Kleemann Tobias, Freund Robert, Braden Barbara, Hocke Michael, Hollerbach Stephan, Jenssen Christian, Möller Kathleen, Dong Yi, Bhutani Manoop Singh, Kitano Masayuki, Sun Siyu, El-Lehibi Abed, Dietrich Christoph Frank
Department of Gastroenterology and Rheumatology, Carl-Thiem-Hospital Cottbus, Cottbus 03048, Germany.
Thiem Research, Carl-Thiem-Hospital Cottbus, Cottbus 03048, Germany.
J Transl Int Med. 2025 Mar 19;13(1):48-64. doi: 10.1515/jtim-2025-0006. eCollection 2025 Feb.
Recently, a series of publications discuss what kind of clinical and technical information is important to know before performing endoscopic ultrasound (EUS) examinations. This paper aims to investigate variations in the performance of EUS examinations in different countries worldwide to present views and experiences on the use of pre-EUS investigations.
In a multinational and multidisciplinary survey, more than 100 practicing EUS endoscopists were surveyed by a questionnaire asking for their level of education and training, their experience in diagnostic and therapeutic procedures, preferred technical use and procedural steps before EUS examination. Substantial geographic variation not only in the level of training and mandatory imaging prior to EUS, but consequently also in the standards and practice of EUS examinations and advanced EUS guided therapeutic procedures were observed. The participants' preferences regarding technical use and procedural steps prior to EUS examinations were assessed according to their level of education and training experience.
Transabdominal ultrasound (TUS) is performed prior to EUS by the EUS endoscopists themselves in most European countries but not in North and South Americas where non-invasive pre-EUS imaging is delegated to other specialties such as radiology. Different training backgrounds, cultural beliefs, infrastructures, available equipment and access to training programs have a strong impact on the EUS workforce and EUS procedural practice across the continents.
The study results suggest existence of relevant geographical differences that reflect not only the different levels of education in different settings but also differences regarding technical standards for the performance of EUS and TUS examinations worldwide.
最近，一系列出版物讨论了在进行超声内镜（EUS）检查之前，了解何种临床和技术信息至关重要。本文旨在调查全球不同国家EUS检查操作的差异，以呈现关于EUS检查前相关检查应用的观点和经验。
在一项跨国多学科调查中，通过问卷调查了100多名执业EUS内镜医师，询问他们的教育和培训水平、诊断和治疗程序经验、EUS检查前的首选技术应用和操作步骤。研究观察到不仅在EUS培训水平和EUS前的强制成像方面存在显著的地域差异，而且在EUS检查和先进的EUS引导治疗程序的标准和实践方面也存在显著的地域差异。根据参与者的教育和培训经验水平，评估他们在EUS检查前对技术应用和操作步骤的偏好。
在大多数欧洲国家，EUS内镜医师会在EUS检查前自行进行经腹超声（TUS）检查，但在北美洲和南美洲并非如此，在这些地区，非侵入性EUS前成像由放射科等其他专科进行。不同的培训背景、文化信仰、基础设施、可用设备以及获得培训项目的机会，对各大洲的EUS从业人员和EUS操作实践都有很大影响。
研究结果表明存在相关的地域差异，这不仅反映了不同环境下教育水平的差异，也反映了全球范围内EUS和TUS检查操作技术标准的差异。
