Pediatr Gastroenterol Hepatol Nutr.
2023 Mar;26(2):79-87. 10.5223/pghn.2023.26.2.79.
A Nationwide Survey on Gastrointestinal Endoscopy Practice Patterns among Pediatric Endoscopists in South Korea
- Affiliations
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- 1Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
- 2Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea
- 3Department of Pediatrics, Inje University Haeundae Paik Hospital, Busan, Korea
- 4Department of Pediatrics, Chungnam National University Hospital, Daejeon, Korea
- 5Department of Pediatrics, Daegu Catholic University Medical Center, Daegu, Korea
- 6Department of Pediatrics, Yonsei University Wonju College of Medicine, Wonju, Korea
- 7Department of Pediatrics, Eulji General Hospital, Seoul, Korea
- 8Department of Pediatrics, Hallym University Sacred Heart Hospital, Anyang, Korea
- 9Department of Pediatrics, Inje University Ilsan Paik Hospital, Goyang, Korea
- 10Department of Pediatrics, Chungang University Medical Center, Seoul, Korea
- 11Department of Pediatrics, Yonsei University Severance Children’s Hospital, Seoul, Korea
- 12Department of Pediatrics, School of Medicine, Kyungpook National University, Daegu, Korea
- KMID: 2540459
- DOI: http://doi.org/10.5223/pghn.2023.26.2.79
Abstract
- Purpose
Gastrointestinal (GI) endoscopy is an important tool for diagnosing and treating GI diseases in children. This study aimed to analyze the current GI endoscopy practice patterns among South Korean pediatric endoscopists.
Methods
Twelve members of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition developed a questionnaire. The questionnaire was emailed to pediatric gastroenterologists attending general and tertiary hospitals in South Korea.
Results
The response rate was 86.7% (52/60), and 49 of the respondents (94.2%) were currently performing endoscopy. All respondents were performing esophagogastroduodenoscopy, and 43 (87.8%) were performing colonoscopy. Relatively rare procedures for children, such as double-balloon enteroscopy (DBE) (4.1%), endoscopic retrograde cholangiopancreatography (ERCP) (2.0%), and endoscopic ultrasound (EUS) (2.0%), were only performed by pediatric gastroenterologists at very few centers, but were performed by adult endoscopists in most of the centers; of all the respondents, 83.7% (41/49) performed emergency endoscopy. In most centers, the majority of the endoscopies were performed under sedation, with midazolam (100.0%) and ketamine (67.3%) as the most frequently used sedatives.
Conclusion
While most pediatric GI endoscopists perform common GI endoscopic procedures, rare procedures, such as DBE, ERCP, and EUS, are only performed by pediatric gastroenterologists at very few centers, and by adult GI endoscopists at most of the centers. For such rare procedures, close communication and cooperation with adult GI endoscopists are required.
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