How I do it: Endoscopic diagnosis for superficial non‐ampullary duodenal epithelial tumors

Autor:	Masayuki Shimoda, Mari Mizutani, Koshiro Tsutsumi, Atsushi Nakayama, Motoki Sasaki, Motohiko Kato, Teppei Akimoto, Naohisa Yahagi, Makoto Mutaguchi, Yusaku Takatori, Yasutoshi Ochiai, Kaoru Takabayashi, Tadateru Maehata, Yoshiyuki Kiguchi, Takanori Kanai
Rok vydání:	2020
Předmět:	Adult Male medicine.medical_specialty Multivariate analysis Adenoma Adenocarcinoma Gastroenterology Cohort Studies Lesion 03 medical and health sciences 0302 clinical medicine Duodenal Neoplasms Predictive Value of Tests Statistical significance Internal medicine medicine Carcinoma Humans Radiology Nuclear Medicine and imaging Aged Aged 80 and over Observer Variation Univariate analysis medicine.diagnostic_test business.industry Endoscopy Odds ratio Middle Aged medicine.disease 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology medicine.symptom business
Zdroj:	Digestive Endoscopy. 32:417-424
ISSN:	1443-1661 0915-5635
DOI:	10.1111/den.13538
Popis:	There are no reports on detailed endoscopic diagnosis of superficial non-ampullary duodenal epithelial tumors (SNADET) except for relatively small case series. Herein, we conducted a prospective observational study to investigate the relationship between endoscopic findings and histopathological diagnosis of SNADET. A total of 163 SNADET diagnosed using magnified endoscopic examination with image-enhanced endoscopy (IEE-ME) were prospectively registered in this study. We investigated location, size, macroscopic type, color, and IEE-ME findings including surface structure (closed- or open-loop) and presence of white opaque substance (WOS) in SNADET. We analyzed association between these findings and histopathological diagnosis of SNADET based on the Vienna classification (VCL) using logistic regression analysis. In univariate analysis, lesion size, superficial structure, and WOS deposition showed statistical significance, and the oral side of the lesion location showed statistical tendency for association with VCL C4/5. In multivariate analysis, lesion size (odds ratio [OR], 2.92; 95% CI, 1.94-4.39; P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::085afd1b63686efd1efd004500d4d032 https://doi.org/10.1111/den.13538 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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