Upper endoscopy is performed every day in GI, yet many exams still fall short of true quality — a gap highlighted by Harish K. Gagneja, MD, MACG, at DDW 2025. In his talk, Dr. Gagneja shared why seemingly simple choices — how thoroughly the mucosa is washed, which imaging systems are used, and how long we actually spend inspecting the stomach — can dramatically change what is found or missed.
He argues that a minimum seven-minute inspection can reveal lesions easily overlooked in routine practice, and he outlines a surprisingly detailed approach to photo-documentation that many endoscopists don’t currently follow.