Diagnostic yield of esophagogastroduodenoscopy in France - 07/10/20
for the Société Française d’Endoscopie Digestive (SFED)
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Highlights |
• | Over 1 000 000 esophagogastroduodenoscopies are performed annually in France. |
• | Barrett’s esophagus is diagnosed in 4% of all esophagogastroduodenoscopies. |
• | Esophageal or gastric neoplasms account for 2.2% of all diagnoses. |
• | 33% of these endoscopies are normal, justifying to consider less invasive diagnostic modalities. |
Abstract |
Background and study aims |
Large scale data on esophagogastroduodenoscopy (EGD) in Western countries are scarce. We conducted a prospective study on the diagnostic yield of upper gastrointestinal endoscopy in France.
Patients and methods |
An online questionnaire was sent to all French gastroenterologists practicing endoscopy. Data from EGDs performed during one week were collected. A statistical extrapolation of the results to a whole year was performed.
Results |
342 gastrointestinal endoscopists, representative of the population of French gastroenterologists, provided data on 2735 EGDs, corresponding to 1 006 316 (95%CI=937 080−1 075 552) procedures for the entire year. 1770 (64.7%) EGDs were performed under sedation or general anesthesia, and 930 (34%) were associated with a colonoscopy. 896 (32.8%) EGDs were normal. Hiatal hernia and esophagitis were the most frequent esophageal diagnoses, in 496 (18.1%) and 374 (13.7%) cases, respectively. Barrett’s esophagus was diagnosed in 109 (4%) patients. Among gastric lesions, endoscopic gastritis was reported in 572 (20.9%) patients; ulcer, polyps, and suspected malignancy in 78 (2.9%), 62 (2.3%), and 19 (0.7%), respectively. 1597 (58.4%) EGDs included mucosal biopsies, and 141 (5.1%) were associated with a therapeutic procedure.
Conclusions |
We report nationwide prospective data on upper gastrointestinal endoscopy practice in France. Our data suggest that about 300 000 normal EGDs each year in France could potentially be avoided by a diagnostic strategy relying on upper GI capsule endoscopy, providing significant relief on healthcare practitioners.
Le texte complet de cet article est disponible en PDF.Keywords : Esophagogastroduodenoscopy, Barrett’s esophagus, Peptic esophagitis, Gastro-Esophageal reflux disease
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