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Transnasal OGD: practice survey and impact of a live video retransmission.

par Dumonceau, Jean-Marc ;Dumortier, J;Devière, Jacques ;Kahaleh, M;Ponchon, Thierry;Maffei, M;Costamagna, Guido
Référence Digestive and Liver Disease, 40, 9, page (776-783)
Publication Publié, 2008-09

Article révisé par les pairs

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Résumé :

BACKGROUND: Unsedated transnasal oesogastroduodenoscopy significantly improves patient tolerance compared to unsedated conventional peroral oesogastroduodenoscopy. AIMS: To assess the adoption of transnasal oesogastroduodenoscopy among endoscopists from various European countries and its determinants. METHODS: A survey was distributed to 624 endoscopists attending a live course on digestive endoscopy; a poll was also performed immediately before and after live video retransmission of a transnasal oesogastroduodenoscopy. RESULTS: Answer rate was 48%; transnasal oesogastroduodenoscopy was practised by 31% of respondents. In multivariate analysis, practice of transnasal oesogastroduodenoscopy was associated with location in France and Netherlands (P<0.0001), availability of many gastroscopes (P<0.0001) and less frequent use of sedation (P=0.006). Endoscopists who did not practise transnasal oesogastroduodenoscopy cited doubts about its advantages over conventional oesogastroduodenoscopy and lack of training (34% each) as barriers to adoption. Seventy-four percent of endoscopists practicing transnasal oesogastroduodenoscopy did actually use it in <20% of eligible cases. Live video retransmission of a transnasal oesogastroduodenoscopy increased the proportion of endoscopists interested in this technique (P=0.006). CONCLUSIONS: Adoption of transnasal oesogastroduodenoscopy largely varies between European countries; endoscopists practicing this technique use it in a minority of eligible cases. Live case demonstration may decrease barriers to the adoption of this technique.