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CC BY-NC-ND 4.0 · Endosc Int Open 2022; 10(09): E1181-E1187
DOI: 10.1055/a-1914-6197
Original article

Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India

Sridhar Sundaram
1   Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Mumbai
,
Suprabhat Giri
2   Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai
,
Vaneet Jearth
3   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh
,
Kayal Vizhi N
4   Department of Gastroenterology and Hepatology, Aster CMI Hospital, Bangalore
,
Amit Yelsangikar
4   Department of Gastroenterology and Hepatology, Aster CMI Hospital, Bangalore
,
Naresh Bhat
4   Department of Gastroenterology and Hepatology, Aster CMI Hospital, Bangalore
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Abstract

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.



Publication History

Received: 28 July 2021

Accepted after revision: 27 December 2021

Article published online:
14 September 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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