Darma Andy, Arai Katsuhiro, Wu Jia-Feng, Ukarapol Nuthapong, Hagiwara Shin-Ichiro, Oh Seak Hee, Treepongkaruna Suporn
Department of Child Health, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Department of Child Health, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Pediatr Gastroenterol Hepatol Nutr. 2025 Mar;28(2):76-85. doi: 10.5223/pghn.2025.28.2.76. Epub 2025 Mar 5.
Pediatric gastrointestinal (GI) endoscopy significantly contributes to the diagnosis and management of GI diseases in children. Global data on pediatric GI endoscopy in the Asia-Pacific region are limited. We aimed to report the findings of a regional survey on pediatric endoscopy in the Asia-Pacific region.
A questionnaire-based survey involving GI endoscopy centers in 13 Asia-Pacific countries (June to November 2021). The questionnaires included annual procedure volumes (from basic diagnostics to advanced therapeutic endoscopy), endoscopists, sedation procedures, and national training programs.
A total of 162 GI endoscopy centers completed the survey. All centers performed basic endoscopies (esophagogastroduodenoscopy and ileocolonoscopy); however, 45.1% and 59.1% of the centers performed less than 50 esophagogastroduodenoscopies and ileocolonoscopies per year, respectively. Small bowel evaluation (capsule endoscopy or balloon-assisted enteroscopy) was performed in 59.3% of the centers. Foreign body removal, polypectomy, and percutaneous endoscopic gastrostomy were performed in 89.5%, 85.8%, and 52.5% of centers, respectively. Endoscopic hemostatic interventions, which are life-saving procedures, included glue injection (30.9%), hemostasis of nonvariceal bleeding (65.4%), and endoscopic variceal ligation (70.4%). Pediatric GI endoscopy is performed not only by pediatric gastroenterologists but also by adult gastroenterologists in 21-50% of centers for many kinds of procedures. Sedation was provided by anesthesiologists in 65.4% of the centers. Most centers offer both adult and pediatric endoscopy training.
The study highlights regional disparities in pediatric GI endoscopy services. It emphasizes the need for expanded pediatric GI training and improved access to therapeutic endoscopy, particularly for life-saving procedures.
儿科胃肠（GI）内镜检查对儿童胃肠疾病的诊断和治疗有重要作用。亚太地区关于儿科GI内镜检查的全球数据有限。我们旨在报告亚太地区儿科内镜检查区域调查的结果。
2021年6月至11月，对13个亚太国家的GI内镜检查中心进行了基于问卷的调查。问卷包括年度手术量（从基本诊断到高级治疗性内镜检查）、内镜医师、镇静程序和国家培训计划。
共有162个GI内镜检查中心完成了调查。所有中心都进行基本内镜检查（食管胃十二指肠镜检查和回结肠镜检查）；然而，分别有45.1%和59.1%的中心每年进行的食管胃十二指肠镜检查和回结肠镜检查少于50例。59.3%的中心进行小肠评估（胶囊内镜或气囊辅助小肠镜检查）。分别有89.5%、85.8%和52.5%的中心进行异物取出、息肉切除和经皮内镜下胃造口术。作为挽救生命的程序，内镜止血干预措施包括注射胶水（30.9%）、非静脉曲张出血止血（65.4%）和内镜下静脉曲张结扎（70.4%）。在21%-50%的中心，多种程序的儿科GI内镜检查不仅由儿科胃肠病学家进行，也由成人胃肠病学家进行。65.4%的中心由麻醉师提供镇静。大多数中心提供成人和儿科内镜检查培训。
该研究突出了儿科GI内镜检查服务的区域差异。强调需要扩大儿科GI培训，并改善治疗性内镜检查的可及性，特别是对于挽救生命的程序。
