Seattle protocol vs narrow band imaging guided biopsy in screening of Barrett's esophagus in gastroesophageal reflux disease patients
| Autor: | Sanaa Shawky Ahmed, Hanan Hosny Nouh, Marwa A. Madkour, Mohammed Mohammed Shamseya, Ahmed Elsheaita, Ayman M Shamseya, Mohamed Ahmed El-Bially |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Image-Guided Biopsy Male medicine.medical_specialty Time Factors Adolescent Biopsy narrow band imaging Diagnostic Accuracy Study Sensitivity and Specificity 03 medical and health sciences Barrett's esophagus Barrett Esophagus Young Adult 0302 clinical medicine Esophagus Predictive Value of Tests medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Aged medicine.diagnostic_test business.industry screening Reflux General Medicine Gold standard (test) Middle Aged medicine.disease digestive system diseases medicine.anatomical_structure 030220 oncology & carcinogenesis Predictive value of tests Gastroesophageal Reflux Egypt Female Radiology Esophagoscopy business Research Article Seattle protocol |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Barrett's esophagus has 0.5% to 7% risk of progression to esophageal adenocarcinoma. The method of obtaining biopsies to diagnose Barrett's is challenging. Seattle protocol has been considered as the gold standard, however its difficulty limits its applicability in practice. Narrow band imaging guided biopsy has been proposed as an alternative. To investigate the accuracy, sensitivity, specificity and applicability of Narrow band guided biopsy as a screening tool for Barret's esophagus in gastroesophageal reflux patients. Endoscopy was done in 2 different sessions 2 weeks apart for 100 patients in Alexandria, Egypt. Patients had at least one of the following: Chronic Gastroesophageal reflux disease, frequent Gastroesophageal reflux disease, or two or more risk factors for Barrett's esophagus. All patients with known Barrett's esophagus were excluded. Seventeen patients had Barrett's esophagus either by one of the two techniques or by both, 4 patients by both methods, 7 patients by narrow band imaging alone and 6 patients by Seattle protocol alone (P |
| Databáze: | OpenAIRE |
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