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ORIGINAL ARTICLE
Year : 2013  |  Volume : 2  |  Issue : 4  |  Page : 208-218

Endoscopic ultrasound practice survey in latin America


1 Hospital Sírio-Libanês, São Paulo, Brazil
2 Clinica Alemaña de Santiago, Santiago, Chile
3 Unidad de Exploraciones Digestivas (IMLF) Caracas, Venezuela
4 Hospital Punta Pacífica, Ciudad de Panamá, Panama
5 Centro Franco-Brasileiro de Ecoendoscopia (CFBEUS), Santa Casa de São Paulo, Brazil
6 Depto de Medicina Social, Santa Casa de São Paulo, Brazil
7 Hospital Sírio-Libanês; Centro Franco-Brasileiro de Ecoendoscopia (CFBEUS), Santa Casa de São Paulo, Brazil

Correspondence Address:
Juliana Marques Drigo
Hospital Sírio-Libanês, São Paulo
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.121251

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Objective: Endoscopic ultrasound (EUS) has become an important imaging modality for the diagnosis, staging and treatment of gastrointestinal disorders. However, no official data exists regarding clinical EUS practice in Latin America (LA). This study assessed current EUS practice and training. Patients and Methods: A direct mail survey questionnaire was sent to 268 Capνtulo Latino Americano de Ultrasonido Endoscópico members between August 2012 and January 2013. The questionnaire was sent out in English, Spanish and Portuguese languages and was available through the following site: http://www.cleus-encuesta.com. Responses were requested only from physicians who perform EUS. Results: A total of 70 LA physicians answered the questionnaire until January 2013. Most of the participants were under 42 years of age (53%) and 80% were men. Most participants (45.7%) perform EUS in Brazil, 53% work in a private hospital. The majority (70%) also perform endoscopic retrograde cholangiopancreatography. A total 42% had performed EUS for 2 years or less and 22.7% for 11 years or more. Only 10% performed more than 5000 EUS. The most common indication was an evaluation of pancreatic-biliary-ampullary lesions. Regarding training, 48.6% had more than 6 months of dedicated hands-on EUS and 37% think that at least 6 months of formal training is necessary to acquire competence. Furthermore, 64% think that more than 50 procedures for pancreatic-biliary lesions are necessary. Conclusion: This survey provides insight into the status of EUS in LA. EUS is performed mostly by young endoscopists in LA. Diagnostic upper EUS is the most common EUS procedure. Most endosonographers believe that formal training is necessary to acquire competence.


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