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

被引：6

作者：

Kato, Tsunetaka ^{[1
,2
]}

Hikichi, Takuto ^{[1
]}

Nakamura, Jun ^{[1
,2
]}

Takasumi, Mika ^{[2
]}

Hashimoto, Minami ^{[1
,2
]}

Kobashi, Ryoichiro ^{[1
,2
]}

Yanagita, Takumi ^{[2
]}

Takagi, Tadayuki ^{[2
]}

Suzuki, Rei ^{[2
]}

Sugimoto, Mitsuru ^{[2
]}

Sato, Yuki ^{[2
]}

Irie, Hiroki ^{[2
]}

Okubo, Yoshinori ^{[1
,2
]}

Kobayakawa, Masao ^{[1
,3
]}

Ohira, Hiromasa ^{[2
]}

机构：

[1] Fukushima Med Univ Hosp, Dept Endoscopy, Fukushima 9601295, Japan

[2] Fukushima Med Univ, Dept Gastroenterol, Sch Med, Fukushima 9601295, Japan

[3] Fukushima Med Univ, Med Res Ctr, Fukushima 9601295, Japan

来源：

DIAGNOSTICS | 2021年 / 11卷 / 09期

关键词：

endoscopic ultrasound; endoscopy; esophageal varices; jelly; portal hypertension; PRIMARY PREVENTION; PORTAL-HYPERTENSION; COLLATERAL VEINS; EUS; CIRRHOSIS; SCLEROTHERAPY; DIAGNOSIS; INVASION; DEPTH; PROBE;

D O I：

10.3390/diagnostics11091726

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：9

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