THE MEETING FOR ACTIVITY REPORT OF THE CO-OPERATION BETWEEN THE MEDICAL DANANG FOUNDATION- SWITZERLAND AND DANANG HOSPITAL SINCE 2006 Da Nang 17th June 2013

Dear Dr Toendury, the representative of Medical Danang foundation of Switzerland. Dr Thanh, the director of Danang hospital. All colleagues. Authorized by director of Danang hospital, the gastrointestinal department has welcomed and worked with Dr Toendury, the representative of Medical Danang foundation of Switzerland for six years ( Since October 2006 ). During this period of time our department has received much support from the foundation and got good results

Training : Gastrointestinal doctors and nurses come to our department twice a year, each time they stay here 4 weeks to train to our staffs about the technique of diagnostic and treatment endoscopy, anesthesia in GI endoscopy as well as abdominal ultrasound. Giving the scholarship to Dr Nguyen Van Xung for studying about the GI endoscopy and abdominal ultrasound in Switzerland.

Training : Gastrointestinal doctors and nurses come to our department twice a year, each time they stay here 4 weeks to train to our staffs about the technique of diagnostic and treatment endoscopy, anesthesia in GI endoscopy as well as abdominal ultrasound. Giving the scholarship to Dr Nguyen Van Xung for studying about the GI endoscopy and abdominal ultrasound in Switzerland.

Equipments : The foundation has sponsored many useful equipments such as : Endoscopy processor, 4 colonoscopies and 3 gastroscopies of Fujinon company. Proctoscope, rubber band ligation and coagulation for internal hemorrhoids treatment. Polypectomy instruments. Doppler ultrasound machine (New Siemens) + black and white ultrasound machine (Second hand).

Equipments : 5. Cleaning and disinfection of equipments for gastroscopies and colonoscopies. 6. C-arm X ray machine and 6 lead aprons. 7. 2 computers, colour canon printer and software results. 8. Biopsy forceps. 9. HP test ( Clotest ). 10. Propofol and Aethoxysklerol drug. 11. 4 Trolleys. 12. Hepatitis B Vaccin for all staffs of Danang Hospital

Gastro/colonoscopy ratio RESULTS Period of 10/2006-04/2013 ( 79 months) Cases Mean cases per month Gastro/colonoscopy ratio Gastroscopy 12816 162,22 2,92 Colonoscopy 4393 55,61 Total 17209 217,84

In general there is no difference between gastroscopy and colonoscopy by age group, in which age group 41-60 accounted for nearly 50%.

The number of gastro-coloscopic cases per year Gastroscopy Colonoscopy Total 2006 ( 3 months) 186 22 208 2007 916 326 1242 2008 1479 451 1930 2009 1313 397 1710 2010 1783 517 2300 2011 2612 1038 3695 2012 3278 1253 4531 2013 ( 4 months) 1294 389 1638

The number of gastro-coloscopic cases per year There have had a remarkable increase the number of endoscopic cases since 2010.

Figure of anesthesia endoscopy Year Gastrointestinal Endoscopy With anesthesia Without anesthesia 2010* (n = 1310) 46 ( 3,51%) 991 (75,65%) 2011 ( n = 3650) 2642 (72,38%) 1008 (27,62%) 2012 ( n = 4531) 4179 (92,23%) 352 (7,77%) 2013** ( n = 1638) 1530 (93,41%) 108 (6,59%) * Since october 2010 ** Up to april 2013

We have been conducted GI endoscopy with anesthesia (Propofol) since july 2010. Until now, there are more than 90% of patients done GI endoscopy with anesthesia.

Classification of lesions by Gastroscopy Group of gastroduodenitis and gastrodeodenal ulcer accounted for more than 80%. Gastroscopy without anormality accounted for a low proportion of 1,3%

Classification of lesions by Colonoscopy Group of colitis and colorectal polyp accounted for a high proportion of 25,31% and 15%, respectively. Rate of colonoscopy with normal results accounted for a rather high proportion of approximately 30%.

STOMACH AND COLON POLYPECTOMY

STOMACH AND COLON POLYPECTOMY

STOMACH AND COLON POLYPECTOMY

ENDOSCOPIC INJECTION SCLEROTHERAPY AND ESOPHAGEAL VARICE LIGATION

ENDOSCOPIC INJECTION SCLEROTHERAPY AND ESOPHAGEAL VARICE LIGATION

ENDOSCOPIC INJECTION THERAPY FOR BLEEDING PEPTIC ULCER

ENDOSCOPIC INJECTION THERAPY FOR BLEEDING PEPTIC ULCER

HEMORRHOIDS RUBBER BAND LIGATION AND HEMORRHOIDS COAGULATION

HEMORRHOIDS RUBBER BAND LIGATION AND HEMORRHOIDS COAGULATION

ABDOMINAL ULTRASOUND

ABDOMINAL ULTRASOUND

FINE NEEDLE ASPIRATION OF THE LIVER

THANK YOU VERY MUCH