{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T01:08:48Z","timestamp":1769821728195,"version":"3.49.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"10","license":[{"start":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T00:00:00Z","timestamp":1538956800000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Recommendations<\/jats:title><jats:p>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.<\/jats:p><jats:p>In conjunction with the World Endoscopy Organization (WEO), ESGE conducted a survey of gastrointestinal (GI) endoscopy in Africa. <\/jats:p><jats:p>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.<\/jats:p><jats:p>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. <\/jats:p><jats:p>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. <\/jats:p><jats:p>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.<\/jats:p>","DOI":"10.1055\/a-0677-2026","type":"journal-article","created":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T22:36:07Z","timestamp":1539038167000},"page":"E1247-E1255","source":"Crossref","is-referenced-by-count":31,"title":["Partnership with African Countries: European Society of Gastrointestinal Endoscopy (ESGE) \u2013 Position Statement"],"prefix":"10.1055","volume":"06","author":[{"given":"Cesare","family":"Hassan","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy"}]},{"given":"Lars","family":"Aabakken","sequence":"additional","affiliation":[{"name":"Endoscopy, Oslo University Hospital \u2013 Rikshospitalet, Oslo, Norway"}]},{"given":"Alanna","family":"Ebigbo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Klinikum Augsburg, Augsburg, Germany"}]},{"given":"John G\u00e1sdal","family":"Karstensen","sequence":"additional","affiliation":[{"name":"Gastro Unit, Division of Endoscopy, Copenhagen University Hospital Herlev, Copenhagen, Denmark"},{"name":"Gastro Unit, Division of Surgery, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark"}]},{"given":"Claire","family":"Guy","sequence":"additional","affiliation":[{"name":"European Society of Gastrointestinal Endoscopy (ESGE) Secretariat, Hamilton Services GmbH, Munich, Germany"}]},{"given":"Mario","family":"Dinis-Ribeiro","sequence":"additional","affiliation":[{"name":"CIDES\/CINTESIS, Faculty of Medicine, University of Porto, Porto, Portugal"}]},{"given":"Olivier","family":"Le Moine","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Erasme University Hospital, Brussels, Belgium"}]},{"given":"Peter","family":"Vilmann","sequence":"additional","affiliation":[{"name":"Gastro Unit, Division of Endoscopy, Copenhagen University Hospital Herlev, Copenhagen, Denmark"}]},{"given":"Thierry","family":"Ponchon","sequence":"additional","affiliation":[{"name":"Gastroenterology and Endoscopy, Edouard Herriot Hospital, Lyon, France"}]}],"member":"194","published-online":{"date-parts":[[2018,10,8]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1053\/j.gastro.2008.12.015","article-title":"Burden of digestive diseases in the United States part I: overall and upper gastrointestinal diseases","volume":"136","author":"J E Everhart","year":"2009","journal-title":"Gastroenterology"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"2839","DOI":"10.3748\/wjg.15.2839","article-title":"Gastroenterology in developing countries: issues and advances","volume":"15","author":"K L Mandeville","year":"2009","journal-title":"World J Gastroenterol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"3996","DOI":"10.3748\/wjg.v19.i25.3996","article-title":"Gastroenterology training in a resource-limited setting: Zambia, Southern Africa","volume":"19","author":"A W Asombang","year":"2013","journal-title":"World J Gastroenterol"},{"key":"ref4","isbn-type":"print","volume-title":"Challenges of gastrointestinal endoscopy in resource-poor countries","author":"N S Chuks","year":"2011","ISBN":"https:\/\/id.crossref.org\/isbn\/9789533073859"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"329","DOI":"10.4314\/ahs.v16i1.44","article-title":"Endoscopic capacity in West Africa","volume":"16","author":"D Perl","year":"2016","journal-title":"Afr Health Sci"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1055\/s-0031-1291584","article-title":"Creation of a therapeutic digestive endoscopy suite in Senegal: renovation, training and university certification. 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