Hospital Sírio-Libanês, São Paulo, Brazil.
Clinica Alemaña de Santiago, Santiago, Chile.
Endosc Ultrasound. 2013 Oct;2(4):208-18. doi: 10.4103/2303-9027.121251.
Endoscopic ultrasound (EUS) has become an important imaging modality for the diagnosis, staging and treatment of gastrointestinal disorders. However, no official data exists regarding clinical EUS practice in Latin America (LA). This study assessed current EUS practice and training.
A direct mail survey questionnaire was sent to 268 Capítulo Latino Americano de Ultrasonido Endoscópico members between August 2012 and January 2013. The questionnaire was sent out in English, Spanish and Portuguese languages and was available through the following site: http://www.cleus-encuesta.com. Responses were requested only from physicians who perform EUS.
A total of 70 LA physicians answered the questionnaire until January 2013. Most of the participants were under 42 years of age (53%) and 80% were men. Most participants (45.7%) perform EUS in Brazil, 53% work in a private hospital. The majority (70%) also perform endoscopic retrograde cholangiopancreatography. A total 42% had performed EUS for 2 years or less and 22.7% for 11 years or more. Only 10% performed more than 5000 EUS. The most common indication was an evaluation of pancreatic-biliary-ampullary lesions. Regarding training, 48.6% had more than 6 months of dedicated hands-on EUS and 37% think that at least 6 months of formal training is necessary to acquire competence. Furthermore, 64% think that more than 50 procedures for pancreatic-biliary lesions are necessary.
This survey provides insight into the status of EUS in LA. EUS is performed mostly by young endoscopists in LA. Diagnostic upper EUS is the most common EUS procedure. Most endosonographers believe that formal training is necessary to acquire competence.
内镜超声（EUS）已成为诊断、分期和治疗胃肠道疾病的重要影像学手段。然而，拉丁美洲（LA）尚没有关于临床 EUS 实践的官方数据。本研究评估了当前的 EUS 实践和培训情况。
2012 年 8 月至 2013 年 1 月期间，向 268 名拉丁美洲内镜超声学会成员发送了一份直接邮寄的调查问卷。问卷以英文、西班牙文和葡萄牙文发送，并可通过以下网址获得：http://www.cleus-encuesta.com。仅向进行 EUS 的医生请求答复。
截至 2013 年 1 月，共有 70 名 LA 医生回答了问卷。大多数参与者年龄在 42 岁以下（53%），80%为男性。大多数参与者（45.7%）在巴西进行 EUS，53%在私立医院工作。大多数人（70%）还进行内镜逆行胰胆管造影。42%的人进行 EUS 的时间不到 2 年，22.7%的人进行 EUS 的时间超过 11 年。只有 10%的人进行了超过 5000 次 EUS。最常见的适应症是评估胰胆管壶腹病变。关于培训，48.6%的人有超过 6 个月的专门 EUS 实践，37%的人认为获得能力需要至少 6 个月的正规培训。此外，64%的人认为胰腺胆管病变需要超过 50 例。
这项调查提供了对 LA 中 EUS 状况的深入了解。EUS 主要由 LA 的年轻内镜医生进行。诊断性上消化道 EUS 是最常见的 EUS 程序。大多数超声内镜医师认为获得能力需要正规培训。
