Paediatric endoscopy in Spain: current situation and recent developments
[Display omitted] Paediatric gastrointestinal endoscopy (pGIE) has advanced significantly over the last decade, with increased diagnostic and therapeutic applications. This study examines the current state of pGIE in Spain, changes in the field over 5 years, and the involvement of paediatric gastroe...
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creator | Navalón Rubio, María Jovani Casano, Carmen Soria López, Marta Rodríguez Herrera, Alfonso López Casado, Miguel Ángel Navas-López, Víctor Manuel Vila Miravet, Víctor |
description | [Display omitted]
Paediatric gastrointestinal endoscopy (pGIE) has advanced significantly over the last decade, with increased diagnostic and therapeutic applications.
This study examines the current state of pGIE in Spain, changes in the field over 5 years, and the involvement of paediatric gastroenterologists (pGEs).
A structured self-administered questionnaire was distributed by the Endoscopy Working Group of the Spanish Society of Paediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP) through the REDCap platform. The questionnaire included questions concerning techniques, sedation, indications, and organizational barriers. We compared the results with data from 2015.
Eighty-one of the 103 invited hospitals participated (66.4%). Paediatric gastroenterologists performed 71% of scheduled pGIEs and 24% of emergency pGIEs. Therapeutic endoscopies accounted for 72% of procedures, including foreign body removal (50%) and polypectomy (36%), and were performed by pGEs in 61% and 63% of cases, respectively. When it came to other procedures, pGEs performed 24% in the case of hydrostatic dilation, 20% in the case of variceal sclerotherapy and of haemoclip placement, and 18% in the case of endoscopic coagulation. None of the endoscopic ultrasound, endoscopic retrograde cholangiopancreatography or enteroscopy procedures were performed by pGEs. Sedation was administered by anaesthesiologists in 70% of cases. Compared to 2015, there was an increase in the scheduled endoscopies performed by pGEs (71% vs 54%), the performance of gastroscopies (>180 per year in 61% vs 24%) and colonoscopies (60−120 per year in 31% vs 12%) and the use of picosulfate for colonoscopy preparation (44% vs 10%).
There has been a significant increase in the involvement of pGEs in pGIE in Spain, although of lesser magnitude in emergency and therapeutic endoscopy procedures.
La endoscopia digestiva pediátrica (EDP) ha avanzado en la última década, con más aplicaciones diagnósticas y terapéuticas. Objetivos: Este estudio analiza la situación actual de la EDP en España, su evolución en cinco años y la participación del pediatra gastroenterólogo (PG).
Se distribuyó una encuesta estructurada para ser auto-completada a través de la plataforma REDCap enviada por el Grupo de Trabajo de endoscopia de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP). Los resultados se compararon con los datos recabados en el año 2015.
Participaron 81 de los 103 hospitales inv |
doi_str_mv | 10.1016/j.anpede.2024.11.004 |
format | Article |
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Paediatric gastrointestinal endoscopy (pGIE) has advanced significantly over the last decade, with increased diagnostic and therapeutic applications.
This study examines the current state of pGIE in Spain, changes in the field over 5 years, and the involvement of paediatric gastroenterologists (pGEs).
A structured self-administered questionnaire was distributed by the Endoscopy Working Group of the Spanish Society of Paediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP) through the REDCap platform. The questionnaire included questions concerning techniques, sedation, indications, and organizational barriers. We compared the results with data from 2015.
Eighty-one of the 103 invited hospitals participated (66.4%). Paediatric gastroenterologists performed 71% of scheduled pGIEs and 24% of emergency pGIEs. Therapeutic endoscopies accounted for 72% of procedures, including foreign body removal (50%) and polypectomy (36%), and were performed by pGEs in 61% and 63% of cases, respectively. When it came to other procedures, pGEs performed 24% in the case of hydrostatic dilation, 20% in the case of variceal sclerotherapy and of haemoclip placement, and 18% in the case of endoscopic coagulation. None of the endoscopic ultrasound, endoscopic retrograde cholangiopancreatography or enteroscopy procedures were performed by pGEs. Sedation was administered by anaesthesiologists in 70% of cases. Compared to 2015, there was an increase in the scheduled endoscopies performed by pGEs (71% vs 54%), the performance of gastroscopies (>180 per year in 61% vs 24%) and colonoscopies (60−120 per year in 31% vs 12%) and the use of picosulfate for colonoscopy preparation (44% vs 10%).
There has been a significant increase in the involvement of pGEs in pGIE in Spain, although of lesser magnitude in emergency and therapeutic endoscopy procedures.
La endoscopia digestiva pediátrica (EDP) ha avanzado en la última década, con más aplicaciones diagnósticas y terapéuticas. Objetivos: Este estudio analiza la situación actual de la EDP en España, su evolución en cinco años y la participación del pediatra gastroenterólogo (PG).
Se distribuyó una encuesta estructurada para ser auto-completada a través de la plataforma REDCap enviada por el Grupo de Trabajo de endoscopia de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP). Los resultados se compararon con los datos recabados en el año 2015.
Participaron 81 de los 103 hospitales invitados (66,4%). El PG realizó el 71% de las EDP programadas y el 24% de las urgentes. Un 72% de los procedimientos incluyeron endoscopias terapéuticas, como extracción de cuerpo extraño (50%) y polipectomía (36%), realizadas por el PG en el 61% y 63% de los casos. Otros procedimientos, como dilatación hidroneumática, fueron realizados por el PG en el 24%, y técnicas como esclerosis de varices, hemoclips y coagulación en 20%, 20% y 18%. Ningún PG realizó ecoendoscopias, CPRE ni enteroscopias. La sedación fue administrada por anestesiólogos en el 70% de los casos. Comparado con 2015, aumentaron las endoscopias programadas por el PG (71% vs 54%), gastroscopias (>180al año en 61% vs 24%) y colonoscopias (60−120 al año en 31% vs 12%), y el uso de picosulfato (44% vs 10%) para preparación de colonoscopia.
Ha aumentado la participación del PG en la EDP en España, aunque menos en la endoscopia urgente y terapéutica.</description><identifier>ISSN: 2341-2879</identifier><identifier>EISSN: 2341-2879</identifier><identifier>DOI: 10.1016/j.anpede.2024.11.004</identifier><identifier>PMID: 39643576</identifier><language>eng</language><publisher>Spain: Elsevier España, S.L.U</publisher><subject>Anestesia pediátrica ; Child ; Deep sedation ; Endoscopia gastrointestinal ; Endoscopy, Gastrointestinal - methods ; Endoscopy, Gastrointestinal - statistics & numerical data ; Gastroenterology - statistics & numerical data ; Gastrointestinal endoscopy ; Humans ; Paediatric anaesthesia ; Paediatrics ; Pediatrics ; Pediatría ; Practice Patterns, Physicians' - statistics & numerical data ; Sedación profunda ; Spain ; Surveys and Questionnaires</subject><ispartof>Anales de Pediatría, 2024-12, Vol.101 (6), p.393-400</ispartof><rights>2024 Asociación Española de Pediatría</rights><rights>Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39643576$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Navalón Rubio, María</creatorcontrib><creatorcontrib>Jovani Casano, Carmen</creatorcontrib><creatorcontrib>Soria López, Marta</creatorcontrib><creatorcontrib>Rodríguez Herrera, Alfonso</creatorcontrib><creatorcontrib>López Casado, Miguel Ángel</creatorcontrib><creatorcontrib>Navas-López, Víctor Manuel</creatorcontrib><creatorcontrib>Vila Miravet, Víctor</creatorcontrib><creatorcontrib>en representación del Grupo de trabajo de Endoscopia pediátrica de la Sociedad Española de Gastroenterología Hepatología y Nutrición Pediátrica (SEGHNP)</creatorcontrib><creatorcontrib>en representación del Grupo de trabajo de Endoscopia pediátrica de la Sociedad Española de Gastroenterología Hepatología y Nutrición Pediátrica (SEGHNP)</creatorcontrib><title>Paediatric endoscopy in Spain: current situation and recent developments</title><title>Anales de Pediatría</title><addtitle>An Pediatr (Engl Ed)</addtitle><description>[Display omitted]
Paediatric gastrointestinal endoscopy (pGIE) has advanced significantly over the last decade, with increased diagnostic and therapeutic applications.
This study examines the current state of pGIE in Spain, changes in the field over 5 years, and the involvement of paediatric gastroenterologists (pGEs).
A structured self-administered questionnaire was distributed by the Endoscopy Working Group of the Spanish Society of Paediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP) through the REDCap platform. The questionnaire included questions concerning techniques, sedation, indications, and organizational barriers. We compared the results with data from 2015.
Eighty-one of the 103 invited hospitals participated (66.4%). Paediatric gastroenterologists performed 71% of scheduled pGIEs and 24% of emergency pGIEs. Therapeutic endoscopies accounted for 72% of procedures, including foreign body removal (50%) and polypectomy (36%), and were performed by pGEs in 61% and 63% of cases, respectively. When it came to other procedures, pGEs performed 24% in the case of hydrostatic dilation, 20% in the case of variceal sclerotherapy and of haemoclip placement, and 18% in the case of endoscopic coagulation. None of the endoscopic ultrasound, endoscopic retrograde cholangiopancreatography or enteroscopy procedures were performed by pGEs. Sedation was administered by anaesthesiologists in 70% of cases. Compared to 2015, there was an increase in the scheduled endoscopies performed by pGEs (71% vs 54%), the performance of gastroscopies (>180 per year in 61% vs 24%) and colonoscopies (60−120 per year in 31% vs 12%) and the use of picosulfate for colonoscopy preparation (44% vs 10%).
There has been a significant increase in the involvement of pGEs in pGIE in Spain, although of lesser magnitude in emergency and therapeutic endoscopy procedures.
La endoscopia digestiva pediátrica (EDP) ha avanzado en la última década, con más aplicaciones diagnósticas y terapéuticas. Objetivos: Este estudio analiza la situación actual de la EDP en España, su evolución en cinco años y la participación del pediatra gastroenterólogo (PG).
Se distribuyó una encuesta estructurada para ser auto-completada a través de la plataforma REDCap enviada por el Grupo de Trabajo de endoscopia de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP). Los resultados se compararon con los datos recabados en el año 2015.
Participaron 81 de los 103 hospitales invitados (66,4%). El PG realizó el 71% de las EDP programadas y el 24% de las urgentes. Un 72% de los procedimientos incluyeron endoscopias terapéuticas, como extracción de cuerpo extraño (50%) y polipectomía (36%), realizadas por el PG en el 61% y 63% de los casos. Otros procedimientos, como dilatación hidroneumática, fueron realizados por el PG en el 24%, y técnicas como esclerosis de varices, hemoclips y coagulación en 20%, 20% y 18%. Ningún PG realizó ecoendoscopias, CPRE ni enteroscopias. La sedación fue administrada por anestesiólogos en el 70% de los casos. Comparado con 2015, aumentaron las endoscopias programadas por el PG (71% vs 54%), gastroscopias (>180al año en 61% vs 24%) y colonoscopias (60−120 al año en 31% vs 12%), y el uso de picosulfato (44% vs 10%) para preparación de colonoscopia.
Ha aumentado la participación del PG en la EDP en España, aunque menos en la endoscopia urgente y terapéutica.</description><subject>Anestesia pediátrica</subject><subject>Child</subject><subject>Deep sedation</subject><subject>Endoscopia gastrointestinal</subject><subject>Endoscopy, Gastrointestinal - methods</subject><subject>Endoscopy, Gastrointestinal - statistics & numerical data</subject><subject>Gastroenterology - statistics & numerical data</subject><subject>Gastrointestinal endoscopy</subject><subject>Humans</subject><subject>Paediatric anaesthesia</subject><subject>Paediatrics</subject><subject>Pediatrics</subject><subject>Pediatría</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Sedación profunda</subject><subject>Spain</subject><subject>Surveys and Questionnaires</subject><issn>2341-2879</issn><issn>2341-2879</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1Lw0AQhhdRbKn9ByI5emmc_UzrQZCiVigoqOdlszuBLckm7iaF_ntTquBpXoaHYd6HkGsKOQWq7na5CR06zBkwkVOaA4gzMmVc0AVbFqvzf3lC5intAIBxyqVQl2TCV0pwWagp2bwbdN700dsMg2uTbbtD5kP20Rkf7jM7xIihz5LvB9P7NmQmuCyiPS4d7rFuu2bM6YpcVKZOOP-dM_L1_PS53iy2by-v68ftAqksxKJkCIwVsqwclspWjFmheKGsBF5URkoFlKsKKCAtK25BLWkJaBgqUwnH-Yzcnu52sf0eMPW68cliXZuA7ZA0p0JJtSq4HNGbX3QoG3S6i74x8aD_2o_AwwnA8eG9x6iT9RjsaGRs2GvXek1BH43rnT4Z10fjmlI9Guc_ACJzyw</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Navalón Rubio, María</creator><creator>Jovani Casano, Carmen</creator><creator>Soria López, Marta</creator><creator>Rodríguez Herrera, Alfonso</creator><creator>López Casado, Miguel Ángel</creator><creator>Navas-López, Víctor Manuel</creator><creator>Vila Miravet, Víctor</creator><general>Elsevier España, S.L.U</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202412</creationdate><title>Paediatric endoscopy in Spain: current situation and recent developments</title><author>Navalón Rubio, María ; Jovani Casano, Carmen ; Soria López, Marta ; Rodríguez Herrera, Alfonso ; López Casado, Miguel Ángel ; Navas-López, Víctor Manuel ; Vila Miravet, Víctor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e1574-b2e02275bfdeb6cf22c46376c5037fa5560136f010e1bf3c0681b0ea2e6af4d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anestesia pediátrica</topic><topic>Child</topic><topic>Deep sedation</topic><topic>Endoscopia gastrointestinal</topic><topic>Endoscopy, Gastrointestinal - methods</topic><topic>Endoscopy, Gastrointestinal - statistics & numerical data</topic><topic>Gastroenterology - statistics & numerical data</topic><topic>Gastrointestinal endoscopy</topic><topic>Humans</topic><topic>Paediatric anaesthesia</topic><topic>Paediatrics</topic><topic>Pediatrics</topic><topic>Pediatría</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Sedación profunda</topic><topic>Spain</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Navalón Rubio, María</creatorcontrib><creatorcontrib>Jovani Casano, Carmen</creatorcontrib><creatorcontrib>Soria López, Marta</creatorcontrib><creatorcontrib>Rodríguez Herrera, Alfonso</creatorcontrib><creatorcontrib>López Casado, Miguel Ángel</creatorcontrib><creatorcontrib>Navas-López, Víctor Manuel</creatorcontrib><creatorcontrib>Vila Miravet, Víctor</creatorcontrib><creatorcontrib>en representación del Grupo de trabajo de Endoscopia pediátrica de la Sociedad Española de Gastroenterología Hepatología y Nutrición Pediátrica (SEGHNP)</creatorcontrib><creatorcontrib>en representación del Grupo de trabajo de Endoscopia pediátrica de la Sociedad Española de Gastroenterología Hepatología y Nutrición Pediátrica (SEGHNP)</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Anales de Pediatría</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Navalón Rubio, María</au><au>Jovani Casano, Carmen</au><au>Soria López, Marta</au><au>Rodríguez Herrera, Alfonso</au><au>López Casado, Miguel Ángel</au><au>Navas-López, Víctor Manuel</au><au>Vila Miravet, Víctor</au><aucorp>en representación del Grupo de trabajo de Endoscopia pediátrica de la Sociedad Española de Gastroenterología Hepatología y Nutrición Pediátrica (SEGHNP)</aucorp><aucorp>en representación del Grupo de trabajo de Endoscopia pediátrica de la Sociedad Española de Gastroenterología Hepatología y Nutrición Pediátrica (SEGHNP)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paediatric endoscopy in Spain: current situation and recent developments</atitle><jtitle>Anales de Pediatría</jtitle><addtitle>An Pediatr (Engl Ed)</addtitle><date>2024-12</date><risdate>2024</risdate><volume>101</volume><issue>6</issue><spage>393</spage><epage>400</epage><pages>393-400</pages><issn>2341-2879</issn><eissn>2341-2879</eissn><abstract>[Display omitted]
Paediatric gastrointestinal endoscopy (pGIE) has advanced significantly over the last decade, with increased diagnostic and therapeutic applications.
This study examines the current state of pGIE in Spain, changes in the field over 5 years, and the involvement of paediatric gastroenterologists (pGEs).
A structured self-administered questionnaire was distributed by the Endoscopy Working Group of the Spanish Society of Paediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP) through the REDCap platform. The questionnaire included questions concerning techniques, sedation, indications, and organizational barriers. We compared the results with data from 2015.
Eighty-one of the 103 invited hospitals participated (66.4%). Paediatric gastroenterologists performed 71% of scheduled pGIEs and 24% of emergency pGIEs. Therapeutic endoscopies accounted for 72% of procedures, including foreign body removal (50%) and polypectomy (36%), and were performed by pGEs in 61% and 63% of cases, respectively. When it came to other procedures, pGEs performed 24% in the case of hydrostatic dilation, 20% in the case of variceal sclerotherapy and of haemoclip placement, and 18% in the case of endoscopic coagulation. None of the endoscopic ultrasound, endoscopic retrograde cholangiopancreatography or enteroscopy procedures were performed by pGEs. Sedation was administered by anaesthesiologists in 70% of cases. Compared to 2015, there was an increase in the scheduled endoscopies performed by pGEs (71% vs 54%), the performance of gastroscopies (>180 per year in 61% vs 24%) and colonoscopies (60−120 per year in 31% vs 12%) and the use of picosulfate for colonoscopy preparation (44% vs 10%).
There has been a significant increase in the involvement of pGEs in pGIE in Spain, although of lesser magnitude in emergency and therapeutic endoscopy procedures.
La endoscopia digestiva pediátrica (EDP) ha avanzado en la última década, con más aplicaciones diagnósticas y terapéuticas. Objetivos: Este estudio analiza la situación actual de la EDP en España, su evolución en cinco años y la participación del pediatra gastroenterólogo (PG).
Se distribuyó una encuesta estructurada para ser auto-completada a través de la plataforma REDCap enviada por el Grupo de Trabajo de endoscopia de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP). Los resultados se compararon con los datos recabados en el año 2015.
Participaron 81 de los 103 hospitales invitados (66,4%). El PG realizó el 71% de las EDP programadas y el 24% de las urgentes. Un 72% de los procedimientos incluyeron endoscopias terapéuticas, como extracción de cuerpo extraño (50%) y polipectomía (36%), realizadas por el PG en el 61% y 63% de los casos. Otros procedimientos, como dilatación hidroneumática, fueron realizados por el PG en el 24%, y técnicas como esclerosis de varices, hemoclips y coagulación en 20%, 20% y 18%. Ningún PG realizó ecoendoscopias, CPRE ni enteroscopias. La sedación fue administrada por anestesiólogos en el 70% de los casos. Comparado con 2015, aumentaron las endoscopias programadas por el PG (71% vs 54%), gastroscopias (>180al año en 61% vs 24%) y colonoscopias (60−120 al año en 31% vs 12%), y el uso de picosulfato (44% vs 10%) para preparación de colonoscopia.
Ha aumentado la participación del PG en la EDP en España, aunque menos en la endoscopia urgente y terapéutica.</abstract><cop>Spain</cop><pub>Elsevier España, S.L.U</pub><pmid>39643576</pmid><doi>10.1016/j.anpede.2024.11.004</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anestesia pediátrica Child Deep sedation Endoscopia gastrointestinal Endoscopy, Gastrointestinal - methods Endoscopy, Gastrointestinal - statistics & numerical data Gastroenterology - statistics & numerical data Gastrointestinal endoscopy Humans Paediatric anaesthesia Paediatrics Pediatrics Pediatría Practice Patterns, Physicians' - statistics & numerical data Sedación profunda Spain Surveys and Questionnaires |
title | Paediatric endoscopy in Spain: current situation and recent developments |
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