Ellen PeetersZNA K. Paola Kinderziekenhuis, Belgium
Title: Current practice of gastro-intestinal endoscopy in children in Belgium
Introduction: In order to develop a paediatric-specific training curriculum, an attempt was made to document the number of gastro-intestinal endoscopic procedures performed in children in Belgium. Methods: The national registration system, the “Rijksinstituut voor Ziekte- en Invaliditeitsverzekering”(RIZIV)/ “Institut National d’Assurance Maladie-Invalidité” (INAMI) has been contacted to provide data on endoscopic procedures in children and registration numbers of the physicians performing endoscopy. Each technical procedure that is performed is registered by its unique procedural code and registration number of the performing physician. Depending on the physician’s specialty training, the registration number is different. This was compared to the numbers from the main paediatric gastroenterology services in the North of the country and Brussels, which provided their numbers to double check the accuracy of the numbers provided by the RIZIV/INAMI.
Results: The most frequently performed procedures were oesophagogastroduodenoscopy (OGD) (n=4410) and ileocolonoscopy (IC) (n=69). Compared to the information obtained by hospitals, the national registration system seems not to register all paediatric procedures performed by paediatricians. Paediatric endoscopy is performed in many centres in Belgium resulting in a relatively low number of procedures per endoscopist.
Discussion/conclusion: The different reasons for incomplete registration by the national registration system need clarification. According to the recommendations provided by different societies of Paediatric Gastroenterology, Hepatology and Nutrition, centralization of procedures could be beneficial for paediatric care as well was the recognition of the paediatric subspecialty. However, the instauration of an adequate national registration system should be the first goal.