Abstract:
BACKGROUND:A few studies have investigated quality indicators of esophagogastroduodenoscopy (EGD) for identifying upper gastrointestinal (GI) malignancy. The current study aimed to evaluate whether the rate of ampulla photo-documentation could be associated with the detection of upper GI neoplasms. METHODS:We used data from 111 962 asymptomatic patients who underwent EGD performed by 14 endoscopists at a health promotion center. The rate of ampulla photo-documentation was calculated by reviewing EGD photos archived during each endoscopist's first year of working at the center. The detection of neoplasms during a 7-year period was investigated. We examined the association between the rate of ampulla photo-documentation and the rate of neoplasm detection. RESULTS:The mean rate of ampulla photo-documentation was 49.0 % (range 13.7 % - 78.1 %) during endoscopists' first year of working at the center. Endoscopists' rates of ampulla photo-documentation significantly correlated with the detection of total neoplasms (R2 = 0.57, P = 0.03) and small neoplasms (R2 = 0.58, P = 0.03). There was a significant difference in the detection rates of upper GI neoplasms between high (n = 7) and low (n = 7) ampulla observers (odds ratio [OR] 1.31, 95 % confidence interval [CI] 1.03 - 1.68; P = 0.03). The ampulla photo-documentation rate of each endoscopist significantly correlated with the examination time for a normal EGD (R2 = 0.55; P = 0.04). In multivariate analysis, high ampulla photo-documentation rate was a predictor of neoplasm detection (OR 1.33, 95 %CI 1.03 - 1.70). CONCLUSIONS:The ampulla photo-documentation rate was significantly associated with the detection rate for both total and small upper GI neoplasms. Ampulla photo-documentation should be considered as a quality indicator of EGD.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Park JM,Lim CH,Cho YK,Lee BI,Cho YS,Song HJ,Choi MGdoi
10.1055/a-0662-5523subject
Has Abstractpub_date
2019-02-01 00:00:00pages
115-124issue
2eissn
0013-726Xissn
1438-8812journal_volume
51pub_type
杂志文章相关文献
ENDOSCOPY文献大全abstract:BACKGROUND AND STUDY AIMS:It is difficult to measure the prevalence of hereditary non-polyposis colorectal cancer (HNPCC) in geographical areas that do not have tumor registers, as is the case in the present study, and it was therefore decided to assess the prevalence in Italy using different methods. PATIENTS AND MET...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1055/s-1999-30
更新日期:1999-06-01 00:00:00
abstract::Several important studies on screening for colorectal neoplasia were published in 1998-99, including average-risk as well as high-risk groups, and different strategies such as endoscopy, fecal occult blood tests, and other more specific markers of neoplasia. Some of these studies included the use of interventions othe...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2000-141
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND AND AIMS:Fully covered self-expanding removable stents (SERS) have been considered a viable alternative to serial bougienage. The primary aim of this meta-analysis was to determine the efficacy of SERS for refractory esophageal strictures. METHODS:Medline, Embase, and PubMed databases were searched using th...
journal_title:Endoscopy
pub_type: 杂志文章,meta分析
doi:10.1055/s-0030-1256331
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:To investigate the value of a transendoscopic miniature ultrasonic probe (USP) in the diagnosis of esophageal diseases. PATIENTS AND METHODS:Endoscopic ultrasonography was performed by means of USP in 53 patients with esophageal diseases, including 16 with esophageal leiomyoma, 14 with esopha...
journal_title:Endoscopy
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract::In a prospective study, all patients with peptic ulcer bleeding were documented between February 1984 and April 1992. A total of 227 patients were treated by local injection of epinephrine followed by laser application and injection of polidocanol or fibrin tissue adhesive. In five of these patients, intramural hemato...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1009050
更新日期:1994-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Although it has been proved that pancreatic stenting is effective in the symptomatic management of severe chronic pancreatitis, long-term outcomes after stent removal have not been fully evaluated. PATIENTS AND METHODS:A total of 100 patients (75 men, 25 women; median age 49) with severe chro...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2005-860988
更新日期:2005-03-01 00:00:00
abstract::Vascular malformations of the GI tract can be treated by thermal methods, including the YAG laser. The diagnosis of these lesions is not always easy, and it is difficult to evaluate the completeness of therapy of these lesions. We investigated the value of Doppler ultrasound in this respect. The TVD-1 (Key Med) transe...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018146
更新日期:1988-05-01 00:00:00
abstract::Short cicatricial stenoses following surgery of the upper gastrointestinal tract are difficult to treat and have a high recurrence rate. A method of eliminating stenoses endoscopically with the aid of diathermy is described. This method has, to date, been employed in 51 patients, and only a single serious complication...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018571
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND:Obesity is the pandemic disease of this century. Surgery is the only effective treatment but cannot be offered to every patient. Endoscopic sutured gastroplasty is a minimally invasive technique that may potentially fill the gap between surgery and behavioral therapy. In this study, we prospectively investig...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1055/a-0630-1224
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Implantation of iodine-125 ( (125)I) seeds under the guidance of endoscopic ultrasonography (EUS) has been proved to be a safe alternative treatment option for advanced pancreatic cancer. The main purpose of this study was to evaluate the feasibility and safety of EUS-guided radiation of the c...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1119588
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Technological innovation in esophageal stent design has progressed over the past decades, but the association between the mechanical properties of stent design and clinical outcome is still poorly understood. In this study the radial force and axial force of currently available stent designs w...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0033-1344985
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The aim of this study in canines was to investigate the effectiveness and safety of self-expandable metal stents, which were coated with paclitaxel to minimize the tissue response. MATERIALS AND METHODS:14 dogs (5-10 kg) were randomly allocated to two groups. Drug-eluting stents (DES, n = 7) ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0029-1214607
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The present study aimed to test the hypothesis that endoscopic sclerotherapy may effectively reduce the occurrence of spasm at the level of the gastric cardia, offering an effective treatment for achalasia. PATIENTS AND METHODS:We prospectively treated 33 achalasia patients by repeated inject...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2007-1005551
更新日期:1996-09-01 00:00:00
abstract::Background and study aims: To avoid bacterial contamination and tumor seeding during gastrectomy surgery, we developed a nonexposure technique for endoscopic full-thickness resection with laparoscopic assistance. The feasibility and safety of nonexposed endoscopic wall-inversion surgery (NEWS) for gastric subepithelia...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-111000
更新日期:2016-11-01 00:00:00
abstract::A novel disposable transnasal esophagoscope, the E.G. Scan (IntroMedic Co. Ltd., Seoul, Korea), was developed for the evaluation of esophageal diseases while eliminating the inconvenience associated with sterilization, portability, patient monitoring, complications, and the economic burden of sedation. The feasibility...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0031-1291483
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:After noncurative endoscopic submucosal dissection (ESD) for differentiated-type early gastric cancer (EGC), close observation is often preferred when a cancer-positive lateral margin is the only noncurative factor. However, sometimes recurrence is found during the observation period. This stu...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1364938
更新日期:2014-04-01 00:00:00
abstract::A new rendezvous-style surgical technique has been developed to ensure the safety of endoscopic submucosal dissection (ESD) for duodenal tumors. The new technique, called "laparoscopic-endoscopic cooperative surgery (LECS)," combines ESD with laparoscopic, reinforcing, seromuscular suturing. This case series report de...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1390909
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:All available techniques for performing endoscopic sphincterotomy in Billroth II gastrectomy patients have their limitations, and no standard technique has emerged. A new technique, needle-knife sphincterotomy guided by a thin (7 Fr) biliary endoprosthesis, is described here that overcomes som...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005676
更新日期:1995-03-01 00:00:00
abstract::Capsule endoscopy (CE) is still of considerable interest and, as in recent years, a large number of abstracts have been devoted to CE in various possible indications. As with the other reports, only the most relevant studies and those covering special and new aspects are discussed in detail here. The remaining abstrac...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2004-825815
更新日期:2004-09-01 00:00:00
abstract::We are now finding more malignancies in their early stages than previously. Attempts to ablate these lesions are difficult and do not provide the histological information required to decide on further treatment. Surgery is difficult to justify, as only a minority of lesions are associated with lymph node metastases an...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2001-16224
更新日期:2001-08-01 00:00:00
abstract::The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). We recommend that endoscopy services across Europe adopt the following seven key and one mi...
journal_title:Endoscopy
pub_type: 杂志文章,实务指引
doi:10.1055/a-0749-8767
更新日期:2018-11-01 00:00:00
abstract::An initial screening for colorectal cancer in asymptomatic adults was performed with Haemoccult in 26,357 persons, rigid rectoscopy in 10,673 and flexible sigmoidoscopy in 3,963 persons. The rate of cancer detection was 4.4% in screenees with a positive Haemoccult test, 0.08% using rigid rectoscopy and 0.28% using fle...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018473
更新日期:1985-05-01 00:00:00
abstract::A survey of intra-uterine endoscopy over the last years is given showing the increased demand for hysteroscopy for diagnosis and therapy of intra-uterine diseases. Its indications include the search for unknown causes of uterine bleeding or sterility. It is also applied for various therapeutic reasons such as for exam...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098330
更新日期:1979-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Compared with any other location in the gastrointestinal tract, the duodenum presents the most challenging site for endoscopic resection. The aim of this study was to analyze the clinical outcomes of duodenal endoscopic resection and to assess the feasibility of the technique as a therapeutic ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1390774
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Severe bleeding is a potentially lethal complication after endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilation (EPBD) for choledocholithiasis. This study aimed to evaluate the impact of antiplatelet agents and anticoagulants on this complication. PATIENTS AND METHODS:Pat...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1392408
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopically placed metallic biliary stents provide durable drainage for malignant biliary obstruction. The best-studied metal stent is the Wallstent, which has a greater duration of patency than polyethylene stents. Recently, the Ultraflex Diamond stent has been introduced, with reports fro...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2002-34269
更新日期:2002-10-01 00:00:00
abstract::Gynecologists have been performing transvaginal surgery for over a century and consequently the transvaginal approach was advocated for establishing natural orifice transluminal endoscopic surgery (NOTES) in gynecological and surgical practice. From 2008 the NOTES alternative has been offered to selected patients. Tra...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0030-1255756
更新日期:2010-10-01 00:00:00
abstract::Penetration of the pericardium and heart is a very rare complication of benign peptic ulcer. The case is reported here of a 76-year-old woman with advanced senile dementia, who was admitted due to melena. Endoscopy revealed a large gastric ulcer located in a giant hiatal hernia. The ulcer base was protruding and stron...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005463
更新日期:1996-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Tubular stents have been used to accomplish endoscopic transluminal drainage, but do not impart lumen-to-lumen anchorage. We evaluated a novel lumen-apposing stent designed for enteric drainage of nonadherent lumens. MATERIAL AND METHODS:Ex vivo benchtop testing was performed to quantify vari...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0030-1256127
更新日期:2011-04-01 00:00:00
abstract::Over a period of 8 years 351 upper gastrointestinal endoscopies and 72 coloscopies were performed in infants, children and juvenile patients. Development of special pediatric instruments provides increasing application even to the youngest patients. Fiberendoscopy is a safe and sensitive diagnostic tool also in the pe...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098284
更新日期:1978-08-01 00:00:00