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Abstract：
Little is known on practice patterns of endoscopists for the management of Barrett\'s esophagus (BE) over the last decade.
Our aim was to assess practice patterns of endoscopists for the diagnosis, surveillance and treatment of BE.
All members of the Italian Society of Digestive Endoscopy (SIED) were invited to participate to a questionnaire-based survey. The questionnaire included questions on demographic and professional characteristics, and on diagnosis and management strategies for BE.
Of the 883 SIED members, 259 (31.1%) completed the questionnaire. Of these, 73% were males, 42.9% had > 50 years of age and 68.7% practiced in community hospitals. The majority (82.9%) of participants stated to use the Prague classification; however 34.5% did not use the top of gastric folds to identify the gastro-esophageal junction (GEJ); only 51.4% used advanced endoscopy imaging routinely. Almost all respondents practiced endoscopic surveillance for non-dysplastic BE, but 43.7% performed eradication in selected cases and 30% practiced surveillance every 1-2 years. The majority of endoscopists managed low-grade dysplasia with surveillance (79.1%) and high-grade dysplasia with ablation (77.1%). Attending a training course on BE in the previous 5 years was significantly associated with the use of the Prague classification (OR 4.8, 95% CI 1.9-12.1), the top of gastric folds as landmark for the GEJ (OR 2.45, 95% CI 1.27-4.74) and advanced imaging endoscopic techniques (OR 3.33, 95% CI 1.53-7.29).
Practice patterns for management of BE among endoscopists are variable. Attending training courses on BE improves adherence to guidelines.
Our aim was to assess practice patterns of endoscopists for the diagnosis, surveillance and treatment of BE.
All members of the Italian Society of Digestive Endoscopy (SIED) were invited to participate to a questionnaire-based survey. The questionnaire included questions on demographic and professional characteristics, and on diagnosis and management strategies for BE.
Of the 883 SIED members, 259 (31.1%) completed the questionnaire. Of these, 73% were males, 42.9% had > 50 years of age and 68.7% practiced in community hospitals. The majority (82.9%) of participants stated to use the Prague classification; however 34.5% did not use the top of gastric folds to identify the gastro-esophageal junction (GEJ); only 51.4% used advanced endoscopy imaging routinely. Almost all respondents practiced endoscopic surveillance for non-dysplastic BE, but 43.7% performed eradication in selected cases and 30% practiced surveillance every 1-2 years. The majority of endoscopists managed low-grade dysplasia with surveillance (79.1%) and high-grade dysplasia with ablation (77.1%). Attending a training course on BE in the previous 5 years was significantly associated with the use of the Prague classification (OR 4.8, 95% CI 1.9-12.1), the top of gastric folds as landmark for the GEJ (OR 2.45, 95% CI 1.27-4.74) and advanced imaging endoscopic techniques (OR 3.33, 95% CI 1.53-7.29).
Practice patterns for management of BE among endoscopists are variable. Attending training courses on BE improves adherence to guidelines.
摘要：
在过去的十年中，对内镜医师管理Barrett食管（BE）的实践模式知之甚少。
我们的目的是评估内镜医师的诊断实践模式，BE的监测和治疗。
意大利消化内镜学会（SIED）的所有成员被邀请参加问卷调查。问卷包括人口统计和职业特征的问题，以及BE的诊断和管理策略。
在883名SIED成员中,259（31.1％）完成了问卷。其中,73%是男性，42.9％的年龄>50岁，68.7％的人在社区医院执业。大多数（82.9％）的参与者表示使用布拉格分类；但是34.5％的人没有使用胃褶皱的顶部来识别胃食管交界处（GEJ）；只有51.4％的人常规使用高级内窥镜成像。几乎所有受访者都对非发育不良BE进行了内窥镜监测，但43.7％的患者在选定的病例中进行了根除，30％的患者每1-2年进行一次监测。大多数内镜医师对低度发育不良进行监测（79.1%），对高度发育不良进行消融（77.1%）。在过去的5年中，参加关于BE的培训课程与布拉格分类的使用显着相关（OR4.8，95％CI1.9-12.1），胃褶皱的顶部是GEJ的标志（OR2.45，95％CI1.27-4.74）和先进的成像内窥镜技术（OR3.33，95％CI1.53-7.29）。
内镜医师管理BE的实践模式是可变的。参加有关BE的培训课程可提高对准则的遵守程度。
我们的目的是评估内镜医师的诊断实践模式，BE的监测和治疗。
意大利消化内镜学会（SIED）的所有成员被邀请参加问卷调查。问卷包括人口统计和职业特征的问题，以及BE的诊断和管理策略。
在883名SIED成员中,259（31.1％）完成了问卷。其中,73%是男性，42.9％的年龄>50岁，68.7％的人在社区医院执业。大多数（82.9％）的参与者表示使用布拉格分类；但是34.5％的人没有使用胃褶皱的顶部来识别胃食管交界处（GEJ）；只有51.4％的人常规使用高级内窥镜成像。几乎所有受访者都对非发育不良BE进行了内窥镜监测，但43.7％的患者在选定的病例中进行了根除，30％的患者每1-2年进行一次监测。大多数内镜医师对低度发育不良进行监测（79.1%），对高度发育不良进行消融（77.1%）。在过去的5年中，参加关于BE的培训课程与布拉格分类的使用显着相关（OR4.8，95％CI1.9-12.1），胃褶皱的顶部是GEJ的标志（OR2.45，95％CI1.27-4.74）和先进的成像内窥镜技术（OR3.33，95％CI1.53-7.29）。
内镜医师管理BE的实践模式是可变的。参加有关BE的培训课程可提高对准则的遵守程度。
