(Adnkronos) - “Delle emorragie digestive si parla molto poco nonostante siano un evento molto grave e un problema di salute pubblica. La mortalità in pronto soccorso per emorragia digestiva è simile a quella dell'infarto”. Così la professoressa Maria Caterina Parodi, direttore dell’Uoc di Gastroenterologia ed endoscopia digestiva dell’ospedale policlinico San Martino di Genova e presidente Sied, Società italiana di endoscopia digestiva in occasione del Corso nazionale Sied 2024.
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00:00To give some numbers, the incidence of digestive haemorrhages of the upper tract is 130-150
00:14people every 100,000 inhabitants per year, those of the lower digestive tract from 20
00:21to 30 cases per 100,000 inhabitants per year, but the most relevant fact is that the digestive
00:29haemorrhages are increasing because of the aging of the population, the increase in
00:37fragility and comorbidity, and the use-abuse of drugs that are potentially harmful to the
00:49digestive system, so it is a problem of great relevance.
00:54The mortality in the emergency room for digestive haemorrhages is similar to that of the heart attack, 5-6%,
01:03but it is not perceived as equally serious.
01:09What are the most important challenges?
01:12I believe, and this is the task of the Italian Society for Digestive Endoscopy,
01:21is training, so we have a training school, SIED, a continuous training and retraining,
01:31that is, we must not only train, but maintain a level of training and quality that is adequate.
01:42And then, the other challenge is to work with institutions to try to always have the most up-to-date tools,
01:52the most essential devices, so that endoscopy can replace surgery a lot,
02:02with certainly better outcomes, just think about reducing emergency days.
02:09What is a small problem, which is not a small problem, and we as SIED, but also as a federation of the
02:18Society for Digestive Endoscopy, which is FISMAD, we try to carry on not reducing, as unfortunately happens,
02:28the operating units of gastroenterology, because that is the headquarters where patients with
02:37diseases of the digestive system must be treated.