ID | 58104 |
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Author |
Uchida, Daisuke
Department of Gastroenterology, Okayama University Hospital
ORCID
Kaken ID
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Kato, Hironari
Department of Gastroenterology, Okayama University Hospital
ORCID
Kaken ID
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Matsumoto, Kazuyuki
Department of Gastroenterology, Okayama University Hospital
ORCID
Kaken ID
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Ishihara, Yuki
Department of Gastroenterology, Okayama University Hospital
Matsumi, Akihiro
Department of Gastroenterology, Okayama University Hospital
Saragai, Yosuke
Department of Gastroenterology, Okayama University Hospital
Takada, Saimon
Department of Gastroenterology, Okayama University Hospital
ORCID
Yabe, Shuntaro
Department of Gastroenterology, Okayama University Hospital
Muro, Shinichiro
Department of Gastroenterology, Okayama University Hospital
Tomoda, Takeshi
Department of Gastroenterology, Okayama University Hospital
Horiguchi, Shigeru
Department of Gastroenterology, Okayama University Hospital
Okada, Hiroyuki
Department of Gastroenterology, Okayama University Hospital
Kaken ID
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Abstract | Background: Endoscopic ultrasound is useful for obtaining high-resolution images of pancreaticobiliary diseases, but is not readily available for physical checkups. In this study, we evaluated the safety and efficacy of single-session esophagogastroduodenoscopy and endoscopic ultrasound in the detection of upper-gastrointestinal and pancreaticobiliary diseases using a forward-viewing radial scan ultrasonic endoscope.
Methods: A total of 148 patients who were scheduled for upper-gastrointestinal screening using an endoscope were prospectively included. All patients were examined by EUS in combination with EGD using a forward-viewing radial scan ultrasonic endoscope. The primary endpoint was the safety of the procedures. The secondary endpoints were the prevalence of diseases, the basal imaging capability of EUS, the procedure time, total dose of propofol, and the correlation between background factors and the prevalence of pancreatic disease. The imaging capability at each region was scored as 0 (invisible) to 2 (sufficient visualization to evaluate the organs). Results: Intraoperative hypotension occurred as an adverse event of intravenous anesthesia in one patient. There were 82 pancreaticobiliary findings and 165 upper-gastrointestinal findings (malignancy not included). Follicular lymphoma of the intra-abdominal lymph nodes was detected in one patient. The mean imaging scores of each section were 1.95 (pancreatic head and papilla), 2.0 (pancreatic body), 1.99 (pancreatic tail), and 1.89 (common bile duct and gallbladder). Age, history of diabetes mellitus, and smoking history were significantly associated with the prevalence of pancreatic diseases. Conclusion: The simultaneous performance of EGD and EUS using a new ultrasonic endoscope is tolerable and safe for upper-gastrointestinal and pancreaticobiliary screening. |
Keywords | Endoscopic ultrasound
Diagnostic screening program
Pancreatic diseases
Biliary tract diseases
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Published Date | 2019-12-18
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Publication Title |
BMC Gastroenterology
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Volume | volume19
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Issue | issue1
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Publisher | BMC
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Start Page | 220
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ISSN | 1471-230X
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Content Type |
Journal Article
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language |
English
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OAI-PMH Set |
岡山大学
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Copyright Holders | © The Author(s). 2019
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File Version | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
Related Url | isVersionOf https://doi.org/10.1186/s12876-019-1141-7
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License | http://creativecommons.org/licenses/by/4.0/
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