One day of upper gastrointestinal endoscopy in a southern European country
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000300005 |
Resumo: | Introduction: Upper gastrointestinal (UGI) endoscopic outcomes are seldom described. Objectives: To assess UGI endoscopy performance in all Portugals National Health Service hospitals and assess the prevalence of premalignant gastric lesions. Methods: One randomly assigned day, cross-sectional study of UGI endoscopies. Results: 28% of the 43 hospitals invited actually participated in the study, reporting a total of 123 UGI endoscopies. Exams were conducted on an outpatient basis in 84% of cases and 78% required no sedation. The commonest indications were presence or suspicion of GI bleeding (20%), abdominal pain or dyspepsia (18%) or reflux (12%). Histological diagnosis of atrophy was found in 19% of cases (95% CI 8-30%), extensive atrophy or intestinal metaplasia in corpus in 15% (5-25%) and positivity for Helicobacter pylori in 38% (23-53%). When comparing first-time vs. repeat UGI endoscopies, no differences were found in atrophy (22% vs. 14%, p = 0.49) and H. pylori (44% vs. 30%, p = 0.36) nor did age < vs.≥50 years was relevant (11% vs. 21%, p = 0.51 and 63% vs. 31%, p = 0.10, respectively). Conclusions: Most UGI endoscopies carried out in Portugal are safely performed on an outpatient basis without anaesthesia and 15% of patients have extensive atrophy or intestinal metaplasia in the corpus that should be scheduled for endoscopic surveillance according to recent guidelines. Although the participation rate was low, this study is an insight for further decision analysis studies to evaluate UGI endoscopy as a surveillance option for these asymptomatic at-risk patients. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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One day of upper gastrointestinal endoscopy in a southern European countryGastrointestinal endoscopyUpper gastrointestinal endoscopyGastritisAtrophyIntestinal metaplasiaIntroduction: Upper gastrointestinal (UGI) endoscopic outcomes are seldom described. Objectives: To assess UGI endoscopy performance in all Portugals National Health Service hospitals and assess the prevalence of premalignant gastric lesions. Methods: One randomly assigned day, cross-sectional study of UGI endoscopies. Results: 28% of the 43 hospitals invited actually participated in the study, reporting a total of 123 UGI endoscopies. Exams were conducted on an outpatient basis in 84% of cases and 78% required no sedation. The commonest indications were presence or suspicion of GI bleeding (20%), abdominal pain or dyspepsia (18%) or reflux (12%). Histological diagnosis of atrophy was found in 19% of cases (95% CI 8-30%), extensive atrophy or intestinal metaplasia in corpus in 15% (5-25%) and positivity for Helicobacter pylori in 38% (23-53%). When comparing first-time vs. repeat UGI endoscopies, no differences were found in atrophy (22% vs. 14%, p = 0.49) and H. pylori (44% vs. 30%, p = 0.36) nor did age < vs.≥50 years was relevant (11% vs. 21%, p = 0.51 and 63% vs. 31%, p = 0.10, respectively). Conclusions: Most UGI endoscopies carried out in Portugal are safely performed on an outpatient basis without anaesthesia and 15% of patients have extensive atrophy or intestinal metaplasia in the corpus that should be scheduled for endoscopic surveillance according to recent guidelines. Although the participation rate was low, this study is an insight for further decision analysis studies to evaluate UGI endoscopy as a surveillance option for these asymptomatic at-risk patients.Sociedade Portuguesa de Gastrenterologia2014-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000300005Jornal Português de Gastrenterologia v.21 n.3 2014reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000300005Areia,MiguelDinis-Ribeiro,Márioinfo:eu-repo/semantics/openAccess2024-02-06T17:09:21Zoai:scielo:S0872-81782014000300005Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:21:23.083558Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
One day of upper gastrointestinal endoscopy in a southern European country |
title |
One day of upper gastrointestinal endoscopy in a southern European country |
spellingShingle |
One day of upper gastrointestinal endoscopy in a southern European country Areia,Miguel Gastrointestinal endoscopy Upper gastrointestinal endoscopy Gastritis Atrophy Intestinal metaplasia |
title_short |
One day of upper gastrointestinal endoscopy in a southern European country |
title_full |
One day of upper gastrointestinal endoscopy in a southern European country |
title_fullStr |
One day of upper gastrointestinal endoscopy in a southern European country |
title_full_unstemmed |
One day of upper gastrointestinal endoscopy in a southern European country |
title_sort |
One day of upper gastrointestinal endoscopy in a southern European country |
author |
Areia,Miguel |
author_facet |
Areia,Miguel Dinis-Ribeiro,Mário |
author_role |
author |
author2 |
Dinis-Ribeiro,Mário |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Areia,Miguel Dinis-Ribeiro,Mário |
dc.subject.por.fl_str_mv |
Gastrointestinal endoscopy Upper gastrointestinal endoscopy Gastritis Atrophy Intestinal metaplasia |
topic |
Gastrointestinal endoscopy Upper gastrointestinal endoscopy Gastritis Atrophy Intestinal metaplasia |
description |
Introduction: Upper gastrointestinal (UGI) endoscopic outcomes are seldom described. Objectives: To assess UGI endoscopy performance in all Portugals National Health Service hospitals and assess the prevalence of premalignant gastric lesions. Methods: One randomly assigned day, cross-sectional study of UGI endoscopies. Results: 28% of the 43 hospitals invited actually participated in the study, reporting a total of 123 UGI endoscopies. Exams were conducted on an outpatient basis in 84% of cases and 78% required no sedation. The commonest indications were presence or suspicion of GI bleeding (20%), abdominal pain or dyspepsia (18%) or reflux (12%). Histological diagnosis of atrophy was found in 19% of cases (95% CI 8-30%), extensive atrophy or intestinal metaplasia in corpus in 15% (5-25%) and positivity for Helicobacter pylori in 38% (23-53%). When comparing first-time vs. repeat UGI endoscopies, no differences were found in atrophy (22% vs. 14%, p = 0.49) and H. pylori (44% vs. 30%, p = 0.36) nor did age < vs.≥50 years was relevant (11% vs. 21%, p = 0.51 and 63% vs. 31%, p = 0.10, respectively). Conclusions: Most UGI endoscopies carried out in Portugal are safely performed on an outpatient basis without anaesthesia and 15% of patients have extensive atrophy or intestinal metaplasia in the corpus that should be scheduled for endoscopic surveillance according to recent guidelines. Although the participation rate was low, this study is an insight for further decision analysis studies to evaluate UGI endoscopy as a surveillance option for these asymptomatic at-risk patients. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000300005 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000300005 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000300005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
Jornal Português de Gastrenterologia v.21 n.3 2014 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799137300019412992 |