Original Article
The development status of digestive endoscopy in China
Wang Luowei, Xin Lei, Lin Han, Wang Wei, Qian Wei, Fan Jing, Ma Xudong, Shen Liya, Li Fang, Zhang Junhua, Li Zhaoshen
Published 2015-08-20
Cite as Chin J Dig Endosc, 2015, 32(8): 501-515. DOI: 10.3760/cma.j.issn.1007-5232.2015.08.001
Abstract
ObjectiveTo find out the status of digestive endoscopy in our country, and to provide evidence-based support for the standardized management of digestive endoscopy.
MethodsThe survey of digestive endoscopy had been carried by the NHFPC and CSDE during 2013. The data had been reported by internet database in 31 provinces, municipalities, autonomous regions. The contents of the survey included four aspects: personal information, practicing information, problems encountered in practice, hospital and department information.
ResultsThe digestive endoscopic therapy had been carried out in 6 128 medical clinics. And there were 26 203 digestive endoscopists and 14 532 digestive endoscopic nurses served in these medical institutions. There were 28.77 million digestive endoscopic cases which had been carried out in 2012. The proportion of digestive endoscopists in registered physicians was 1.06%. There were only 19.59 digestive endoscopists per million people in our country. Throughout 2012, 199 patients died of digestive endoscopic procedure, 4 359 patients had gastrointestinal bleeding, 914 patients had perforation, and 593 patients had severe acute pancreatitis, 2 151 patients had bleeding, 257 patients had perforation, 4 125 patients had biliary tract infections induced by ERCP.
ConclusionThe digestive endoscopists and digestive endoscopic equipment are facing shortage and uneven regional distribution. The incidence of complications about endoscopic procedure is relatively high. And the Chinese digestive endoscopy also needs to be regulated.
Key words:
Digestive endoscopy; Survey
Contributor Information
Wang Luowei
Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China
Xin Lei
Lin Han
Wang Wei
Qian Wei
Fan Jing
Ma Xudong
Shen Liya
Li Fang
Zhang Junhua
Li Zhaoshen