文摘

特伦特地区所有肠胃科的调查(人口470万)显示,1992年的上消化道内窥镜检查数量继续上升。有人口的8.6‰。结肠镜检查也增加到1.4‰。有一个大钡餐检查下降到4.8‰。钡灌肠检查有略微增加到5.3‰。内镜逆行胰胆管造影(ercp)和静脉曲张的硬化疗法也自1986年以来分别增加了54%和21%,在大多数的20个医院。经皮内镜胃造口术在大多数医院已经介绍了。晚上急诊内镜是现成的只有一半的医院。14医院提供正式开放获取内窥镜。在12医院静脉镇静是很常用的。 The rate for perforation at routine upper gastrointestinal endoscopy was 1 in 4500 and for death was 1 in 20,000. There were serious deficiencies in provision of facilities or staff, or both at 14 hospitals. The total number of gastroenterologists had only increased from 25 to 26 since 1986. Thus endoscopy workload continues to increase and diversify often without adequate staffing, facilities, and funding.