Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2019 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/32079 |
Resumo: | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. |
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Barros, Fernando deSoares, João Carlos de AlmeidaBarros, Fernando Prado deSangenis, Luiz Henrique CondeSilva, Gilberto Marcelo Sperandio daFonseca, Ana Beatriz MonteiroHasslocher-Moreno, Alejandro MarcelSousa, Andrea Silvestre deSaraiva, Roberto MagalhãesMediano, Mauro Felippe Felix2019-03-14T13:27:34Z2019-03-14T13:27:34Z2019BARROS, Fernando de et al. Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease. Revista da Sociedade Brasileira de Medicina Tropical, v.:52, p. 1-5, 20190037-8682https://www.arca.fiocruz.br/handle/icict/3207910.1590/0037-8682-0258-20181678-9849engSociedade Brasileira de Medicina TropicalAgreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas diseaseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Universidade Federal Fluminense. Instituto de Matemática e Estatística. Niterói, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Ministério da Saúde. Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.Introduction: The diagnosis and classification of megaesophagus can be challenging in patients with Chagas disease. The present study aimed to evaluate the agreement between upper endoscopies and esophagographies for the diagnosis and classification of megaesophagus in Chagas disease. Methods: A cross-sectional study of 50 patients with Chagas disease with upper digestive symptoms was undertaken. Esophagography and upper endoscopy exams were performed to compare diagnoses. Statistical analysis included sensitivity and specificity used to evaluate the diagnostic accuracy of upper endoscopies, and measures of agreement: linearly weighted Kappa (κw) and Cohen`s classical Kappa (κ) coefficients with 95% confidence intervals (95% CI). Results: Twenty-three patients (46%) were diagnosed with megaesophagus by esophagography. The upper endoscopy sensitivity and specificity for megaesophagus diagnosis were 100% and 33.3%, respectively. Regarding megaesophagus classifications, there was a substantial agreement between the two exams (κw = 0.622; 95% CI: 0.498 to 0.746). Within megaesophagus groups, agreement for group I wasslight (κ = 0.096; 95% CI: 0.000 to 0.403); for group II,substantial (κ = 0.703; 95% CI: 0.456 to 0.950); and for groups III and IV, inconclusive (κ = 0.457; 95% CI: 0.000 to 0.967; κ = 0.540; 95% CI: 0.035 to 1.000, respectively). Conclusions: Upper endoscopy has a high sensitivity, but a low specificity to diagnose megaesophagus. Agreement between the two exams varies depending on the megaesophagus grade. Thus, upper endoscopy can be used in the diagnostic workup of a possible Chagas disease megaesophagus, but all identified cases should undergo esophagography.Esophageal achalasiaChagas diseaseEsophageal motility disorderinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/32079/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALve_Barros_Fernando_etal_INI_2019.pdfve_Barros_Fernando_etal_INI_2019.pdfapplication/pdf1188184https://www.arca.fiocruz.br/bitstream/icict/32079/2/ve_Barros_Fernando_etal_INI_2019.pdf7bad1cc6472d8b835a89267d8dda8c80MD52TEXTve_Barros_Fernando_etal_INI_2019.pdf.txtve_Barros_Fernando_etal_INI_2019.pdf.txtExtracted 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| dc.title.pt_BR.fl_str_mv |
Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease |
| title |
Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease |
| spellingShingle |
Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease Barros, Fernando de Esophageal achalasia Chagas disease Esophageal motility disorder |
| title_short |
Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease |
| title_full |
Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease |
| title_fullStr |
Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease |
| title_full_unstemmed |
Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease |
| title_sort |
Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease |
| author |
Barros, Fernando de |
| author_facet |
Barros, Fernando de Soares, João Carlos de Almeida Barros, Fernando Prado de Sangenis, Luiz Henrique Conde Silva, Gilberto Marcelo Sperandio da Fonseca, Ana Beatriz Monteiro Hasslocher-Moreno, Alejandro Marcel Sousa, Andrea Silvestre de Saraiva, Roberto Magalhães Mediano, Mauro Felippe Felix |
| author_role |
author |
| author2 |
Soares, João Carlos de Almeida Barros, Fernando Prado de Sangenis, Luiz Henrique Conde Silva, Gilberto Marcelo Sperandio da Fonseca, Ana Beatriz Monteiro Hasslocher-Moreno, Alejandro Marcel Sousa, Andrea Silvestre de Saraiva, Roberto Magalhães Mediano, Mauro Felippe Felix |
| author2_role |
author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Barros, Fernando de Soares, João Carlos de Almeida Barros, Fernando Prado de Sangenis, Luiz Henrique Conde Silva, Gilberto Marcelo Sperandio da Fonseca, Ana Beatriz Monteiro Hasslocher-Moreno, Alejandro Marcel Sousa, Andrea Silvestre de Saraiva, Roberto Magalhães Mediano, Mauro Felippe Felix |
| dc.subject.en.pt_BR.fl_str_mv |
Esophageal achalasia Chagas disease Esophageal motility disorder |
| topic |
Esophageal achalasia Chagas disease Esophageal motility disorder |
| description |
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. |
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2019 |
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2019-03-14T13:27:34Z |
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2019-03-14T13:27:34Z |
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2019 |
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info:eu-repo/semantics/article |
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BARROS, Fernando de et al. Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease. Revista da Sociedade Brasileira de Medicina Tropical, v.:52, p. 1-5, 2019 |
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https://www.arca.fiocruz.br/handle/icict/32079 |
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0037-8682 |
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10.1590/0037-8682-0258-2018 |
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1678-9849 |
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BARROS, Fernando de et al. Agreement between upper endoscopy and esophagography in the diagnosis of megaesophagus in Chagas disease. Revista da Sociedade Brasileira de Medicina Tropical, v.:52, p. 1-5, 2019 0037-8682 10.1590/0037-8682-0258-2018 1678-9849 |
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Sociedade Brasileira de Medicina Tropical |
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