Is Endoscopic Resection Currently Available in Non-tertiary or Non-academic Hospitals?

Korean J Gastrointest Endosc > Volume 41(6); 2010 > Article

Korean Journal of Gastrointestinal Endoscopy 2010;41(6): 338-343.

일차 및 이차 의료기관에서 내시경 절제술은 가능한가?

전성우ㆍ정민규ㆍ김성국ㆍ김태년*ㆍ장병익*ㆍ이시형*ㆍ김경옥*ㆍ김은수^†ㆍ조광범^†ㆍ박경식^†ㆍ김은영^‡ㆍ정진태^‡ㆍ권중구^‡ㆍ양창헌^§ㆍ이중현^§ㆍ박창근^∥ㆍ서향은^∥

경북대학교 의학전문대학원 내과학교실 소화기내과, *영남대학교 의과대학 내과학교실, ^†계명대학교 의과대학 내과학교실, ^‡대구가톨릭대학교 의과대학 내과학교실, ^§동국대학교 의과대학 내과학교실, ^∥대구파티마병원 내과

Is Endoscopic Resection Currently Available in Non-tertiary or Non-academic Hospitals?

Seong Woo Jeon, M.D., Min Kyu Jung, M.D., Sung Kook Kim, M.D., Tae Nyeun Kim, M.D.*, Byung Ik Jang, M.D.*, Si Hyung Lee, M.D.*, Kyeong Ok Kim, M.D.*, Eun Soo Kim, M.D.^†, Kwang Bum Cho, M.D.^†, Kyung Sik Park, M.D.^†

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kyungpook National University School of Medicine, Department of Internal Medicine, *Yeungnam University College of Medicine, ^†Keimyung University College of Medicine, ^‡Catholic University of Daegu College of Medicine, Daegu, ^§Dongguk University College of Medicine, Gyeongju, ^∥Daegu Fatima Hospital, Daegu, Korea

Abstract

Background/Aims:
Endoscopic mucosal resection (EMR) has been gaining popularity with the advances in the technique and the accumulating experience. The objectives of this study are to assess the current situation of endoscopic resection (ER) in primary clinics and community-based hospitals and to suggest an affordable training program.
Methods:
A questionnaire about the indications to perform ER for gastric or colonic lesions was sent to the doctors working in the non-tertiary hospitals by mail.
Results:
The responders who were performing EMR or polypectomy for gastric lesions accounted for 43% (31/72) and 44.8% (47/101), respectively, of the total responders. The percentage of responders who had experience with performing EMR or polypectomy for colonic lesions accounted for 56.6% (30/53) and 87.3% (62/71), respectively, of the total responders. The indication for ER for treating gastric and colonic lesions was restricted to the size of 1∼2 cm irrespective of the type or location of lesion. Most of the responders assumed that ER should be performed in their clinics and they wanted to have a chance to improve these techniques.
Conclusions:
The infrastructure for therapeutic endoscopy, such as ER, should be progressively expanded. Therefore, well designed schematic training programs are currently needed to advance using ER more commonly in clinical practice. (Korean J Gastrointest Endosc 2010;41:338-343)

Key Words: Therapeutic endoscopy, Endoscopic mucosal resection, Education

주요어: 치료내시경, 내시경 절제술, 교육