Current application situation of gastrointestinal endoscopy in China

doi:10.3748/wjg.v19.i19.2950

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. May 21, 2013; 19(19): 2950-2955
Published online May 21, 2013. doi: 10.3748/wjg.v19.i19.2950

Table 1 Comparison of endoscopy items at three levels of endoscopy units n (%)/(mean ± SD)

Endoscopy unit	Provincial (n = 44)	Prefecture-level (n = 91)	County-level (n = 34)	Total (n = 169)
Procedures per year
> 5000	44 (100.0)	15 (16.5)	0 (0.0)	59 (34.9)
3000-5000	0 (0.0)	65 (71.4)	3 (8.8)	69 (40.2)
< 3000	0 (0.0)	11 (12.1)	31 (91.2)	42 (24.9)
Average number of endoscopes	22.4 ± 5.5^a	5.4 ± 1.4	2.7 ± 1.2	9.3 ± 3.2
≥ 10 endoscopes/unit	26 (59.1)^a	6 (6.6)	0 (0.0)	32 (18.9)
Gastroscope	44 (100.0)	91 (100.0)	34 (100.0)	169 (100.0)
Colonoscope	44 (100.0)^a	89 (97.8)^c	30 (88.2)	163 (96.4)
DBE/SBE	18 (40.9)^a	0 (0.0)	0 (0.0)	18 (10.7)
EUS	31 (70.5)^a	7 (7.7)	0 (0.0)	38 (22.5)
VCE	28 (63.6)^a	7 (7.7)	0 (0.0)	35 (20.7)
Average number of procedure rooms	4.9 ± 1.4^a	2.6 ± 1.3^c	1.6 ± 0.8	3.6 ± 1.8
Average number of full-time physicians	3.0 ± 1.3^a	1.6 ± 1.2	1.2 ± 0.9	1.9 ± 1.4
Average number of full-time nurses	5.4 ± 1.3^a	2.2 ± 1.1	1.3 ± 0.8	2.8 ± 1.3
X-ray machine	19 (43.2)^a	14 (15.4)^c	0 (0.0)	33 (19.5)
Polypectomy	44 (100.0)^a	71 (78.0)^c	14 (41.2)	129 (76.3)
ERCP	34 (77.3)^a	39 (42.9)^c	4 (11.8)	77 (45.6)
EMR	30 (68.2)^a	20 (22.0)^c	2 (5.9)	52 (30.8)
ESD	16 (36.4)^a	9 (9.9)	0 (0.0)	25 (14.8)
EVS/EVL	33 (75.0)^a	37 (40.7)^c	3 (8.8)	73 (43.2)

^aP < 0.05 vs prefecture-level or county-level endoscopy units;

^cP < 0.05 vs county-level endoscopy units. EUS: Endoscopic ultrasonography; VCE: Video capsule endoscope; DBE/SBE: Double balloon/single balloon enteroscopy; ERCP: Endoscopic retrograde cholangiopancreatography; EMR: Endoscopic mucosal resection; ESD: Endoscopic submucosal dissection; EVS: Endoscopic variceal sclerotherapy; EVL: Endoscopic variceal ligation.

Table 2 Comparison of main endoscopy items in three independent surveys

Endoscopy items	Shanghai survey (2001)	Qinghai survey (2003)	Present survey (2011)
Number of units	138.0	37.0	169.0
Average number of endoscopes/unit	3.3	1.4	9.3
Possession rate
Gastroscope	100.00%	100.00%	100%
Colonoscope	70.30%	-	97.60%
Enteroscope	4.30%	0.00%	10.60%
EUS	7.20%	0.00%	22.50%
VCE	-	2.70%	20.70%
X-ray machine	5.70%	-	19.50%
Procedures
Polypectomy	54.30%	-	76.30%
EVS/EVL	40.20%	-	43.20%
ERCP	38.40%	-	45.60%

EUS: Endoscopic ultrasonography; VCE: Video capsule endoscope; ERCP: Endoscopic retrograde cholangiopancreatography; EVS: Endoscopic variceal sclerosis; EVL: Endoscopic variceal ligation.

Citation: Zhang XL, Lu ZS, Tang P, Kong JY, Yang YS. Current application situation of gastrointestinal endoscopy in China. World J Gastroenterol 2013; 19(19): 2950-2955
URL: https://www.wjgnet.com/1007-9327/full/v19/i19/2950.htm
DOI: https://dx.doi.org/10.3748/wjg.v19.i19.2950