COMMENTED SUMMARIES FROM CURRENT MEDICAL LITERATURE

Gastroenterologists are required to obtain informed consent before undertaking any endoscopic examination. Published data indicate that in practice there are many deficiencies in this process. The aim of this survey was to determine the quality of information given to patients before the endoscopic procedures in countries that are members of the European Society of Gastrointestinal Endoscopy (ESGE). Methods: A structured questionnaire was sent to representatives of endoscopic societies that are members of ESGE regarding the quality of informed consent. Results: The response rate was 59% (26/44). The endoscopist is responsible for giving required information prior to written consent in only 23.1% (6/26) of the countries. Although information about the procedure is given to the patients in 96% of the responding countries, in only 77% is there sufficient time for the patients to ask questions about the nature of the procedure. In 15% (4/26) of the countries neither the diagnostic or therapeutic alternatives to endoscopy are discussed nor the potential complication rates. Finally, the procedure-related mortality is provided in only 23% (6/26) of countries. Conclusion: The procedure of obtaining informed consent for endoscopy varies considerably and may need reevaluation.