Saito Yutaka, Kodashima Shinya, Matsuda Takahisa, Matsuda Koji, Fujishiro Mitsuhiro, Tanaka Kiyohito, Kobayashi Kiyonori, Katada Chikatoshi, Horimatsu Takahiro, Muto Manabu, Ohtsuka Kazuo, Oda Ichiro, Kato Masayuki, Kida Mitsuhiro, Hoteya Shu, Yamamoto Hironori, Ryozawa Shomei, Iwakiri Ryuichi, Kutsumi Hiromu, Kato Mototsugu, Haruma Ken, Fujimoto Kazuma, Iishi Hiroyasu, Ogata Haruhiko, Uemura Naomi, Kaminishi Michio, Tajiri Hisao, Inoue Haruhiro
MSED-J (Minimal Standard Endoscopic Database) Creation Subcommittee, Japan Gastroenterological Endoscopy Society, Tokyo, Japan.
JED (Japan Endoscopy Database) Project Committee, Japan Gastroenterological Endoscopy Society, Tokyo, Japan.
Dig Endosc. 2022 Jan;34(1):144-152. doi: 10.1111/den.13980. Epub 2021 May 4.
The Japan Endoscopy Database Project was initiated to develop the world's largest endoscopy data repository. This study describes the first phase of the colonoscopy project in Japan.
Data were aggregated offline by integrating information from the endoscopy database software from January 2015 through March 2017. The study population included all patients who underwent colonoscopy at eight centers.
A total of 31,395 patients who underwent 38,497 colonoscopy procedures were registered. The majority of procedures were performed for screening (n = 14,156), followed by fecal immunochemical test positivity (n = 3960), abdominal symptoms (n = 3864), post-colorectal surgery surveillance (n = 3431), post-endoscopic treatment surveillance (n = 3757), thorough pre-treatment examination (n = 2822), and therapeutic purposes (n = 6507). In the screening group, advanced cancers, early cancers, and adenomas were diagnosed endoscopically in 2.1%, 1.3%, and 28.7% of cases, respectively, while in the fecal immunochemical test-positive group, they were diagnosed in 2.5%, 1.9%, and 41.6% of cases, respectively. The incidence of complications was 0.177% and 0.152% in the screening and fecal immunochemical test-positive groups, respectively. The therapeutic procedures included 1446 cold forceps polypectomy procedures, 4770 cold snare polypectomy procedures, 368 hot biopsies, 2998 hot snare polypectomy procedures, 9775 endoscopic or piecemeal endoscopic mucosal resections, and 1660 endoscopic submucosal dissections. A total of 173 procedure-related complications (0.82%) occurred in 21,017 therapeutic procedures performed in 15,744 patients.
The first phase of the Japan Endoscopy Database Project established the proportions of the diagnostic and therapeutic colonoscopy procedures, and complication rates in real-world settings.
启动日本内镜数据库项目以开发全球最大的内镜数据存储库。本研究描述了日本结肠镜检查项目的第一阶段。
通过整合2015年1月至2017年3月内镜数据库软件中的信息进行离线数据汇总。研究人群包括在八个中心接受结肠镜检查的所有患者。
共登记了31395例接受38497次结肠镜检查的患者。大多数检查是为了筛查（n = 14156），其次是粪便免疫化学试验阳性（n = 3960）、腹部症状（n = 3864）、结直肠手术后监测（n = 3431）、内镜治疗后监测（n = 3757）、彻底的治疗前检查（n = 2822）和治疗目的（n = 6507）。在筛查组中，分别有2.1%、1.3%和28.7%的病例内镜诊断为进展期癌、早期癌和腺瘤，而在粪便免疫化学试验阳性组中，分别有2.5%、1.9%和41.6%的病例诊断为此类疾病。筛查组和粪便免疫化学试验阳性组的并发症发生率分别为0.177%和0.152%。治疗程序包括1446例冷活检钳息肉切除术、4770例冷圈套息肉切除术、368例热活检、2998例热圈套息肉切除术、9775例内镜或分片内镜黏膜切除术以及1660例内镜黏膜下剥离术。在15744例患者进行的21017次治疗程序中，共发生173例与操作相关的并发症（0.82%）。
日本内镜数据库项目的第一阶段确定了现实环境中诊断性和治疗性结肠镜检查程序的比例以及并发症发生率。
