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Efficacy of CTPV for Diagnostic and Therapeutic Assessment: Comparison with Endoscopy in Cirrhotic Patients with Gastroesophageal Varices
المؤلفون المشاركون
Cui, Zijin
Yang, Haiqing
Jin, Xiaoxu
Jiang, Huiqing
Qi, Wei
Feng, Wenfeng
Feng, Zhijie
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-06-05
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Background and Aims.
Computed tomography portal venography (CTPV) shows potential in detecting varices that need treatment and their drainage pathways.
However, its agreement with endoscopy requires further study.
We investigated the feasibility of CTPV as an alternative tool to endoscopy in screening gastroesophageal varices (GEVs) and developed a CTPV-based model to provide a less invasive assessment of endotherapy for cirrhotic patients with GEVs.
Methods.
The study included 33 cirrhotic patients with a recent history of variceal hemorrhage.
The presence, grade, and classification of GEVs on endoscopy and CTPV were compared (kappa test).
Twenty-four patients were treated endoscopically, including 12 for esophageal varices (EVs), 8 for gastric varices (GVs), and 4 for GEVs.
Treatment efficacies were assessed with the newly developed CTPV-based method at 1 week and 1 month after treatment.
Efficiency evaluated by CTPV and endoscopy was compared by Fisher’s exact test to determine whether CTPV is efficient in the assessment of endotherapy efficacy.
Results.
For the screening and grading/classification of EVs and GVs, substantial agreement (EV kappa: 0.63 and 0.68; GV kappa: 0.62 and 0.75, respectively) was noted between endoscopy and CTPV.
The therapeutic efficacy of EVs was higher when assessed by CTPV than when evaluated by endoscopy (37.50% vs.
12.50% at 1 week postoperation, P=0.22; 62.50% vs.
25.00% at 1 month postoperation, P=0.07), but without statistical significance.
The same trend was also found in the assessment of therapeutic efficacy for GVs (25.00% vs.
16.67% at 1 week postoperation, P=1; 58.33% vs.
41.67% at 1 month postoperation, P=0.68).
Conclusion.
CTPV is comparable to endoscopy in the detection of GEVs and in the evaluation of endotherapy efficacy, which suggests that it could be a less invasive alternative for endoscopy in cirrhotic patients with GEVs needing treatment.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Cui, Zijin& Yang, Haiqing& Jin, Xiaoxu& Jiang, Huiqing& Qi, Wei& Feng, Wenfeng…[et al.]. 2020. Efficacy of CTPV for Diagnostic and Therapeutic Assessment: Comparison with Endoscopy in Cirrhotic Patients with Gastroesophageal Varices. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1166924
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Cui, Zijin…[et al.]. Efficacy of CTPV for Diagnostic and Therapeutic Assessment: Comparison with Endoscopy in Cirrhotic Patients with Gastroesophageal Varices. Gastroenterology Research and Practice No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1166924
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Cui, Zijin& Yang, Haiqing& Jin, Xiaoxu& Jiang, Huiqing& Qi, Wei& Feng, Wenfeng…[et al.]. Efficacy of CTPV for Diagnostic and Therapeutic Assessment: Comparison with Endoscopy in Cirrhotic Patients with Gastroesophageal Varices. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1166924
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1166924
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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