Endoscopy Center

2016-11-14

Endoscopy Center of Zhongshan Hospital boasts a team of 8 professors and associate professors, 10 attending physicians and 60 medical staff in all. Zhou Hongping and Chen Shiyao are respectively the director and associate director of the Center. The number of endoscopy cases performed approximate 110,000 and patients served 12,000. It is the facility that operates most endoscopy treatment in the country. The team that Director Zhou leads has reached the advanced level in the world in the field of ESD, POEM and other minimally invasive treatment. The Center has received over 3000 domestic visiting physicians and students of continuing education, 100 foreign visiting physicians, delivered over 100 speeches at international conferences and performed about 100 operations since foundation. The Center won the first prize of Shanghai Science and Technology Progress Award.

The year of 1806 witnessed the invention of endoscopy, but it was not until the invention of Wolf-Schindler gastroscope in1932 that the new epoch of gastroscopy examination started. In the 1960s, Prof. Li Zongming, the former associate director of Education and Research Office, used semi-flexible gastroscope made in Germany to perform the first case of gastroscopy in China, which was also the beginning of endoscopy of Zhongshan Hospital. When Prof. Yao Liqing was appointed as Director of the Endoscopy Center at the beginning of the 19 century, the treatment scale was far from what a center should be and the diagnosis items were so simple that only gastroscopy, enteroscopy, and a small amount of duodenoscopy cases were performed and treatment items were only limited to hemostasis, gastric polyp electro-excision and ERCP. The endoscopic diagnosis and treatment of the center still remained at an intermediate level for a long time. With the development of technology, digestive endoscopy has also made great progress. Prof. Yao’s team kept pace with the time to wait for the opportunity and built a solid foundation, and finally seized the development opportunity in 2004. Thanks to the improvement of infrastructure after moving into newly built Outpatient and Emergency Department, the undertaking of endoscopy made a spurt of progress and the Center is now worthy of its name.

Endoscopy Center is located on the 4thfloor in the Outpatient Department and covers 2000 square meters. There are 16 endoscopy rooms, 2 VIP rooms, 2 ERCP rooms and 4 endoscopy operation rooms. 25 sets of endoscopes are operated simultaneously every day and 40 beds are available in the same-day observation room. Endoscope disinfection room has advanced equipment including 20 automatic endoscope disinfection machines, 3 integrated endoscopic cleaning systems, and ultrasonic vibration machine, automatic sterilizer, 3M sealing machine and other sterilizing equipment of endoscope accessories to ensure that all endoscopes and components meet the disinfection and sterilization standards and to safeguard the health of patients. Apart from that, spacious and comfortable waiting room and various science promotion materials facilitate the science promotion and education to patients during the waiting period. Preoperative Preparation Room and Postoperative Observation Room managed by professional medical staff not only protects safety and comfort of patients but also patients’ privacy. Broadcasting Demonstration Room and Conference Room can be used  for lectures, live teaching demonstration, exchange of new techniques and experience, discussion of clinical cases.

The Center keeps a close pace with the latest trend of endoscopic minimally invasive medicine, and studies and operates new endoscopic techniques to build a solid foundation. Services provided now are as follows: gastroscopy, colonoscopy, duodenoscopy, enteroscopy, endoscopic ultrasonography and puncture diagnosis, capsule endoscopy, chromoendoscopy, narrow band endoscopy, magnifying endoscopy, superfine endoscopy, transnasal gastroscopy, diagnostic laparoscopy, choledochoscopy. The Center taps into the potential of manpower, material source and time in order to meet the increasing need of endoscopic diagnosis since 2004. Our workload increases by 15% every year and diagnostic endoscopies performed in 2015 amounted to 101,856 and was listed in the World Guinness Book of Records conferred by Shanghai China Record Headquarter. Among all the procedures performed, there were 55651 cases of gastroscopy, 41534 enteroscopy cases, 3143 endoscopic ultrasonogray cases, 1528 ERCPs, and 6000 cases of endoscopic minimally invasive diagnosis and 62000 painless endoscopy cases. 

Quantity is only a small step in the Center’s development, while applying endoscopic minimally invasive techniques to relieve pain and suffering for patients is our ultimate goal.

In 2006, Prof. Zhou Hongping introduced the advanced technique of endoscopic submucosal dissection (ESD) to China so that gastrointestinal lesion resection can be performed under endoscope rather than by traditional surgical operation. More than 12000 cases of ESD for gastrointestinal lesion resection have been performed so far. The Center was the first facility to carry out this operation and has performed more ESD cases than any other endoscopy facility in China. The Center can also carry out ESD treatment of early stage esophageal carcinoma, gastric cancer and colorectal cancer and provide a powerful tool in the diagnosis and treatment of early-stage digestive cancer. It is also deemed to be able to improve the current status of digestive cancer diagnosis and treatment in China. In 2010, Prof. Zhou Hongping became the first one in China to perform peroral endoscopic myotomy (POEM), which has become the best choice of treating achalasia. 2500 cases have been successfully performed so far and the ages of the patients vary from 11 months to 98 years old, which was also listed in the Guinness Record. In 2011, Prof. Xu Meidong became the first one internationally to perform submucosal tunneling and endoscopic resection (STER) for digestive tract submucosal tumor so that patients don’t have to take thoracotomy or similar surgeries and instead, a small “window” is made in the esophagus through which tumor can be resected with the same efficacy and the window is then closed via endoscopy. Patients can have the ability to eat the second day. The technique is featured with safety, efficacy, minimum pain, short hospital stay and low cost, and has been highly appraised by patients. For the major cancer or lesions that cannot be resected by endoscopy, we choose laparoscopic-endoscopic cooperative surgery and patients only have to be hospitalized for 1 to 2 days.

The current endoscopy Center boasts a professional medical team of 60 staff with medical and surgical capabilities including Director Prof. Zhou Pinghong, Associate Director Professor Chen Shiyao and Prof. Xu Dongmei and 4 chief physicians, 4 associate chief physicians, 10 attending physicians, 6 resident physicians, 22 nurses and 2 technicians. The center was approved to be one of the first Ministry of Health Endoscopy Diagnosis and Treatment Technique Training Bases in 2007. In 2008, the Endoscopic Diagnosis and Treatment Institute of Fudan University was set up. Shanghai Digestive Endoscopy Technology and Research Institute was established in 2011. Asia-Pacific Digestive Endoscopy Training Center came into being in 2012. Asia-Pacific ESD Committee was set up in 2013. Our endoscopy skills are in the international forefront.

Under the leadership of Director Zhou Pinghong, more and more young professors are active in the international arena and have been invited to international conferences in over 30 countries, delivered speeches and performed demonstration operations in DDW, UEGW, APDW and conferences in Germany, France, Russia, India and Italy. Their performances are highly appraised by the international peers.

Domestically, many physicians from endoscopy, digestive and surgery departments from all over China come to our center to learn new endoscopy techniques. This year, even many foreign physicians have been waiting in line to visit the Center and participate in academic seminars and exchange lectures. In the last 10 years, we have received 1500 visiting physicians, held 10 international conferences and 40 continuing education sessions, including the 6thsession, which was delivered in English for international trainees from 20 countries and regions, including America, Germany, England, Italy, Belgium, Russia, Malaysia, Singapore, Hong Kong and Taiwan. The number of trainees has reached over 1000.

We have also held 37 endoscopic workshops and supported the endoscopic diagnosis and treatment work in Xinjiang, Tibet, Yunan and other 4 provinces. The center has also received over 100 physicians from America, England, Russia, India, Singapore, Hong Kong, Macaw and Taiwan, which improved the international reputation of Chinese minimally invasive endoscopy and promoted the development of minimally invasive endoscopic treatment.

Strong technical power and outstanding clinical achievements allow the Endoscopy Center to enjoy a widespread fame in the world. It attracts well-known international endoscopic physicians to visit and seek academic and technical cooperation. The Center successfully completed a cooperative project with Duesseldorf Hospital in Germany. In the meantime, a cooperative project with Milan is in progress. Over the past few years, we have published professional papers in SCI and Chinese authoritative journals, with the number increasing every year. The Center has published 80 SCI papers, 14 specialty books, 1 English monograph and has edited 5 endoscopy publication collections. The Center has been awarded with the second prize of Shanghai Science and Technology Progress Award in 2007, the second prize of Ministry of Education Award for Progress in Science and Technology in 2008, the first prize of Endos Award for Medical Progress in Science and Technology in 2009, the first prize of Shanghai Medical Technology Award in 2010, the third prize of Shanghai Medical Technology in 2011, the third prize of Shanghai Science and Technology Progress Award in 2011, Huaxia Medical Technology Award in 2012, Shanghai Medical Technology Prize (Application Promotion) in 2013, the second prize of Shanghai Science Education and Innovation, Meiji Dairy Life Science Award in 2013, Shanghai Medical Technology Award ( Application Promotion), the second prize of Shanghai Science Education and Innovation in 2013, the second prize of China Medical Science in 2014, the second prize of National Progress in Science and Technology in 2015 and the first prize of Shanghai Science and Technology Progress Award in 2016.