Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India
Background and study aims Clinical practice patterns for image-enhanced endoscopy (IEE) and colonic endoscopic resection practices vary among endoscopists. We conducted a survey to understand the differences in IEE and colonoscopic resection practices among endoscopists from India. Method...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2022-09-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1914-6197 |
| _version_ | 1811183628733906944 |
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| author | Sridhar Sundaram Suprabhat Giri Vaneet Jearth Kayal Vizhi N Amit Yelsangikar Naresh Bhat |
| author_facet | Sridhar Sundaram Suprabhat Giri Vaneet Jearth Kayal Vizhi N Amit Yelsangikar Naresh Bhat |
| author_sort | Sridhar Sundaram |
| collection | DOAJ |
| description | Background and study aims Clinical practice patterns for image-enhanced endoscopy (IEE) and colonic endoscopic resection practices vary among endoscopists. We conducted a survey to understand the differences in IEE and colonoscopic resection practices among endoscopists from India.
Methods An online cross-sectional survey comprising 40 questions regarding quality control of colonoscopy, IEE, and colonic endoscopic resection practices was circulated through the registry of the Indian Society of Gastroenterology and Association of Colon and Rectal Surgeons of India. Participation was voluntary and response to all questions was compulsory.
Results There were 205 respondents to the survey (93.2 % gastroenterologists, 90.2 % male, 54.6 % aged 30 to 40 years, 36.1 % working in academic institution, 36.1 % working in corporate hospitals). Of the endoscopists, 50.7 % had no training in IEE and 10.7 % performed endoscopy on systems without any IEE modalities. Endoscopists with more experience were more likely to use IEE modalities in practice routinely (P = 0.007). Twenty percent never used IEE to classify polyps. Sixty percent of respondents did not use dye-chromoendoscopy. Less experienced endoscopists used viscous solutions as submucosal injectate (P = 0.036) more often. Of the respondents, 44 % never tattooed the site of endoscopic resection. Ablation of edges post-endoscopic mucosal resection was not done by 25.5 % respondents. Most respondents used electronic chromoendoscopy (36.1 %) or random four-quadrant sampling (35.6 %) for surveillance in inflammatory bowel disease. Surveillance post-endoscopic resection was done arbitrarily by 24 % respondents at 6 months to 1 year.
Conclusions There are several lacunae in the practice of IEE and colonic endoscopic resection among endoscopists, with need for programs for privileging, credentialing and proctoring these endoscopic skills. |
| first_indexed | 2024-04-11T09:50:07Z |
| format | Article |
| id | doaj.art-d00c7660d95e420ab15aa3b89532fc52 |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-04-11T09:50:07Z |
| publishDate | 2022-09-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-d00c7660d95e420ab15aa3b89532fc522022-12-22T04:30:51ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362022-09-011009E1181E118710.1055/a-1914-6197Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in IndiaSridhar Sundaram0Suprabhat Giri1Vaneet Jearth2Kayal Vizhi N3Amit Yelsangikar4Naresh Bhat5Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, MumbaiDepartment of Gastroenterology, Seth GS Medical College and KEM Hospital, MumbaiDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research, ChandigarhDepartment of Gastroenterology and Hepatology, Aster CMI Hospital, BangaloreDepartment of Gastroenterology and Hepatology, Aster CMI Hospital, BangaloreDepartment of Gastroenterology and Hepatology, Aster CMI Hospital, BangaloreBackground and study aims Clinical practice patterns for image-enhanced endoscopy (IEE) and colonic endoscopic resection practices vary among endoscopists. We conducted a survey to understand the differences in IEE and colonoscopic resection practices among endoscopists from India. Methods An online cross-sectional survey comprising 40 questions regarding quality control of colonoscopy, IEE, and colonic endoscopic resection practices was circulated through the registry of the Indian Society of Gastroenterology and Association of Colon and Rectal Surgeons of India. Participation was voluntary and response to all questions was compulsory. Results There were 205 respondents to the survey (93.2 % gastroenterologists, 90.2 % male, 54.6 % aged 30 to 40 years, 36.1 % working in academic institution, 36.1 % working in corporate hospitals). Of the endoscopists, 50.7 % had no training in IEE and 10.7 % performed endoscopy on systems without any IEE modalities. Endoscopists with more experience were more likely to use IEE modalities in practice routinely (P = 0.007). Twenty percent never used IEE to classify polyps. Sixty percent of respondents did not use dye-chromoendoscopy. Less experienced endoscopists used viscous solutions as submucosal injectate (P = 0.036) more often. Of the respondents, 44 % never tattooed the site of endoscopic resection. Ablation of edges post-endoscopic mucosal resection was not done by 25.5 % respondents. Most respondents used electronic chromoendoscopy (36.1 %) or random four-quadrant sampling (35.6 %) for surveillance in inflammatory bowel disease. Surveillance post-endoscopic resection was done arbitrarily by 24 % respondents at 6 months to 1 year. Conclusions There are several lacunae in the practice of IEE and colonic endoscopic resection among endoscopists, with need for programs for privileging, credentialing and proctoring these endoscopic skills.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1914-6197 |
| spellingShingle | Sridhar Sundaram Suprabhat Giri Vaneet Jearth Kayal Vizhi N Amit Yelsangikar Naresh Bhat Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India Endoscopy International Open |
| title | Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India |
| title_full | Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India |
| title_fullStr | Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India |
| title_full_unstemmed | Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India |
| title_short | Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India |
| title_sort | image enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in india |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1914-6197 |
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