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The Colonoscopist's Expertise Affects the Characteristics of Detected Polyps
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Da Kyoung Jung, Tae Oh Kim, Mi Seon Kang, Mo Se Kim, Min Sik Kim, Young Soo Moon
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Clin Endosc 2016;49(1):61-68. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.61
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Abstract
PDFPubReaderePub
- Background
/Aims: The influence of the endoscopist on the polyp detection rate (PDR) is underappreciated in clinical practice. Moreover, flat lesions or lesions of the proximal colon are more difficult to detect. Here, we evaluated the differences in the PDR and the characteristics of detected polyps according to the experience of the colonoscopist.
Methods We collected data on 2,549 patients who underwent screening colonoscopy performed by three fellows. The PDR was calculated according to the percentage of patients who had at least one polyp (method A) and according to the percentage of detected lesions (method B). The primary outcome included the change in the PDR, and the secondary outcome included the change in the characteristics of the detected polyps with increasing experience of the colonoscopist.
Results No proportional correlation was found between the PDR and increasing experience in colonoscopy with method A; however, with method B, the PDR increased after 400 colonoscopies (p=0.0209). With method B, the detection rates of small polyps (<5 mm) (p=0.0015) and polyps in proximal sites (p=0.0050) increased after 300 colonoscopies.
Conclusions Our study demonstrated that the quality of a colonoscopy, measured by using the PDR, may increase when performed by experienced fellows.
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Citations
Citations to this article as recorded by
- Rethinking the Transfer Learning for FCN Based Polyp Segmentation in Colonoscopy
Yan Wen, Lei Zhang, Xiangli Meng, Xujiong Ye IEEE Access.2023; 11: 16183. CrossRef - Anesthesia Assistance in Colonoscopy: Impact on Quality Indicators
Min Liang, Xinyan Zhang, Chunhong Xu, Junli Cao, Zongwang Zhang Frontiers in Medicine.2022;[Epub] CrossRef - Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy?
Yanliu Chu, Juan Zhang, Ping Wang, Tian Li, Shuyi Jiang, Qinfu Zhao, Feng Liu, Xiaozhong Gao, Xiuli Qiao, Xiaofeng Wang, Zhenhe Song, Heye Liang, Jing Yue, Enqiang Linghu Medicine.2020; 99(42): e22738. CrossRef - Study on the influence of assistant experience on the quality of colonoscopy
Lixia Fu, Mugen Dai, Junwei Liu, Hua Shi, Jundi Pan, Yanmei Lan, Miaoxia Shen, Xiaoduo Shao, Bin Ye Medicine.2019; 98(45): e17747. CrossRef - Colonoscopy procedural volume increases adenoma and polyp detection rates in gastroenterologytrainees
Emad Qayed, Ravi Vora, Sara Levy, Roberd M Bostick World Journal of Gastrointestinal Endoscopy.2017; 9(11): 540. CrossRef
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Two Cases of Stress Cardiomyopathy during Esophagogastroduodenoscopy
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Jong Won Yu, Jongha Park, Pil Sang Song, Jae Hyun Park, Min Sung Kim, Gi Jung Jeon, Min Sik Kim, Tae Oh Kim
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Clin Endosc 2016;49(1):76-80. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.76
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Abstract
PDFPubReaderePub
- Esophagogastroduodenoscopy (EGD) is considered a relatively safe procedure. However, the procedure and the materials used in EGD with conscious sedation can cause stress to the patient. Adverse events during EGD have been reported, represented by cardiopulmonary complications. To date, five cases have reported worldwide to be associated with gastrointestinal endoscopy. Stress cardiomyopathy (SCMP) is a reversible cardiomyopathy that typically occurs in postmenopausal women due to stress and may resolve within a few weeks. SCMP resembles acute myocardial infarction but differs in terms of treatment and prognosis. Here, we describe two cases of SCMP with shock during EGD with conscious sedation.
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Walker Barmore, Himax Patel, Sean Harrell, Daniel Garcia, Joe B Calkins Jr World Journal of Cardiology.2022; 14(6): 355. CrossRef - Takotsubo cardiomyopathy following acute urinary retention: a case report
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Nobuyuki Maruyama, Yuko Okubo, Masato Umikawa, Akiko Matsuzaki, Akira Hokama, Fusahiro Hirano, Tessho Maruyama, Kazuhide Nishihara, Toshiyuki Nakasone, Shoko Makishi, Hiroyuki Nakamura, Naoki Yoshimi Diagnostics.2020; 10(4): 218. CrossRef - Takotsubo cardiomyopathy after an upper and lower endoscopy: a case report and review of the literature
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Allison Naiquan Zhang, Terrence Sacchi, Rebecca Altschul, Debra Guss, Smruti Ranjan Mohanty, Vincent Notar-Francesco Clinical Journal of Gastroenterology.2019; 12(4): 296. CrossRef - Bradycardia, Hypotension, and Midventricular Takotsubo Syndrome during Esophagogastroduodenoscopy
John E. Madias Clinical Endoscopy.2016; 49(3): 308. CrossRef
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Efficacy of I-scan Endoscopy in the Diagnosis of Gastroesophageal Reflux Disease with Minimal Change
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Min Sik Kim, Seok Reyol Choi, Myung Hwan Roh, Jong Hun Lee, Jin Seok Jang, Byung Geun Kim, Sang Ock Kim, Ji Sun Han, Chien Ter Hsing
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Clin Endosc 2011;44(1):27-32. Published online September 30, 2011
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DOI: https://doi.org/10.5946/ce.2011.44.1.27
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Abstract
PDFPubReaderePub
- Background/Aims
The aim of the study was to evaluate the efficacy of i-scans for the diagnosis of gastroesophageal reflux disease, especially where only minimal change is involved. MethodsThe esophageal mucosa was inspected using an i-scan following conventional white light endoscopy. The examination with iscan was performed under tone enhancement (TE) esophagus (e) mode. Patients with subtle distal esophageal mucosal changes without definite mucosal breaks, such as blurring of Z-line (B), mucosal coarseness (C), hyperemic or purplish discoloration (D), erythema (E), ectopic gastric mucosal islet (I) and mixed type were classified as minimal change. ResultsA total of 156 patients were included. Using i-scan endoscopy, the number of minimal change was found to further increase from 94 (conventional endoscopy; 19B, 9C, 29D, 13E, 5I, 19 mixed type) to 109 (i-scan; 15B, 8C, 29D, 16E, 5I, 36 mixed type). And 14 patients who had single type by conventional endoscopy were converted to mixed type after i-scan. Therefore, 29 of 156 patients were upgraded after i-scan, they were account for 19% (p<0.0001; 95% confidence interval, 0.13 to 0.25). ConclusionsThe use of i-scan endoscopy significantly improves the identification of minimal change and helps to identify more precisely
the type of minimal change.
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Priyadarshini Loganathan, Mahesh Gajendran, Abhilash Perisetti, Hemant Goyal, Rupinder Mann, Randy Wright, Shreyas Saligram, Nirav Thosani, Chandraprakash Umapathy Medicina.2024; 60(7): 1120. CrossRef - Usefulness of Endoscopy for the Detection and Diagnosis of Primary Esophageal Motility Disorders and Diseases Relating to Abnormal Esophageal Motility
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J. W. Rey, N. Deris, J. U. Marquardt, T. Thomaidis, M. Moehler, J. M. Kittner, M. Nguyen-Tat, S. Dümcke, A. Tresch, S. Biesterfeld, M. Goetz, J. Mudter, M. F. Neurath, P. R. Galle, R. Kiesslich, A. Hoffman Diseases of the Esophagus.2016; 29(2): 185. CrossRef - Identifying Minimal Changes in Nonerosive Reflux Disease
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