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Inicio Gastroenterología y Hepatología (English Edition) State of endoscopic ultrasonography in Spain in 2017
Journal Information
Vol. 41. Issue 10.
Pages 672-678 (December 2018)
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Vol. 41. Issue 10.
Pages 672-678 (December 2018)
Special article
DOI: 10.1016/j.gastre.2018.11.019
State of endoscopic ultrasonography in Spain in 2017
Estado de la ecoendoscopia en España en 2017
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Ana García-Rodríguez, Gloria Fernández-Esparrach
Corresponding author
mgfernan@clinic.cat

Corresponding author.
, Oriol Sendino, Angels Ginès, on behalf of Grupo de Ecoendoscopia de la SEED
Unidad de Endoscopia, Servicio de Gastroenterología, ICMDiM, Hospital Clínic, CIBERehd, IDIBAPS, Universitat de Barcelona, Barcelona, Spain
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Tables (2)
Table 1. Number and types of hospitals distributed by autonomous region in which EUS is used. The number in brackets corresponds to the number of hospitals whose endoscopists answered the survey.
Table 2. Indication for EUS in Spanish hospitals.
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Additional material (1)
Abstract
Aim

To understand the current state of endoscopic ultrasonography (EUS) in Spain.

Methods

Descriptive analysis from a national survey with 11 questions: 10 related to technique and 1 to the training and experience of the endoscopists.

Results

Sixty endoscopists from 48 of the 97 (49.5%) hospitals that perform EUS in Spain responded to the survey. A total of 28,678 procedures (20,311 diagnostic, 7446 with puncture and 921 therapeutic) were recorded over the course of one year. Approximately 64% of the hospitals perform between 300 and 999 tests per year. All have radial and sectorial echoendoscopes, with a median of 2 (2–8) scopes. For cytological diagnosis, the 22-gauge needle is the most commonly used (98%) and, for histological diagnosis, the Procore (72%). The study of the pancreas and bile duct is the most common indication for diagnostic EUS (60%), followed by the staging of digestive tract neoplasms (20%). Approximately 72% of the hospitals perform on-site cytopathology evaluations and sedation is administered in equal parts by both endoscopists and anaesthetists. In terms of experience, 45% of echoendoscopists perform fewer than 300 annual exams and the median training duration is 6 months (0.5–36).

Conclusions

EUS is adequately implemented in Spain and good equipment is available. However, it is necessary to establish a standardised EUS training programme since the one undertaken by many echoendoscopists could prove insufficient according to the standards established by Scientific Societies.

Keywords:
Endoscopic ultrasonography (EUS)
Survey
Spain
Indications
Equipment
Training
Resumen
Objetivo

Conocer el estado actual de la ultrasonografía endoscópica (USE) en España.

Métodos

Análisis descriptivo a partir de una encuesta nacional con 11 preguntas: 10 relativas a la técnica y una a la formación y experiencia de los ecoendoscopistas.

Resultados

Contestaron 60 endoscopistas correspondientes a 48 de los 97 (49,5%) hospitales que realizan USE en España. Se contabilizaron en un año 28.678 exploraciones (20.311 diagnósticas, 7.446 con punción y 921 terapéuticas). Un 64% de los hospitales realiza entre 300 y 999 pruebas por año. Todos los centros disponen de ecoendoscopio radial y sectorial, con una mediana de 2 por hospital (2-8). La aguja de citología que más se usa es la de 22 gauges (98%) y de histología la Procore (72%). El estudio del páncreas y la vía biliar es la indicación más frecuente de USE diagnóstica (60%), seguido de la estadificación de neoplasias del tubo digestivo (20%). El 72% de los hospitales dispone de un citopatólogo en la sala y la sedación es administrada a partes iguales por los endoscopistas y anestesistas. En cuanto a la experiencia, el 45% de los ecoendoscopistas realizan menos de 300 exploraciones anuales y la mediana de tiempo de formación es de 6meses (0,5-36).

Conclusiones

La USE está adecuadamente implementada en España y se dispone de buen equipamiento. Sin embargo, es necesario establecer un programa estandarizado de formación en USE, ya que la de muchos ecoendoscopistas podría ser insuficiente según los estándares establecidos por las Sociedades Científicas.

Palabras clave:
Ultrasonografía endoscópica (USE)
Encuesta
España
Indicaciones
Equipo
Formación

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