Table of Contents
Diagnostic and Therapeutic Endoscopy
Volume 2012, Article ID 808365, 9 pages
http://dx.doi.org/10.1155/2012/808365
Research Article

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

1Department of Gastroenterology and Metabolism, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan
2Department of Medicine, University of Santo Tomas, Manila, Philippines
3Department of Gastroenterology, Rui Jing Hospital, Shanghai Jino Tong University School of Medicine, Shanghai, China
4Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Siriraj Hospital Mahidol University, Bangkok, Thailand
5Department of Internal Medicine, Faculty of Medicine and Cipto Mangunkusumo Hospital, University of Indonesia and Indonesian University School of Medicine, Jakarta, Indonesia
6Lee Gil Ya Cancer and Diabetes Institute, Gachon University of Medicine and Science, Incheon, Republic of Korea
7Department of Gastroenterology, School of Medicine, Kyorin University, Tokyo, Japan
8Second Department of Internal Medicine, Shimane University School of Medicine, Izumo, Japan
9Division of Lower Gastroenterology, Department of Medicine, Hyogo College of Medicine, Nishinomiya, Japan
10Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kyoto, Japan
11Division of Pathological Sciences, Department of Pharmacology and Experimental Therapeutics, Kyoto Pharmaceutical University, Kyoto, Japan
12Department of Gastroenterology, Graduate School of Medicine, Osaka City University, Osaka, japan
13Dokkyo Medical University, Mibu, Shimotsuga, Japan

Received 6 June 2012; Accepted 28 August 2012

Academic Editor: Iñaki Fernández-Urién

Copyright © 2012 Takeshi Kamiya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.