兰州大学机构库
Endoscopic Ruler for varix size measurement: A multicenter pilot study
2023-09-16
Source PublicationWorld Journal of Gastrointestinal Endoscopy   Impact Factor & Quartile
ISSN1948-5190
Volume15Issue:9
page numbers11
AbstractBACKGROUNDWe invented Endoscopic Ruler, a new endoscopic device to measure the size of varices in patients with cirrhosis and portal hypertension.AIMTo assess the feasibility and safety of Endoscopic Ruler, and evaluate the agreement on identifying large oesophageal varices (OV) between Endoscopic Ruler and the endoscopists, as well as the interobserver agreement on diagnosing large OV using Endoscopic Ruler.METHODSWe prospectively and consecutively enrolled patients with cirrhosis from 11 hospitals, all of whom got esophagogastroduodenoscopy (EGD) with Endoscopic Ruler. The primary study outcome was a successful measurement of the size of varices using Endoscopic Ruler. The secondary outcomes included adverse events, operation time, the agreement of identifying large OV between the objective measurement of Endoscopic Ruler and the empirical reading of endoscopists, together with the interobserver agreement on diagnosing large OV by Endoscopic Ruler.RESULTSFrom November 2020 to April 2022, a total of 120 eligible patients with cirrhosis were recruited and all of them underwent EGD examinations with Endoscopic Ruler successfully without any adverse event. The median operation time of Endoscopic Ruler was 3.00 min [interquartile range (IQR): 3.00 min]. The kappa value between Endoscopic Ruler and the endoscopists while detecting large OV was 0.52, demonstrating a moderate agreement. The kappa value for diagnosing large OV using Endoscopic Ruler among the six independent observers was 0.77, demonstrating a substantial agreement.CONCLUSIONThe data demonstrates that Endoscopic Ruler is feasible and safe for measuring the size of varices in patients with cirrhosis and portal hypertension. Endoscopic Ruler is potential to promote the clinical practice of the two-grade classification system of OV.
KeywordOesophageal varices Cirrhosis Portal hypertension Esophagogastroduodenoscopy Endoscopic ruler
PublisherBAISHIDENG PUBLISHING GROUP INC
DOI10.4253/wjge.v15.i9.564
Indexed ByESCI
Language英语
WOS Research AreaGastroenterology & Hepatology
WOS SubjectGastroenterology & Hepatology
WOS IDWOS:001073559400003
Original Document TypeArticle
PMID 37744321
Citation statistics
Document Type期刊论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/568248
Collection兰州大学
Corresponding AuthorQi, Xiao-Long
Affiliation
1.Lanzhou Univ, Hosp 1, Inst Portal Hypertens, Lanzhou 730000, Gansu Prov, Peoples R China;
2.Ningxia Med Univ Affiliated Peoples Hosp Autonomou, Peoples Hosp Ningxia Hui Autonomous Reg, Dept Gastroenterol, Yinchuan 750000, Ningxia Hui, Peoples R China;
3.China Med Univ, Affiliated Hosp 4, Dept Gastroenterol, Shenyang 110000, Liaoning Prov, Peoples R China;
4.Yinchuan First Peoples Hosp, Dept Gastroenterol, Yinchuan 750000, Ningxia Hui, Peoples R China;
5.Ningxia Med Univ, Gen Hosp, Dept Gastroenterol, Yinchuan 750000, Ningxia Hui, Peoples R China;
6.Yinchuan Second Peoples Hosp, Dept Gastroenterol, Gen Hosp, Yinchuan 750000, Ningxia Hui, Peoples R China;
7.Sheffield Teaching Hosp NHS Trust, Acad Dept Gastroenterol & Hepatol, AL 35660, Sheffield, England;
8.Wuzhong Peoples Hosp, Dept Gastroenterol, Wuzhong 751100, Ningxia Hui, Peoples R China;
9.Fifth Peoples Hosp Ningxia Hui Autonomous Reg, Dept Gastroenterol, Shizuishan 753000, Ningxia Hui, Peoples R China;
10.Sixth Peoples Hosp Shenyang, Dept Gastroenterol 2, Shenyang 110000, Liaoning Prov, Peoples R China;
11.Shizuishan Second Peoples Hosp, Dept Gastroenterol, Shizuishan 753000, Ningxia Hui, Peoples R China;
12.Zhongwei Peoples Hosp, Dept Gastroenterol, Zhongwei 755000, Ningxia Hui, Peoples R China;
13.Sorbonne Univ, Dept Hepatogastroenterol, ETIS, ENSEA,CNRS, F-75012 Paris, France;
14.Univ Cergy Pontoise, Univ Paris Seine, APHP, Hop St Antoine, F-75012 Paris, France;
15.Southeast Univ, Zhongda Hosp, Ctr Portal Hypertens, Med Sch,Dept Radiol, Nanjing 210000, Jiangsu Prov, Peoples R China;
16.Southeast Univ, Zhongda Hosp, Ctr Portal Hypertens, Med Sch,Dept Radiol, 87 Dingjiaqiao, Nanjing 210000, Jiangsu Prov, Peoples R China
Recommended Citation
GB/T 7714
Huang, Yi-Fei,Hu, Sheng-Juan,Bu, Yang,et al. Endoscopic Ruler for varix size measurement: A multicenter pilot study[J]. World Journal of Gastrointestinal Endoscopy,2023,15(9).
APA Huang, Yi-Fei.,Hu, Sheng-Juan.,Bu, Yang.,Li, Yi-Ling.,Deng, Yan-Hong.,...&Qi, Xiao-Long.(2023).Endoscopic Ruler for varix size measurement: A multicenter pilot study.World Journal of Gastrointestinal Endoscopy,15(9).
MLA Huang, Yi-Fei,et al."Endoscopic Ruler for varix size measurement: A multicenter pilot study".World Journal of Gastrointestinal Endoscopy 15.9(2023).
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