Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Nationwide Survey on Gastrointestinal Endoscopy Practice Patterns among Pediatric Endoscopists in South Korea

  • Yoo Min Lee (Department of Pediatrics, Soonchunhyang University Bucheon Hospital) ;
  • Yoon Lee (Department of Pediatrics, Korea University Anam Hospital) ;
  • So Yoon Choi (Department of Pediatrics, Inje University Haeundae Paik Hospital) ;
  • Hyun Jin Kim (Department of Pediatrics, Chungnam National University Hospital) ;
  • Suk Jin Hong (Department of Pediatrics, Daegu Catholic University Medical Center) ;
  • Yunkoo Kang (Department of Pediatrics, Yonsei University Wonju College of Medicine) ;
  • Eun Hye Lee (Department of Pediatrics, Eulji General Hospital) ;
  • Kyung Jae Lee (Department of Pediatrics, Hallym University Sacred Heart Hospital) ;
  • Youjin Choi (Department of Pediatrics, Inje University Ilsan Paik Hospital) ;
  • Dae Yong Yi (Department of Pediatrics, Chungang University Medical Center) ;
  • Seung Kim (Department of Pediatrics, Yonsei University Severance Children's Hospital) ;
  • Ben Kang (Department of Pediatrics, School of Medicine, Kyungpook National University)
  • Received : 2022.01.17
  • Accepted : 2022.08.23
  • Published : 2023.03.15
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Abstract

Purpose: Gastrointestinal (GI) endoscopy is an important tool for diagnosing and treating GI diseases in children. This study aimed to analyze the current GI endoscopy practice patterns among South Korean pediatric endoscopists. Methods: Twelve members of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition developed a questionnaire. The questionnaire was emailed to pediatric gastroenterologists attending general and tertiary hospitals in South Korea. Results: The response rate was 86.7% (52/60), and 49 of the respondents (94.2%) were currently performing endoscopy. All respondents were performing esophagogastroduodenoscopy, and 43 (87.8%) were performing colonoscopy. Relatively rare procedures for children, such as double-balloon enteroscopy (DBE) (4.1%), endoscopic retrograde cholangiopancreatography (ERCP) (2.0%), and endoscopic ultrasound (EUS) (2.0%), were only performed by pediatric gastroenterologists at very few centers, but were performed by adult endoscopists in most of the centers; of all the respondents, 83.7% (41/49) performed emergency endoscopy. In most centers, the majority of the endoscopies were performed under sedation, with midazolam (100.0%) and ketamine (67.3%) as the most frequently used sedatives. Conclusion: While most pediatric GI endoscopists perform common GI endoscopic procedures, rare procedures, such as DBE, ERCP, and EUS, are only performed by pediatric gastroenterologists at very few centers, and by adult GI endoscopists at most of the centers. For such rare procedures, close communication and cooperation with adult GI endoscopists are required.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korean Government (MSIT) (No. 2021R1A2C1011004).

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