Department of Internal Medicine, Chung-Ang University College of Medicine, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, Republic of Korea.
Biomedical Research Institute, Chung-Ang University Hospital, Seoul, Republic of Korea.
Sci Rep. 2023 May 3;13(1):7203. doi: 10.1038/s41598-023-34215-7.
Gastric endoscopic resection (ER) is widely performed in Korea. This study aimed to investigate the overall status of gastric ER in Korea. We enrolled ESD or EMR cases performed for gastric cancer and adenoma from 2012 to 2017 by searching the NHIS database. The annual trend of gastric ER and the clinical characteristics were investigated. Institutions were classified into very high-, high-, low-, and very low volume centers (VHVC, HVC, LVC, and VLVC) by the procedure numbers, and institutional types, regional distributions, and medical resources were investigated accordingly. There were 175,370 ER cases during the study period, with an increasing trend over time. The average annual ESD procedure numbers were 3.9, 54.5, 249.5, and 540.3 cases in 131 VLVCs, 119 LVCs, 24 HVCs, and 12 VHVCs, respectively. Among ESD-performing institutions, 44.8% were located in the Seoul Capital Area. The distribution of medical resources showed a positive correlation with the procedural volume. Similar tendencies were also demonstrated in EMR, with some differences in hospital types and regional distribution. Gastric ER and ESD are increasing in Korea. There was a significant variance in the number of ER procedures and the distribution of types, regions, and medical resources according to the procedural volume.
胃内镜切除术（ER）在韩国广泛开展。本研究旨在调查韩国胃 ER 的总体状况。我们通过搜索 NHIS 数据库，纳入了 2012 年至 2017 年期间因胃癌和腺瘤而行 ESD 或 EMR 的病例。调查了胃 ER 的年度趋势和临床特征。根据手术数量将机构分为超高容量中心（VHVC）、高容量中心（HVC）、低容量中心（LVC）和超低容量中心（VLVC），并相应调查机构类型、地域分布和医疗资源。在研究期间共有 175370 例 ER 病例，呈逐年上升趋势。在 131 家 VLVC、119 家 LVC、24 家 HVC 和 12 家 VHVC 中，平均每年 ESD 手术数量分别为 3.9、54.5、249.5 和 540.3 例。在进行 ESD 的机构中，44.8%位于首尔首都圈。医疗资源的分布与手术量呈正相关。EMR 也表现出类似的趋势，但医院类型和地域分布存在差异。韩国的胃 ER 和 ESD 正在增加。根据手术数量，ER 手术的数量以及类型、地域和医疗资源的分布存在显著差异。
