The ASGE guidelines for the appropriate use of upper gastrointestinal endoscopy: association with endoscopic findings

2001 ◽  
Vol 96 (9) ◽  
pp. S280
Author(s):  
A ROSSI1
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Appropriate Use ◽  
Endoscopic Findings ◽  
Upper Gastrointestinal

scholarly journals Correlation of Clinical, Endoscopic, and Pathological Findings among Suspected Peptic Ulcer Disease Patients in Abuja, Nigeria

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Onyedika Godfrey Okoye ◽  
Oluwole Olayemi Olaomi ◽  
Alexander M.E. Nwofor ◽  
Paul Jibrin ◽  
Cephas Shallangwa Batta ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Pathological Findings ◽  
Histological Findings ◽  
National Hospital ◽  
Ulcer Disease ◽  
Endoscopic Findings ◽  
H Pylori ◽  
Upper Gastrointestinal

Background. Peptic ulcer disease (PUD) remains one of the most prevalent gastrointestinal diseases and has been linked to Helicobacter pylori (H. pylori) infection. This condition may be suspected on clinical grounds, but diagnosis is established using upper gastrointestinal endoscopy. Aims. To determine the correlation between the endoscopic and pathological findings among suspected PUD patients who have been referred for diagnostic upper gastrointestinal endoscopy in National Hospital Abuja. Methods. This is a hospital-based prospective study conducted among suspected PUD patients at National Hospital Abuja over a one-year period. Clinical, endoscopic, and histological findings were ascertained and documented. Data obtained were analyzed using SPSS version 21.0. Tests of significance were done using the chi-square test and Student t -test at 95% confidence intervals. Results. One hundred and thirty-two patients were included in the study. The ages ranged from 15 to 87 years, mean age 43.30 ± 11.94 years. Seventy-seven (58.3%) patients had abnormal endoscopic findings, of whom 37 (28.0%) had PUD. Prevalence of H. pylori infection was 42.2% and was found in 81.1% of PUD patients. H. pylori was significantly associated with confirmed PUD ( p < 0.001 ) and abnormal endoscopic findings ( p < 0.001 ). No association was found between normal endoscopic findings and histological findings ( p = 0.924 ). Conclusion. There is a poor correlation between clinical and endoscopic diagnoses of PUD. H. pylori was found to be significantly associated with PUD and abnormal endoscopic findings. Endoscopic facilities should therefore be made available and accessible for proper PUD diagnosis. Empirical treatment of H. pylori in patients with diagnosed PUD is strongly recommended.

Clinical Outcomes of Recurrent Gastric Cancer Detected by Upper Endoscopy after Curative Total Gastrectomy

2016 ◽  
Vol 103 (2) ◽  
pp. 164-169
Author(s):  
Hee Kyong Na ◽  
Ji Yong Ahn ◽  
Jeong Hoon Lee ◽  
Do Hoon Kim ◽  
Kee Don Choi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Clinical Outcomes ◽  
Gastrointestinal Endoscopy ◽  
Medical Center ◽  
Interquartile Range ◽  
Upper Gastrointestinal Endoscopy ◽  
Endoscopic Findings ◽  
Recurrent Gastric Cancer ◽  
Upper Gastrointestinal

Background/aims Endoscopically detected tumor recurrence after curative total gastrectomy is very rare. We reviewed the clinicopathological and endoscopic findings together with the clinical outcomes of these patients. Methods Seventeen patients with recurrent gastric cancer detected by upper gastrointestinal endoscopy who underwent curative total gastrectomy between January 1990 and May 2011 at the Asan Medical Center were analyzed retrospectively. Results Of the 17 patients, 5 were resectable at the time of diagnosis of recurrence and 12 were unresectable. The median interval between total gastrectomy and diagnosis of recurrence was 20.2 months (interquartile range 12.4-42.1 months). The tumors were located in the anastomotic area in 8 patients, in the proximal part of the afferent or efferent loop in 7, and in the stump of the afferent loop in 2 patients. With regard to the endoscopic findings, a mass was found in 8 cases, an ulcer in 2, stricture in 4, and nodularities in 3. Operations were performed in 3 patients, chemotherapy in 10 (including 2 receiving adjuvant chemotherapy), and conservative management in 6. Fourteen patients died from progression of the disease and the median survival period from recurrence for all 17 patients was 5.3 months (interquartile range 1.2-7.7 months). Conclusions Local recurrence of gastric cancer detected by upper gastrointestinal endoscopy after curative total gastrectomy has a poor prognosis.

scholarly journals Duodenal Lipoma - Report of Two Cases and Review of the Literature

1990 ◽  
Vol 4 (4) ◽  
pp. 147-150
Author(s):  
Jeremy Goldberg ◽  
Stewart M Hamilton ◽  
RD Cherry ◽  
RW Sherbaniuk ◽  
Laurence D Jewell
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Motility Disorder ◽  
Upper Gastrointestinal Endoscopy ◽  
Pathological Findings ◽  
Review Of The Literature ◽  
Esophageal Motility Disorder ◽  
Bleeding Management ◽  
Endoscopic Findings ◽  
Upper Gastrointestinal

Diagnostic upper gastrointestinal endoscopy has increased the frequency with which duodenal lipomas are encountered in clinical practice. Although the smaller lesions are usually incidental endoscopic findings unrelated to symptoms, an accurate diagnosis depends upon biopsy and histological assessment Larger lesions may bleed or obstruct. The authors present two cases: one lipoma was found incidentally during the investigation of an esophageal motility disorder; the other larger one presented as a mass lesion in a patient with upper gastrointestinal bleeding. Pathological findings suggested that the lipoma was the cause of the bleeding. Management is briefly discussed.

scholarly journals Gastric metaplasia of the duodenal mucosa in Crohn’s disease: novel histological and endoscopic findings

2021 ◽  
Vol 09 (02) ◽  
pp. E181-E189
Author(s):  
Go Ikezono ◽  
Kenshi Yao ◽  
Kentaro Imamura ◽  
Takao Kanemitsu ◽  
Masaki Miyaoka ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Gastrointestinal Endoscopy ◽  
Duodenal Mucosa ◽  
Gastric Body ◽  
Upper Gastrointestinal Endoscopy ◽  
Endoscopic Findings ◽  
Gastric Metaplasia ◽  
Mucosal Lesions ◽  
Upper Gastrointestinal

Abstract Background and study aims Upper gastrointestinal endoscopy and biopsy are useful for differential diagnosis of Crohn’s disease (CD) of the large intestine and ulcerative colitis (UC). We aimed to identify novel histopathological and endoscopic findings in the upper gastrointestinal tract in patients with CD who did not have Helicobacter pylori infection. Patients and methods Upper gastrointestinal endoscopy was performed on patients with CD and UC. Mucosal lesions detected were subsequently observed using magnifying endoscopy with narrow-band imaging (M-NBI), following which biopsy was performed. When no mucosal lesion was detected on conventional endoscopy, M-NBI and biopsy were performed on four sites: the gastric body, gastric antrum, duodenal bulb, and second portion of the duodenum. Results The prevalences of gastric metaplasia (GM) were 48 % (24/50) and 16 % (8/50) in the CD and UC groups, showing a significant difference (P = 0.001). In 23 of 24 patients with histologically proven GM in the CD group, mucosal lesions were detected using conventional white-light imaging (C-WLI). In 22 of 24 patients with histologically proven GM in the CD group, disappearance of normal villous structure and the presence of curved marginal crypt epithelium were noted using magnifying endoscopic findings characteristic of GM (M-GM). A combination of C-WLI and M-NBI yielded a significantly increased specificity (P = 0.004) and accuracy (P = 0.039). Conclusions The prevalence of GM in the duodenal mucosa was significantly higher in patients with CD than in controls. The identified endoscopic findings may be useful as novel indicators for the histological diagnosis of GM in the duodenum.

Is there any association between referral indications for open-access upper gastrointestinal endoscopy and endoscopic findings?

Endoscopy ◽  
2007 ◽  
Vol 39 (06) ◽  
pp. 502-506 ◽  
Author(s):  
L. van Kerkhoven ◽  
S. van Rijswijck ◽  
L. van Rossum ◽  
R. Laheij ◽  
E. Witteman ◽  
...  
Keyword(s):  
Open Access ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Endoscopic Findings ◽  
Upper Gastrointestinal
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