TITLE

A REVIEW OF HOW WELL ENDOSCOPY UNITS ARE EQUIPPED

AUTHOR(S)
Douglass, A.; Bramble, M.G.; Barrison, I.G.
PUB. DATE
April 2003
SOURCE
Gut;Apr2003 Supplement 1, Vol. 52, pA113
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Introduction: From the Department of Health recommendations for the provision of gastrointestinal endoscopy for DGHs, it has been possible to approximate the number of endoscopes and other Gl diagnostic equipment/services each unit is required. Aims and Objectives: To assess how well each of the 196 JAG registered units were equipped. Methods: The BSG working party report of 2001 was used to construct a questionnaire about the provision of endoscopic equipment and additional diagnostic services and sent to all JAG registered unit in 2001/02. Non-responders were sent 2 further reminders. The data are presented on the 150 (76.5%) units that replied. Results: (adjusted per 250000 population, mean +/- s.e.) Endosopes: the av. number endoscopes per unit were: gastroscopes: 7.0+/-0.3, colonoscopes: 4.4+/- 0.2, flexible sigmoidoscopes: 1.9 +/- 0.2 and duodenoscopes: 2.9 +/- 0.1. These compare favourably to recommended figures of 6, 4, 2, and 3, respectively. However, the percentage of units that were under-equipped by at least 1 scope, after adjusting for population size, were: 32, 35, 64, and 38, respectively. The majority of centres (85%) owned their scopes less than 10% leased or tendered them. Therapeutics: 90 of units had at least one Achalasia balloon (67% units had more than one) and 91% units had oesphageal dilators (39% Bougie and 70% celesten/savary-millar type). 83% units had a mechanical lithotriptor. Diagnostics: the availbility of radiological modalities was: therapeutic USS - 97%, Spiral CT - 89%, MRI- 79%, Radiolabelled WCC scan 68%, SeChat scanning 48%. 56% had ph testing and 48% had manometric facilities. Meetings: meeting did not take place at least a monthly in 14% centres for x ray/pathology, 27% for audit and 65% for evidence based practice. Conclusions: Most units have adequate levels of endoscopic equipment but many at least one endoscope short of recommenaed levels. The majority of units have good radiological support but only half offer...
ACCESSION #
9748056

 

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