Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices

Autor:	Ryoichiro Kobashi, Minami Hashimoto, Rei Suzuki, Yoshinori Okubo, Takumi Yanagita, Masao Kobayakawa, Tadayuki Takagi, Mitsuru Sugimoto, Jun Nakamura, Tsunetaka Kato, Yuki Sato, Takuto Hikichi, Mika Takasumi, Hiromasa Ohira, Hiroki Irie
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	Endoscopic ultrasound Medicine (General) medicine.medical_specialty Image quality Clinical Biochemistry Perforation (oil well) jelly Article R5-920 Esophageal varices medicine esophageal varices Esophagus endoscopy Procedure time medicine.diagnostic_test business.industry portal hypertension medicine.disease digestive system diseases Endoscopy medicine.anatomical_structure endoscopic ultrasound Portal hypertension Radiology business
Zdroj:	Diagnostics Volume 11 Issue 9 Diagnostics, Vol 11, Iss 1726, p 1726 (2021)
ISSN:	2075-4418
Popis:	Although the importance of endoscopic ultrasound (EUS) for esophageal varices (EVs) has been demonstrated, it is difficult to obtain sufficient EUS images with the water-filling method because of poor water stagnation in the esophagus. In this study on EVs, we aimed to evaluate the usefulness of the jelly-filling method for EUS. Consecutive patients who underwent EUS for EVs were included. The quality of EUS images, the diagnostic ability of the presence of blood vessels inside and outside the esophageal wall, and the procedure time were compared between the jelly-filling and water-filling methods. Thirty cases were analyzed (jelly-filling method in 13 and water-filling method in 17). The EUS image quality score was significantly higher in the jelly-filling method (jelly vs. water three points vs. two points, p < 0.001). Additionally, EUS image quality scores in both nonexperts and experts were significantly higher in the jelly-filling method. The diagnostic ability of the presence of perforation veins was significantly higher in the jelly-filling method (jelly vs. water 100% vs. 52.9%, p = 0.004). However, the procedure time was significantly longer in the jelly-filling method (p = 0.024). In conclusion, EUS using the jelly-filling method for EVs provided sufficient image quality.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d293b4aa7f36e2bc27ee13371c8acdbe http://europepmc.org/articles/PMC8472088 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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