Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan.
The Pediatric Gastrointestinal Endoscopy National Survey Working Group in Japanese Pediatric Endoscopy Research Group, Tokyo, Japan.
J Gastroenterol Hepatol. 2021 Jun;36(6):1545-1549. doi: 10.1111/jgh.15297. Epub 2020 Oct 31.
The implementation rates of pediatric gastrointestinal endoscopy are increasing with advancements in the devices used and pediatricians' skills. As part of the Japan Pediatric Endoscopy Study Group, we aimed to investigate the rates of pediatric gastrointestinal endoscopy use and the associated adverse events through a nationwide survey.
A questionnaire was sent to 630 institutions in Japan. The numbers of pediatric gastrointestinal endoscopy cases and adverse events occurring during endoscopy, from April 2011 to March 2016, were investigated.
Responses were obtained from 445 facilities. The total number of pediatric gastrointestinal endoscopies was 37 447 and that of endoscopic examinations was 32 219 (86.0%), with esophagogastroduodenoscopy accounting for 18 484 cases; ileal colonoscopy, 11 936; endoscopic retrograde cholangiopancreatography, 389; wireless capsule endoscopy, 897; and balloon-assisted enteroscopy, 513. The number of endoscopic treatments was 5228, followed by balloon dilatation (1703), foreign body removal (989), and polypectomy (822); 201 adverse events (0.54%) occurred, 79 of which presented during endoscopic examination (0.25%). Eight serious perforations were noted in 0.0054% and 0.025% of those undergoing esophagogastroduodenoscopy and colonoscopy, respectively. Overall, 122 adverse events (2.33%) occurred in association with endoscopic treatment. One case of cardiopulmonary arrest occurred because of accidental extubation. However, no deaths occurred.
Endoscopic examinations had a slightly higher adverse event rate, because of an increase in endoscopic retrograde cholangiopancreatography and small intestine enteroscopy, than that reported in previous studies, but the adverse event rate of endoscopic treatment did not increase.
随着设备的进步和儿科医生技术水平的提高，小儿胃肠内镜的实施率不断提高。作为日本小儿内镜研究组的一部分，我们旨在通过一项全国性调查研究小儿胃肠内镜的使用情况及其相关不良事件的发生率。
我们向日本 630 家机构发放了调查问卷，调查了 2011 年 4 月至 2016 年 3 月期间小儿胃肠内镜检查的例数和内镜检查过程中发生的不良事件。
我们收到了 445 家机构的回复。小儿胃肠内镜检查总数为 37447 例，其中内镜检查 32219 例（86.0%），包括食管胃十二指肠镜检查 18484 例，回结肠镜检查 11936 例，内镜逆行胰胆管造影术 389 例，无线胶囊内镜检查 897 例，气囊辅助小肠镜检查 513 例。内镜治疗 5228 例，其中以气囊扩张术（1703 例）、异物取出术（989 例）和息肉切除术（822 例）为主。发生 201 例不良事件（0.54%），其中 79 例发生在内镜检查过程中（0.25%）。8 例严重穿孔，食管胃十二指肠镜检查和结肠镜检查的发生率分别为 0.0054%和 0.025%。总体上，内镜治疗相关不良事件发生率为 122 例（2.33%）。1 例心肺骤停是由于意外拔管引起的，但无死亡病例。
与之前的研究相比，由于内镜逆行胰胆管造影术和小肠内镜检查的增加，内镜检查的不良事件发生率略高，但内镜治疗的不良事件发生率没有增加。
