeroen De Groof

    8   Department of Gastroenterology and Hepatology, Amsterdam UMC, Amsterdam, The Netherlands (Ringgold ID: RIN26066)
  • Omer F. Ahmad

    9   Division of Surgery and Interventional Science, University College London, London, United Kingdom (Ringgold ID: RIN4919)
    10   Department of Gastrointestinal Services, University College London Hospital, London, United Kingdom (Ringgold ID: RIN8964)
  • Rawen Kader

    9   Division of Surgery and Interventional Science, University College London, London, United Kingdom (Ringgold ID: RIN4919)
    11   St. Marks Hospital and University College London, London, United Kingdom (Ringgold ID: RIN4919)
  • Adrian Saftoiu

    12   Carol Davila University of Medicine and Pharmacy, Bucharest, Romania (Ringgold ID: RIN87267)
  • Erik Schoon

    13   Catharina Hospital, Eindhoven, The Netherlands (Ringgold ID: RIN3168)
  • Pietro Mascagni

    14   Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy (Ringgold ID: RIN18654)
    15   Institute of Image-Guided Surgery, IHU Strasbourg, Strasbourg, France (Ringgold ID: RIN560036)
  • Pradeep Bhandari

    16   Department of Gastroenterology, Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom
  • Alexander Hann

    17   Interventional and Experimental Endoscopy (InExEn), Department of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany (Ringgold ID: RIN27207)
  • Giulio Antonelli

    18   Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli, Rome, Italy (Ringgold ID: RIN638740)
  • Marietta Iacucci

    19   APC Microbiome Ireland, College of Medicine and Health, University College Cork, Cork, Ireland (Ringgold ID: RIN37437)
  • Oliver Pech

    20   Department of Gastroenterology and Interventional Endoscopy, Krankenhaus Barmherzige Brüder Regensburg, Regensburg, Germany
  • Xavier Dray

    21   Center for Digestive Endoscopy, Hôpital Saint Antoine, APHP, Sorbonne University, Paris, France (Ringgold ID: RIN27063)
  • Marco Spadaccini

    22   Department of Biomedical Sciences, Humanitas University, Milan, Italy (Ringgold ID: RIN437807)
    23   Department of Gastroenterology, IRCCS Humanitas Research Hospital, Milan, Italy (Ringgold ID: RIN9268)
  • John R. Campion

    24   Department of Gastroenterology, Mater Misericordiae University Hospital, Dublin, Ireland (Ringgold ID: RIN8881)
    25   School of Medicine, University College Dublin, Dublin, Ireland
  • Cesare Hassan

    22   Department of Biomedical Sciences, Humanitas University, Milan, Italy (Ringgold ID: RIN437807)
    23   Department of Gastroenterology, IRCCS Humanitas Research Hospital, Milan, Italy (Ringgold ID: RIN9268)
  • Helmut Messmann

    26   Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany (Ringgold ID: RIN39694)
  • Raf Bisschops

    5   Department of Gastroenterology and Hepatology, UZ Leuven, Leuven, Belgium (Ringgold ID: RIN60182)
    6   Department of Translational Research in Gastrointestinal Diseases (TARGID), KU Leuven, Leuven, Belgium (Ringgold ID: RIN26657)
  • Lorenzo Fuccio

    27   Department of Medical Sciences and Surgery, University of Bologna, Bologna, Italy
    28   Gastroenterology Unit, RCCS-Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
  • Antonio Facciorusso

    29   Department Experimental Medicine, Università del Salento, Lecce, Italy (Ringgold ID: RIN18976)
  • Tony Tham

    30   Ulster Hospital Belfast, Belfast, Northern Ireland
  • and the ESGE AI Curriculum advisory and voting group

Abstract

The European Society of Gastrointestinal Endoscopy (ESGE) has identified a critical need to establish structured training for safe and effective use of artificial intelligence (AI) in endoscopy. This manuscript presents the results of a formal Delphi consensus process and outlines the official ESGE position, offering a comprehensive curriculum for acquiring and maintaining the competence needed to exploit the benefit of using AI tools in endoscopy. The proposed framework defines the prerequisites in the preadoption phase, core training components, and requirements to maintain optimal implementation. Key recommendations include: (1) ensuring basic competency in standard endoscopy procedures; (2) acquiring foundational knowledge of AI principles; (3) implementing educational programs to enhance AI literacy; (4) recognizing and mitigating cognitive biases in human–AI interaction; (5) avoiding over-reliance on AI in clinical decision-making; and (6) continuous monitoring of key performance indicators throughout AI system integration.



Publication History

Article published online:
03 December 2025

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