Savides T J, Fisher A H, Gress F G, Hawes R H, Lightdale C J
Departments of Medicine and Gastroenterology, University of California, San Diego, California 92103-8413, USA.
Gastrointest Endosc. 2000 Dec;52(6):745-50. doi: 10.1067/mge.2000.109805.
Gastrointestinal endoscopic ultrasound (EUS) has become an important imaging modality for the diagnosis and staging of gastrointestinal disorders. This study assessed current EUS practice, training, coding, and reimbursement in the United States.
A direct mail survey was sent to members of the American Society for Gastrointestinal Endoscopy.
There were 115 American respondents. The median age was 39 years, 57% were in academic practice, and 84% performed endoscopic retrograde cholangiopancreatography. The median number of EUS procedures performed was 200. In the preceding year, the median number of upper EUS was 60, lower EUS 10, and EUS/fine-needle aspiration 3. The most common indication was evaluation of esophageal or gastric lesions. Forty-six (40%) trained an average of 0.4 advanced fellows in EUS during the prior year. Of endosonographers involved in training, 53% thought formal training was necessary, for a median of 6 months and 100 procedures; 82% did not know whether they were reimbursed for EUS. There was great variation in the use of current procedural terminology (CPT) codes for lower EUS and upper EUS/fine-needle aspiration.
EUS in the United States in 1999 is performed mostly by young, academic, interventional endoscopists. Diagnostic upper EUS is most commonly performed. Few new endosonographers are being trained. There is great variability in CPT coding of lower EUS and EUS/fine-needle aspiration procedures.
胃肠道内镜超声（EUS）已成为胃肠道疾病诊断和分期的重要成像方式。本研究评估了美国目前EUS的实践、培训、编码和报销情况。
向美国胃肠内镜学会会员发送了一份直接邮寄调查问卷。
有115名美国受访者。中位年龄为39岁，57%从事学术工作，84%进行内镜逆行胰胆管造影术。EUS手术的中位数量为200例。在前一年，上消化道EUS的中位数量为60例，下消化道EUS为10例，EUS/细针穿刺为3例。最常见的适应证是评估食管或胃部病变。46名（40%）受访者在前一年平均培训了0.4名EUS高级研究员。在参与培训的内镜超声检查人员中，53%认为需要进行正规培训，培训时间中位数为6个月，手术例数为100例；82%不知道他们的EUS检查是否能获得报销。下消化道EUS和上消化道EUS/细针穿刺的现行程序术语（CPT）编码使用存在很大差异。
1999年美国的EUS主要由年轻的、从事学术工作的介入内镜医师进行。诊断性上消化道EUS最为常见。接受培训的新内镜超声检查人员很少。下消化道EUS和EUS/细针穿刺手术的CPT编码存在很大差异。
