Dray Xavier, Buzzi Jean-Claude, Quentin Vincent, Saurin Jean-Christophe
Centre for Digestive Endoscopy, Hôpital Saint-Antoine, APHP, Sorbonne Université, Paris, France, Paris, France.
Département d'Information Médicale, Hôpital Saint-Antoine, Paris, France.
Endosc Int Open. 2023 Oct 17;11(10):E1013-E1019. doi: 10.1055/a-2180-9622. eCollection 2023 Oct.
Capsule endoscopy (CE) is a diagnostic tool mainly used to explore the small bowel (SB), whereas device-assisted enteroscopy (DAE) is preferred for therapeutics. We aimed to describe the procedure load of SB endoscopy in France from 2015 to 2021. Using the French national health data system and the French national hospital discharge database, we identified all SBCEs and DAEs reported between January 2015 and December 2021. Information on DAEs was crosschecked with data on purchase or maintenance from manufacturers. Centers and procedures were described by type, year, type of practice, and according to the 13 French administrative regions in the mainland and in those overseas. A total of 151,096 SBCEs and 6,802 for DAEs were considered over the study period. SBCE service was offered in all regions, in both public and private settings, and the case load increased from 18,956 to 24,183 (+27.6%). The number of DAEs decreased nationwide, from 1,030 to 932 (-9.5%). Eighty-seven percent of all DAEs were performed in public university hospitals. Retrograde route varied between 18.8% and 22.8% of all DAEs yearly. The number of centers offering DAE varied from 0 to 5, over regions and years. DAE caseloads increased in five regions but ended, decreased or the procedure was not yet used in the nine remaining regions. SB endoscopy in France is marked by a 22-fold unbalanced procedure load in CE (nationwide coverage) and in DAE (absent in some regions). This gap has widened over the years from 2015 to 2021.
胶囊内镜检查（CE）是一种主要用于探查小肠（SB）的诊断工具，而设备辅助小肠镜检查（DAE）则更常用于治疗。我们旨在描述2015年至2021年法国小肠内镜检查的操作量。利用法国国家卫生数据系统和法国国家医院出院数据库，我们确定了2015年1月至2021年12月期间报告的所有小肠胶囊内镜检查和设备辅助小肠镜检查。设备辅助小肠镜检查的信息与制造商的购买或维护数据进行了交叉核对。根据类型、年份、执业类型以及法国本土和海外的13个行政区，对中心和操作进行了描述。在研究期间，共考虑了151,096例小肠胶囊内镜检查和6,802例设备辅助小肠镜检查。所有地区的公共和私人机构均提供小肠胶囊内镜检查服务，病例数从18,956例增加到24,183例（增长27.6%）。全国范围内设备辅助小肠镜检查的数量从1,030例减少到932例（减少9.5%）。所有设备辅助小肠镜检查中有87%在公立大学医院进行。每年逆行途径在所有设备辅助小肠镜检查中占比在18.8%至22.8%之间。提供设备辅助小肠镜检查的中心数量在不同地区和年份从0个到5个不等。五个地区的设备辅助小肠镜检查病例数增加，但其余九个地区的病例数结束、减少或该操作尚未使用。法国的小肠内镜检查特点是胶囊内镜检查（全国范围内覆盖）和设备辅助小肠镜检查（某些地区缺乏）的操作量不平衡达22倍。从2015年到2021年，这种差距逐年扩大。
