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ID 58104
フルテキストURL
著者
Uchida, Daisuke Department of Gastroenterology, Okayama University Hospital ORCID Kaken ID researchmap
Kato, Hironari Department of Gastroenterology, Okayama University Hospital Kaken ID researchmap
Matsumoto, Kazuyuki Department of Gastroenterology, Okayama University Hospital Kaken ID
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 researchmap
抄録
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.
キーワード
Endoscopic ultrasound
Diagnostic screening program
Pancreatic diseases
Biliary tract diseases
発行日
2019-12-18
出版物タイトル
BMC Gastroenterology
19巻
1号
出版者
BMC
開始ページ
220
ISSN
1471-230X
資料タイプ
学術雑誌論文
言語
English
OAI-PMH Set
岡山大学
著作権者
© The Author(s). 2019
論文のバージョン
publisher
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.1186/s12876-019-1141-7
ライセンス
http://creativecommons.org/licenses/by/4.0/