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Consensus of the Present and Prospects on Endoscopic Diagnosis and Treatment in East Asian Countries

机译：东亚国家内镜诊治的现状与展望

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Background and Aim. New diagnostic or therapeutic methods in endoscopy have been used. Current clinical application of these procedures is not well known. The aim of this study is to investigate the present situation on endoscopic diagnosis and treatment of gastrointestinal disorders in East Asian countries.Method. A representative member from the International Gastrointestinal Consensus Symposium Committee provided a questionnaire to physicians in China, Indonesia, Japan, Korea, the Philippines, and Thailand.Results. In total, 514 physicians including gastroenterologists, surgeons, and general practitioners enrolled. The most frequently occurring disorder as the origin of upper gastrointestinal bleeding is gastric ulcer. Capsule endoscopy is selected as the first choice for the diagnosis of small intestine bleeding. The second choice was double-balloon endoscopy or angiography. For patients with gastric adenoma, the number of physicians who choose endoscopic mucosal resection is larger than those selecting endoscopic submucosal dissection (ESD) in China, Indonesia, the Philippines, and Thailand. ESD is chosen first in Japan and Korea.Conclusion. New instruments or techniques on endoscopy have not come into wide use yet, and there is diversity in the situation on it in Asian countries. We should unify the endoscopic diagnostic criteria or treated strategy in patients with GI disease.
机译：背景和目标。在内窥镜检查中使用了新的诊断或治疗方法。这些程序的当前临床应用尚不清楚。这项研究的目的是调查东亚国家内窥镜诊断和治疗胃肠道疾病的现状。国际胃肠道共识研讨会委员会的代表向中国，印度尼西亚，日本，韩国，菲律宾和泰国的医生提供了调查表。总共有514位医师参加，包括肠胃科医生，外科医生和全科医生。作为上消化道出血的起源，最常见的疾病是胃溃疡。选择胶囊内镜作为诊断小肠出血的首选。第二种选择是双气囊内镜或血管造影。对于胃腺瘤患者，在中国，印度尼西亚，菲律宾和泰国，选择内镜下黏膜切除术的医生人数要多于选择内镜下黏膜下剥离术（ESD）的医生。在日本和韩国首先选择了ESD。内窥镜检查的新仪器或技术尚未广泛使用，亚洲国家的情况也各不相同。我们应统一胃肠道疾病患者的内镜诊断标准或治疗策略。

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