ECCO Topical Review Optimising Reporting in Surgery, Endoscopy, and Histopathology

Area of Science:

• Gastroenterology
• Colorectal Surgery
• Anatomic Pathology

Background:

• Inflammatory bowel diseases [IBD] necessitate a lifelong, multidisciplinary approach to care.
• High-quality medical reporting is critical for effective IBD management across specialties.
• This review addresses the need for optimized reporting in endoscopy, surgery, and histopathology for IBD.

Framework:

• A consensus expert panel developed 30 practice positions using Delphi methodology.
• Standardized terminology and a core set of items for reports were defined.
• Recommendations cover disease activity, surveillance, surgical indications, operative details, and histopathological interpretation.

Implementation:

• Systematic literature review informed the development of practice positions.
• An 80% agreement threshold was used to establish current practice recommendations.
• The framework provides actionable guidance for optimizing IBD reporting.

Implications:

• Standardized reporting enhances interdisciplinary communication and care quality in IBD.
• The established framework offers practical recommendations for clinicians.
• Optimized reporting contributes to better patient management and outcomes in IBD.