0 item
0 item
Login
Help

Login to MyKarger

New to MyKarger? Click here to sign up.



Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or OpenAthens)

For the academic login, please select your organization on the next page. You will be redirected to verify your credentials.

OpenAthens/Shibboleth

Journal Menu

Original Article

Open Access Gateway

Cross-Sectional Study to Assess Endoscopic Ultrasound Practice in Portugal

Costa J.M. · Fernandes D. · Gonçalves B. · Gonçalves R. · Soares J.B.

Author affiliations

Gastroenterology Department, Braga Hospital, Braga, Portugal

Corresponding Author

Juliana M. Costa, MD

Gastroenterology Department, Hospital de Braga

Sete Fontes – São Victor

PT–4710-243 Braga (Portugal)

E-Mail julianamcosta87@gmail.com

Keywords: Endoscopic ultrasoundEchoendoscopyPortugalSurvey questionnaire

Related Articles for ""
GE Port J Gastroenterol 2019;26:333–345
https://doi.org/10.1159/000495524

Do you have an account?

Login Information





Contact Information











I have read the Karger Terms and Conditions and agree.



Abstract

Background: Despite the increasing number of national departments performing endoscopic ultrasound (EUS), there are no official data regarding clinical EUS practice in Portugal. Objectives: We aimed to evaluate the current practice of EUS in Portugal. Methods: By email, we invited 1 physician of each one of the 26 national Gastroenterology Departments which perform EUS to complete a survey questionnaire available on the Google Forms platform. The online questionnaire was available from September 2017 until February 2018 and was answered only by physicians who perform EUS. Results: A total of 21/26 (80.8%) national Gastroenterology Departments answered the questionnaire. In Portugal, there are 42 echoendoscopes in total; most of the echoendoscopy units have only 1 EUS processor (81%), 1 radial echoendoscope (66.7%), 1 linear echoendoscope (76.2%), 1 anorectal probe (57.1%), but no miniprobes (85.7%). About 81% have histological core acquisition needles. In 81% of the units, there are at least 2 ultrasonographers who perform echoendoscopy together (at least 2 ultrasonographers per EUS) in 47.6% of these departments. The ultrasonographers also performed abdominal ultrasound (US), anal US, and endoscopic retrograde cholangiopancreatography in 71.4, 66.7, and 42.9%, respectively. The echoendoscopy units have 2.4 ± 1.1 periods of echoendoscopy per week and 4 ± 1.5 EUS per period (499.2 ± 416.8 EUS per year). Subepithelial lesions and biliopancreatic lesion evaluation as well as gastrointestinal neoplasia staging were the most common EUS indications. The number of FNA (fine-needle aspirations) ranges from 10 to 160/year. Rapid on-site evaluation (ROSE) is available in 60% of units and is performed by the cytopathologist (66.7%) in the majority of cases. The main reason for omitting ROSE is the limited pathology staff. Cytopathological material is prepared by the ultrasonographer in 25% of the units. Air drying (50%) and formalin (50%) are most frequently used to fix and preserve smears, respectively. Pancreatic pseudocyst drainage (66.7%), celiac plexus neurolysis (52.4%) and pancreatic necrosectomy (42.9%) are the most widespread therapeutic procedures. Conclusions: This survey provides the first insight into the current status of digestive echoendoscopy in Portugal. There is a great variability in diagnostic and therapeutic echoendoscopy practice.

© 2019 Sociedade Portuguesa de Gastrenterologia Published by S. Karger AG, Basel

Estudo transversal de avaliação da prática de ecoendoscopia digestiva em Portugal

Resumen

Introdução: Apesar do crescente número de serviços nacionais a realizar ecoendoscopia digestiva, não existem dados sobre a prática da ecoendoscopia no nosso país. Objetivos: Pretendemos avaliar a prática da ecoendoscopia em Portugal. Métodos: Por e-mail convidámos um elemento de cada dos 26 serviços nacionais de Gastrenterologia que realizam ecoendoscopia a preencher um questionário disponível na plataforma google forms. O questionário esteve disponível via online de setembro de 2017 a fevereiro de 2018 e foi respondido apenas por médicos que realizam ecoendoscopia. Resultados: Obtivemos resposta de 21 dos 26 serviços convidados (80.8%). Em Portugal existe um total de 42 ecoendoscópios. A maioria das unidades possui 1 ecógrafo (81%), 1 ecoendoscópio radial (66.7%), 1 eco endoscópio linear (76.2%), 1 sonda rectal (57.1%) mas não dispõem de mini-sondas (85.7%). 81% dispõem de agulhas de aquisição de core histológico. Em 81% dos serviços existem pelo menos 2 ecoendoscopistas que realizam ecoendoscopia em conjunto em 47.6% dos serviços. Os ecoendoscopistas também realizam ecografia abdominal, ecografia anal e colangiopancreatografia retrógrada endoscópica em 71.4, 66.7 e 42.9% respectivamente. Os serviços têm em média 2.4 ± 1.1 períodos de ecoendoscopia/semana realizando em média 4 ± 1.5 ecoendoscopia/período (499.2 ± 416.8 ecoendoscopias/ano). A avaliação de lesões subepiteliais e bilio-pancreática, assim como o estadiamento de neoplasias do tubo digestivo são as indicações mais frequentes para a realização de ecoendoscopia. O número de punções diagnósticas guiadas por ecoendoscopia varia entre 10 e 160/ano. A maioria dos serviços (60%) dispõe de rapid on-site pathological evaluation (ROSE) que é realizada pelo citopatologista na maioria das vezes (66.7%). A carência de funcionários nas unidades de Anatomia Patológica é o principal motivo para a ausência de ROSE. A preparação do material citopatológico é realizada pelo ecoendoscopista em 25% dos serviços. A secagem ao ar (50%) e o formol (50%) são o método de fixação dos esfregaços e o meio de preservação mais usados, respetivamente. A drenagem de pseudocisto pancreático (66.7%), neurólise do plexo celíaco (52.4%) e necrosectomia pancreática (42.9%) são os procedimentos terapêuticos mais disseminados. Conclusões: Este trabalho fornece os primeiros dados sobre a prática de ecoendoscopia digestiva em Portugal. Existe uma grande variabilidade nos exames diagnósticos e terapêuticos.



Related Articles:

References

  1. Dumonceau JM, Polkowski M, Larghi A, Vilmann P, Giovannini M, Frossard JL, et al.; European Society of Gastrointestinal Endoscopy. Indications, results, and clinical impact of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2011 Oct;43(10):897–912.
    External Resources
  2. Ho KY. Survey of endoscopic ultrasonographic practice and training in the Asia-Pacific region. J Gastroenterol Hepatol. 2006 Aug;21(8):1231–5.
    External Resources
  3. Das A, Mourad W, Lightdale CJ, Sivak MV Jr, Chak A. An international survey of the clinical practice of EUS. Gastrointest Endosc. 2004 Nov;60(5):765–70.
    External Resources
  4. Drigo JM, Castillo C, Wever W, Obaldía JR, Fillipi S, Ribeiro MC, et al. Endoscopic ultrasound practice survey in Latin America. Endosc Ultrasound. 2013 Oct;2(4):208–18.
    External Resources
  5. Savides TJ, Fisher AH Jr, Gress FG, Hawes RH, Lightdale CJ; ASGE Ad Hoc Endoscopic Ultrasound Committee. 1999 ASGE endoscopic ultrasound survey. Gastrointest Endosc. 2000 Dec;52(6):745–50.
    External Resources
  6. van Riet PA, Cahen DL, Poley JW, Bruno MJ. Mapping international practice patterns in EUS-guided tissue sampling: outcome of a global survey. Endosc Int Open. 2016 Mar;4(3):E360–70.
    External Resources
  7. Yusuf TE, Harewood GC, Clain JE, Levy MJ. International survey of knowledge of indications for EUS. Gastrointest Endosc. 2006 Jan;63(1):107–11.
    External Resources
  8. DiMaio CJ, Buscaglia JM, Gross SA, Aslanian HR, Goodman AJ, Ho S, et al. Practice patterns in FNA technique: A survey analysis. World J Gastrointest Endosc. 2014 Oct;6(10):499–505.
    External Resources
  9. Polkowski M, Larghi A, Weynand B, Boustière C, Giovannini M, Pujol B, et al.; European Society of Gastrointestinal Endoscopy (ESGE). Learning, techniques, and complications of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Guideline. Endoscopy. 2012 Feb;44(2):190–206.
    External Resources

Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: August 21, 2018
Accepted: November 13, 2018
Published online: February 07, 2019
Issue release date: September - October

Number of Print Pages: 13
Number of Figures: 0
Number of Tables: 7

ISSN: 2341-4545 (Print)
eISSN: 2387-1954 (Online)

For additional information: https://www.karger.com/PJG

References

  1. Dumonceau JM, Polkowski M, Larghi A, Vilmann P, Giovannini M, Frossard JL, et al.; European Society of Gastrointestinal Endoscopy. Indications, results, and clinical impact of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2011 Oct;43(10):897–912.
    External Resources
  2. Ho KY. Survey of endoscopic ultrasonographic practice and training in the Asia-Pacific region. J Gastroenterol Hepatol. 2006 Aug;21(8):1231–5.
    External Resources
  3. Das A, Mourad W, Lightdale CJ, Sivak MV Jr, Chak A. An international survey of the clinical practice of EUS. Gastrointest Endosc. 2004 Nov;60(5):765–70.
    External Resources
  4. Drigo JM, Castillo C, Wever W, Obaldía JR, Fillipi S, Ribeiro MC, et al. Endoscopic ultrasound practice survey in Latin America. Endosc Ultrasound. 2013 Oct;2(4):208–18.
    External Resources
  5. Savides TJ, Fisher AH Jr, Gress FG, Hawes RH, Lightdale CJ; ASGE Ad Hoc Endoscopic Ultrasound Committee. 1999 ASGE endoscopic ultrasound survey. Gastrointest Endosc. 2000 Dec;52(6):745–50.
    External Resources
  6. van Riet PA, Cahen DL, Poley JW, Bruno MJ. Mapping international practice patterns in EUS-guided tissue sampling: outcome of a global survey. Endosc Int Open. 2016 Mar;4(3):E360–70.
    External Resources
  7. Yusuf TE, Harewood GC, Clain JE, Levy MJ. International survey of knowledge of indications for EUS. Gastrointest Endosc. 2006 Jan;63(1):107–11.
    External Resources
  8. DiMaio CJ, Buscaglia JM, Gross SA, Aslanian HR, Goodman AJ, Ho S, et al. Practice patterns in FNA technique: A survey analysis. World J Gastrointest Endosc. 2014 Oct;6(10):499–505.
    External Resources
  9. Polkowski M, Larghi A, Weynand B, Boustière C, Giovannini M, Pujol B, et al.; European Society of Gastrointestinal Endoscopy (ESGE). Learning, techniques, and complications of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Guideline. Endoscopy. 2012 Feb;44(2):190–206.
    External Resources

Open Access License / Drug Dosage / Disclaimer

This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Top

Article Tools
Article Details

2019, Vol.26, No. 5

September - October

Open Access Gateway

previous Article next

Recommend This
Open Access Gateway