Background
ERCP had been performed throughout China for decades.
Objective
To determine the status of ERCP service in China.
Design
A national survey.
Setting
All of the hospitals performing ERCP in mainland China in 2006.
Patients
All of the patients undergoing ERCP in mainland China in 2006.
Main Outcome Measurements
The questionnaire included the (1) type of hospitals involved; (2) ownership of the
endoscopy unit; (3) ERCP infrastructure; (4) volume, indication, setting, and anesthesia
methods; and (5) training and research. The correlation between economic development
and ERCP status in different regions was investigated, and the ERCP rates in China
and developed countries were compared.
Results
Completed questionnaires were returned by 449 (95.5%) of the 470 hospitals providing
ERCP service. Among the 449 hospitals, 186 (41.4%) did not have separate ERCP suites,
379 (84.4%) shared fluoroscopy with their radiology departments, and the average number
of duodenoscopes was 1.58. A total of 63,787 ERCP procedures were performed in mainland
China in 2006, with an estimated annual ERCP rate of 4.87 per 100,000 inhabitants,
much lower than that of developed countries. Ninety-six percent of patients were admitted
to undergo ERCP, and 94.4% of hospitals used pharyngeal local anesthesia and conscious
sedation, whereas 5.6% used general anesthesia. There was a significant correlation
between the ERCP rate and gross domestic product per capita (r = 0.871, P < .001).
Limitations
The survey was retrospective and descriptive.
Conclusions
There is an enormous gap in ERCP service between China and developed countries. The
imbalance of ERCP status between different regions is significant, which correlates
with economic development. Great effort is needed to develop the technique nationwide.
Abbreviation:
CSDE (Chinese Society of Digestive Endoscopy)To read this article in full you will need to make a payment
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Article info
Publication history
Accepted:
August 30,
2012
Received:
March 21,
2012
Footnotes
DISCLOSURE: The authors disclosed no financial relationships relevant to this publication.
Identification
Copyright
© 2013 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
