THE ROLE OF ENDOSCOPIC ULTRASOUND IN A TERTIARY HOSPITAL: PAST AND PRESENT
G.C.A. Carpio, M.D.1; R.E. Carpio, M.D.1 F.T. Dy, M.D.1 1Section of Gastroenterology. Department of Medicine
University of Santo Tomas Hospital
Significance: Endoscopic Ultrasound (EUS) is an emerging diagnostic modality. The aim of this study is to determine the demographic profile, common indications, findings and diagnosis of patients who underwent EUS. Another aim is to compare the profile, usual indications and diagnosis of patients who underwent EUS before 2013 and from 2013 to present.
Methodology: Retrospective cross-sectional study of all patients with EUS from 2008 to 2016 using Excel and SPSS Analysis
Results: Among 482 patients, mean age was 57 with almost equal gender distribution. Majority had a CT scan (34%) done prior. Most patients were given sedation with Propofol (36.7%). Majority of patients (68.3%) had upper EUS. The most common indication was to do further studies for rectal masses (23.9). The most common diagnosis was rectal malignancy (20.5). The difference among the past and present groups was found to be statistically significant with the type of sedation (increase in propofol use) and type of endoscopy (increase in upper EUS) with p=0.001. For the past group, the top indication was rectal mass (26.2%) while in the present group, the top was pancreatic mass (21.1%). The top diagnosis in the past was rectal malignancy (22.6%) while in the present, it was GIST (17%).
Conclusion: Endoscopic ultrasound has emerged into a highly effective tool in diagnosing gastrointestinal diseases. Its utility has increased greatly with indications varying and increasing through the years. Being a relatively underutilized tool in our country, there is a need to continue striving for increased utilization to maximize its benefit to our patients.
Keywords: Retrospective, endoscopic ultrasound. EUS