Utility of contrast-enhanced harmonic EUS in the diagnosis of malignant gallbladder polyps (with videos).

Abstract:

BACKGROUND:The differential diagnosis between benign and malignant polyps of the gallbladder (GB) is often challenging. OBJECTIVES:To evaluate whether contrast-enhanced harmonic EUS (CEH-EUS) might be an accurate method for discriminating malignant GB polyps from benign polyps. DESIGN:Observational study. SETTING:Tertiary care medical center. PATIENTS:Ninety-three patients with GB polyps larger than 10 mm in diameter that were detected by conventional EUS underwent CEH-EUS for evaluation of microvasculature. INTERVENTION:CEH-EUS was performed using a radial echoendoscope and the extended pure harmonic detection mode. MAIN OUTCOME MEASUREMENTS:The abilities of conventional EUS and CEH-EUS to diagnose malignant polyp were compared. Two blinded reviewers classified the perfusion images into 3 categories: diffuse enhancement, perfusion defect, or nonenhancement. The vessel images were categorized as having a regular spotty vessel, an irregular vessel, or no vessels. RESULTS:An irregular vessel pattern determined by CEH-EUS aided in the diagnosis of malignant polyps with a sensitivity and specificity of 90.3% and 96.6%, respectively. The presence of perfusion defects, determined by CEH-EUS, was calculated to diagnose malignant polyps with a sensitivity and specificity of 90.3% and 94.9%, respectively. Based on the definitely determined diagnosis, sensitivity and specificity for CEH-EUS were 93.5% and 93.2% versus 90.0% and 91.1% for conventional EUS. In 8 cases, management changed after CEH-EUS. LIMITATIONS:A tertiary medical center with a limited number of patients. CONCLUSIONS:The presence of irregular intratumoral vessels or perfusion defects seen on CEH-EUS may be sensitive and accurate predictors of malignant GB polyps. CEH-EUS offers slightly improved diagnostic accuracy compared with EUS.

journal_name

Gastrointest Endosc

authors

Choi JH,Seo DW,Choi JH,Park DH,Lee SS,Lee SK,Kim MH

doi

10.1016/j.gie.2013.03.1328

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

484-93

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(13)01586-1

journal_volume

78

pub_type

杂志文章
  • Colon polyp retrieval after cold snaring.

    abstract:BACKGROUND:The removal of small colon polyps by cold snare transection without electrocautery effectively eliminates polyps, and anecdotal reports indicate a low risk of bleeding and perforation. Concerns about using cold snaring have centered on the risk of immediate bleeding and the difficulty in retrieving the polyp...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(05)00376-7

    authors: Deenadayalu VP,Rex DK

    更新日期:2005-08-01 00:00:00

  • Adequacy of flexible sigmoidoscopy with biopsy for diarrhea in patients under age 50 without features of proximal disease.

    abstract:BACKGROUND:The optimal endoscopic investigation of diarrhea in patients under age 50 without specific features of right-sided colonic/ileal disease is inadequately defined. OBJECTIVE:To assess the potential additional yield of colonoscopy over flexible sigmoidoscopy (FS) in this group. DESIGN:Retrospective cohort stu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2010.11.037

    authors: Shale MJ,Walters JR,Westaby D

    更新日期:2011-04-01 00:00:00

  • Endotherapy versus surgery for early neoplasia in Barrett's esophagus: a meta-analysis.

    abstract:BACKGROUND:Esophagectomy is the conventional treatment for Barrett's esophagus with high-grade dysplasia and intramucosal cancer. Endotherapy is an alternative treatment. OBJECTIVE:To compare the efficacy and safety of these 2 treatments. DESIGN:PubMed, Web of Science, EMBASE, Cochrane Library and momentous meeting a...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2013.08.005

    authors: Wu J,Pan YM,Wang TT,Gao DJ,Hu B

    更新日期:2014-02-01 00:00:00

  • Successful reversal of Barrett's esophagus with multipolar electrocoagulation despite inadequate acid suppression.

    abstract:BACKGROUND:Barrett's epithelium is a risk factor for esophageal cancer. In this study we attempted to reverse Barrett's epithelium in an acid-reduced environment by using multipolar electrocoagulation. METHODS:All patients had specialized columnar epithelium of at least 2 cm in length. Patients with dysplasia on succe...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70380-9

    authors: Kovacs BJ,Chen YK,Lewis TD,DeGuzman LJ,Thompson KS

    更新日期:1999-05-01 00:00:00

  • Does intrabiliary pressure predict basal sphincter of Oddi pressure? A study in patients with and without gallbladders.

    abstract:BACKGROUND:The endoscopic measurement of sphincter of Oddi pressure is a technically difficult procedure requiring significant expertise. Intrabiliary pressure is technically easy to measure. Furthermore, since it is believed that the pathogenesis of pain in patients with sphincter of Oddi dysfunction is attributable t...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70054-8

    authors: Kalloo AN,Tietjen TG,Pasricha PJ

    更新日期:1996-12-01 00:00:00

  • Adequacy of disposable biopsy forceps for gastrointestinal endoscopy: a direct comparison with reusable forceps.

    abstract::Disposable plastic biopsy forceps were compared prospectively to reusable stainless steel forceps. Thirty consecutive patients underwent a total of 249 biopsies, 124 with the disposable forceps, and 125 with reusable forceps. Biopsy locations included the esophagus, stomach, small intestine, colon, and common bile duc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(90)71069-3

    authors: Yang R,Vuitch F,Wright K,McCarthy J

    更新日期:1990-07-01 00:00:00

  • ERCP guide wires.

    abstract::Guide wires have become an essential part of therapeutic biliary and pancreatic endoscopy. The Teflon-painted stainless steel wire still remains the standard guide wire. However, special situations call for the use of some of the more specialized guide wires mentioned in this article. The endoscopist needs to be famil...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/s0016-5107(96)70262-6

    authors: Jacob L,Geenen JE

    更新日期:1996-01-01 00:00:00

  • Second-generation colon capsule endoscopy compared with colonoscopy.

    abstract:BACKGROUND:Colon capsule endoscopy (CCE) represents a noninvasive technology that allows visualization of the colon without requiring sedation and air insufflation. A second-generation colon capsule endoscopy system (PillCam Colon 2) (CCE-2) was developed to increase sensitivity for colorectal polyp detection compared ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2011.03.1125

    authors: Spada C,Hassan C,Munoz-Navas M,Neuhaus H,Deviere J,Fockens P,Coron E,Gay G,Toth E,Riccioni ME,Carretero C,Charton JP,Van Gossum A,Wientjes CA,Sacher-Huvelin S,Delvaux M,Nemeth A,Petruzziello L,de Frias CP,Mayershofe

    更新日期:2011-09-01 00:00:00

  • Long-term outcome in patients with benign biliary strictures treated endoscopically with multiple stents.

    abstract:BACKGROUND:The long-term efficacy of sequential insertion of multiple plastic stents for benign biliary strictures is poorly defined. The aims of this study were to evaluate the long-term outcome (bile duct patency, complications) of this therapy and to identify predictors of a good outcome. METHODS:Retrospective revi...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.122955

    authors: Draganov P,Hoffman B,Marsh W,Cotton P,Cunningham J

    更新日期:2002-05-01 00:00:00

  • Endoscopic palliative treatment in pancreatic cancer.

    abstract::Patients with carcinoma of the head of the pancreas will develop obstructive jaundice at some point in their course in 80% to 90% of the cases. Surgical biliary digestive anastomosis carries a high 30-day mortality (20%), and hospitalization may be prolonged for several weeks owing to postoperative morbidity. We attem...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(86)71878-6

    authors: Huibregtse K,Katon RM,Coene PP,Tytgat GN

    更新日期:1986-10-01 00:00:00

  • Midazolam with meperidine or fentanyl for colonoscopy: results of a randomized trial.

    abstract:BACKGROUND:A combination of midazolam and opioid is usually used to achieve sedation and analgesia during colonoscopy. Two commonly used opioids are meperidine and fentanyl, but few studies have compared their efficacy. OBJECTIVE:This randomized trial aimed to compare the efficacy and recovery time of 2 sedation regim...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2008.09.033

    authors: Hayee B,Dunn J,Loganayagam A,Wong M,Saxena V,Rowbotham D,McNair A

    更新日期:2009-03-01 00:00:00

  • Predictors of outcome in pancreatic duct disruption managed by endoscopic transpapillary stent placement.

    abstract:BACKGROUND:The aim of this study was to identify predictors of outcome for pancreatic duct (PD) disruption managed by endoscopic transpapillary stent insertion. METHODS:An endoscopy database was used to identify patients with PD disruption, defined as extravasation of contrast from the PD during ERCP. Data collected i...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)02832-9

    authors: Varadarajulu S,Noone TC,Tutuian R,Hawes RH,Cotton PB

    更新日期:2005-04-01 00:00:00

  • Multiple endoscopic biopsies in research subjects: safety results from a National Institutes of Health series.

    abstract:BACKGROUND:Routine endoscopic mucosal biopsies are generally considered safe. However, the outcomes of performing large numbers of biopsies in subjects enrolled in research protocols have not been reported. OBJECTIVE:Our purpose was to assess the safety of taking numerous mucosal biopsy specimens during endoscopic pro...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.05.015

    authors: Yao MD,von Rosenvinge EC,Groden C,Mannon PJ

    更新日期:2009-04-01 00:00:00

  • Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.

    abstract:BACKGROUND:The risk of exacerbating subclinical hepatic encephalopathy associated with the administration of sedative drugs in patients with cirrhosis undergoing diagnostic upper gastrointestinal (GI) endoscopy for portal hypertension remains to be determined. METHODS:Ten adult patients with cirrhosis completed number...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(99)70283-x

    authors: Assy N,Rosser BG,Grahame GR,Minuk GY

    更新日期:1999-06-01 00:00:00

  • The role of parallel stent insertion in patients with esophagorespiratory fistulas.

    abstract:BACKGROUND:Patients with malignant esophagorespiratory fistulas have a poor prognosis. Treatment is palliative and involves restoration of the ability to ingest food and prevention of aspiration by insertion of esophageal or tracheobronchial stents. Because insertion of a single stent may be insufficient for palliation...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.119731

    authors: van den Bongard HJ,Boot H,Baas P,Taal BG

    更新日期:2002-01-01 00:00:00

  • Treatment of complications of hepatic hydatid disease by ERCP.

    abstract:BACKGROUND:The aim of this study was to evaluate the effectiveness of endoscopic sphincterotomy for preoperative and postoperative complications of hepatic hydatid disease. METHODS:Nineteen patients underwent endoscopic treatment for complications of hepatic hydatid disease. Indications for ERCP in 5 patients treated ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.118256

    authors: Giouleme O,Nikolaidis N,Zezos P,Budas K,Katsinelos P,Vasiliadis T,Eugenidis N

    更新日期:2001-10-01 00:00:00

  • Temporary placement of partially covered self-expandable metal stents for anastomotic biliary strictures after liver transplantation: a prospective, multicenter study.

    abstract:BACKGROUND:Management of anastomotic biliary strictures after liver transplantation deserves optimization. OBJECTIVE:To evaluate placement and removal of partially covered self-expandable metal stents (PCSEMSs) in this setting. DESIGN:Prospective, multicenter, uncontrolled study. SETTING:Three French academic hospit...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2010.08.016

    authors: Chaput U,Scatton O,Bichard P,Ponchon T,Chryssostalis A,Gaudric M,Mangialavori L,Duchmann JC,Massault PP,Conti F,Calmus Y,Chaussade S,Soubrane O,Prat F

    更新日期:2010-12-01 00:00:00

  • Quantitative assessment of psychomotor recovery after sedation and analgesia for outpatient EGD.

    abstract:BACKGROUND:Sedation and analgesia are routinely used to improve patient tolerance for GI endoscopy. Currently, assessment of postprocedure recovery uses cardiovascular and respiratory parameters but not psychomotor function. The two aims of this study were to determine degree of psychomotor recovery after conscious sed...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.129609

    authors: Willey J,Vargo JJ,Connor JT,Dumot JA,Conwell DL,Zuccaro G

    更新日期:2002-12-01 00:00:00

  • Characterization of buried glands before and after radiofrequency ablation by using 3-dimensional optical coherence tomography (with videos).

    abstract:BACKGROUND:Radiofrequency ablation (RFA) is an endoscopic technique used to eradicate Barrett's esophagus (BE). However, such ablation can commonly lead to neosquamous epithelium overlying residual BE glands not visible by conventional endoscopy and may evade detection on random biopsy samples. OBJECTIVE:To demonstrat...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2012.02.003

    authors: Zhou C,Tsai TH,Lee HC,Kirtane T,Figueiredo M,Tao YK,Ahsen OO,Adler DC,Schmitt JM,Huang Q,Fujimoto JG,Mashimo H

    更新日期:2012-07-01 00:00:00

  • Effect of instrument diameter on the depth of penetration of fiberoptic sigmoidoscopes.

    abstract::Newer fiberoptic sigmoidoscopes tend to have smaller diameter insertion shafts than older models. The extent to which this diameter affects how deeply an instrument can be inserted into the colon and the frequency with which sigmoidoscopes of different diameters could reach more proximal areas of the colon was evaluat...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(88)71225-0

    authors: Hawes RH,Lehman GA,O'Connor KW,Kopecky KK,Lappas JC

    更新日期:1988-01-01 00:00:00

  • Linear mucosal defect may be characteristic of lansoprazole-associated collagenous colitis.

    abstract:BACKGROUND:Although some cases of collagenous colitis have been induced by lansoprazole (LPZ), the clinicopathologic features of LPZ-associated collagenous colitis have not been elucidated. OBJECTIVE:To elucidate the clinical, endoscopic, and histopathologic features of LPZ-associated collagenous colitis. DESIGN:Retr...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.02.013

    authors: Umeno J,Matsumoto T,Nakamura S,Jo Y,Yada S,Hirakawa K,Yoshimura R,Yamagata H,Kudo T,Hirano A,Gushima M,Yao T,Nakashima Y,Iida M

    更新日期:2008-06-01 00:00:00

  • Do it yourself: building an ERCP training system within 30 minutes (with videos).

    abstract:BACKGROUND:Ex vivo training of ERCP by using simulators is desirable before trainees perform endoscopy in patients. OBJECTIVE:We aimed to construct a simple and inexpensive but realistic simulator for ERCP training. DESIGN:Construction and establishment of an ERCP simulator. SETTING:Endoscopy suite. INTERVENTION:An...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2014.01.006

    authors: Schneider AR,Schepp W

    更新日期:2014-05-01 00:00:00

  • Colonoscopy-assisted percutaneous sigmoidopexy: a novel, simple, safe, and efficient treatment for inoperable sigmoid volvulus (with videos).

    abstract:BACKGROUND AND AIMS:Many patients with sigmoid volvulus are old with co-morbidities, making elective surgery prohibitive. Colonoscopic management is often successful but volvulus often recurs. We devised a method of colonoscopy-assisted percutaneous sigmoidopexy as an alternative method to prevent recurrence of sigmoid...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2019.04.246

    authors: Imakita T,Suzuki Y,Ohdaira H,Urashima M

    更新日期:2019-09-01 00:00:00

  • Clinical application of a new disposable lithotripter: a prospective multicenter study.

    abstract:BACKGROUND:Mechanical lithotripsy has become a well-accepted method of bile duct stone fragmentation and removal. The Olympus lithotripter (Olympus American, Melville, NY) is the standard reusable lithotripter at the institutions that participated in this study. A disposable device with a preassembled pistol grip may p...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/s0016-5107(99)70488-8

    authors: Sorbi D,Van Os EC,Aberger FJ,Derfus GA,Erickson R,Meier P,Nelson D,Nelson P,Shaw M,Gostout CJ

    更新日期:1999-02-01 00:00:00

  • Neoplasms arising in large gastric hyperplastic polyps: endoscopic and pathologic features.

    abstract:BACKGROUND:Little is known about gastric neoplasms arising from hyperplastic polyps (HPs). OBJECTIVE:To investigate the risk factors associated with neoplasms within HPs and to evaluate the role of alterations of the p16-cyclin D1-pRb pathway in the malignant transformation of HPs. DESIGN:Retrospective, case-control ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2014.04.020

    authors: Ahn JY,Son DH,Choi KD,Roh J,Lim H,Choi KS,Lee JH,Kim DH,Song HJ,Lee GH,Jung HY,Kim JH,Han S,Park YS

    更新日期:2014-12-01 00:00:00

  • Mistakes on EUS staging of colorectal carcinoma: error in interpretation or deception from innate pathologic features?

    abstract:BACKGROUND:Because endoscopic ultrasound (EUS) accuracy for staging gastrointestinal tract tumors is limited by many factors, this study was designed to analyze potential sources of error in the EUS staging of colorectal carcinoma. METHODS:All patients referred for EUS evaluation of colorectal carcinoma were staged pr...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2000.106310

    authors: McClave SA,Jones WF,Woolfolk GM,Schrodt GR,Wiersema MJ

    更新日期:2000-06-01 00:00:00

  • Impact of reducing duodenobiliary reflux on biliary stent patency: an in vitro evaluation and a prospective randomized clinical trial that used a biliary stent with an antireflux valve.

    abstract:BACKGROUND:The mechanisms leading to occlusion of plastic biliary stents (PBS) are not known. OBJECTIVE:To evaluate the impact of reducing duodenobiliary reflux on stent patency rate. DESIGN:A newly designed antireflux PBS (AR-PBS) was tested in vitro by using ox bile. A prospective randomized trial in human beings w...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2006.09.011

    authors: Dua KS,Reddy ND,Rao VG,Banerjee R,Medda B,Lang I

    更新日期:2007-05-01 00:00:00

  • Prospective analysis of complications 30 days after outpatient colonoscopy.

    abstract:BACKGROUND:Our objective was to (1) determine whether more complications are reported by patients 30 days after outpatient colonoscopy than are discussed at our monthly morbidity and mortality conferences, (2) identify complications resulting in visits to the emergency department or physician's office or leading to hos...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1053/ge.1999.v50.97111

    authors: Zubarik R,Fleischer DE,Mastropietro C,Lopez J,Carroll J,Benjamin S,Eisen G

    更新日期:1999-09-01 00:00:00

  • Patient acceptance of the optical diagnosis and misdiagnosis of diminutive colorectal polyps.

    abstract:BACKGROUND AND AIMS:Optical diagnosis allows for real-time endoscopic assessment of colorectal polyp histology and consists of the resect and discard and diagnose and leave paradigms. This survey assessed patient acceptance of optical diagnosis and their responses to a hypothetical doomsday scenario. METHODS:We conduc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2016.11.031

    authors: Sakata S,Lee AHS,Kheir AO,Tutticci NJ,Naidu S,Stevenson ARL,Hewett DG

    更新日期:2017-08-01 00:00:00

  • A model for calculating the hospital costs for pediatric endoscopy.

    abstract:BACKGROUND:Hospitals increasingly need, besides effectiveness data, accurate and reliable cost data to allocate their resources as efficiently as possible. In this article, a framework to calculate the hospital costs of setting up a new activity is presented and applied to pediatric endoscopy. METHODS:The cost calcula...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70007-x

    authors: Kesteloot K,Veereman-Wauters G,Nolis I,Eggermont E,Rutgeerts P,Vleugels A

    更新日期:1996-11-01 00:00:00