‘What if you missed something?’ – post-OGD cancer incidence and what to tell people

The current gold standard for investigation of upper gastrointestinal (UGI) symptoms is to perform a oesophago-gastro-duodenoscopy (OGD). The 2017 quality standards state that a post-OGD UGI cancer (POUGIC) detected within 3 years of the index endoscopy should be considered a failure to diagnose cancer earlier and that the POUGIC rate not exceed 10%. We undertook an audit of cancer after endoscopy and factors that led to a delay in diagnosis of malignancy.We carried out a prospective audit of people who had an OGD in 2014 at Glan Clwyd Hospital, …