Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices
Although the importance of endoscopic ultrasound (EUS) for esophageal varices (EVs) has been demonstrated, it is difficult to obtain sufficient EUS images with the water-filling method because of poor water stagnation in the esophagus. In this study on EVs, we aimed to evaluate the usefulness of the...
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| Format: | Article |
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MDPI AG
2021-09-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/11/9/1726 |
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| author | Tsunetaka Kato Takuto Hikichi Jun Nakamura Mika Takasumi Minami Hashimoto Ryoichiro Kobashi Takumi Yanagita Tadayuki Takagi Rei Suzuki Mitsuru Sugimoto Yuki Sato Hiroki Irie Yoshinori Okubo Masao Kobayakawa Hiromasa Ohira |
| author_facet | Tsunetaka Kato Takuto Hikichi Jun Nakamura Mika Takasumi Minami Hashimoto Ryoichiro Kobashi Takumi Yanagita Tadayuki Takagi Rei Suzuki Mitsuru Sugimoto Yuki Sato Hiroki Irie Yoshinori Okubo Masao Kobayakawa Hiromasa Ohira |
| author_sort | Tsunetaka Kato |
| collection | DOAJ |
| description | Although the importance of endoscopic ultrasound (EUS) for esophageal varices (EVs) has been demonstrated, it is difficult to obtain sufficient EUS images with the water-filling method because of poor water stagnation in the esophagus. In this study on EVs, we aimed to evaluate the usefulness of the jelly-filling method for EUS. Consecutive patients who underwent EUS for EVs were included. The quality of EUS images, the diagnostic ability of the presence of blood vessels inside and outside the esophageal wall, and the procedure time were compared between the jelly-filling and water-filling methods. Thirty cases were analyzed (jelly-filling method in 13 and water-filling method in 17). The EUS image quality score was significantly higher in the jelly-filling method (jelly vs. water; three points vs. two points, <i>p</i> < 0.001). Additionally, EUS image quality scores in both nonexperts and experts were significantly higher in the jelly-filling method. The diagnostic ability of the presence of perforation veins was significantly higher in the jelly-filling method (jelly vs. water; 100% vs. 52.9%, <i>p</i> = 0.004). However, the procedure time was significantly longer in the jelly-filling method (<i>p</i> = 0.024). In conclusion, EUS using the jelly-filling method for EVs provided sufficient image quality. |
| first_indexed | 2024-03-10T07:45:50Z |
| format | Article |
| id | doaj.art-c0b1027c1881418aa98ab7da677fabcf |
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| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T07:45:50Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-c0b1027c1881418aa98ab7da677fabcf2023-11-22T12:41:29ZengMDPI AGDiagnostics2075-44182021-09-01119172610.3390/diagnostics11091726Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal VaricesTsunetaka Kato0Takuto Hikichi1Jun Nakamura2Mika Takasumi3Minami Hashimoto4Ryoichiro Kobashi5Takumi Yanagita6Tadayuki Takagi7Rei Suzuki8Mitsuru Sugimoto9Yuki Sato10Hiroki Irie11Yoshinori Okubo12Masao Kobayakawa13Hiromasa Ohira14Department of Endoscopy, Fukushima Medical University Hospital, Fukushima 960-1295, JapanDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima 960-1295, JapanDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima 960-1295, JapanDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, JapanDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima 960-1295, JapanDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima 960-1295, JapanDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, JapanDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, JapanDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, JapanDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, JapanDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, JapanDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, JapanDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima 960-1295, JapanDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima 960-1295, JapanDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, JapanAlthough the importance of endoscopic ultrasound (EUS) for esophageal varices (EVs) has been demonstrated, it is difficult to obtain sufficient EUS images with the water-filling method because of poor water stagnation in the esophagus. In this study on EVs, we aimed to evaluate the usefulness of the jelly-filling method for EUS. Consecutive patients who underwent EUS for EVs were included. The quality of EUS images, the diagnostic ability of the presence of blood vessels inside and outside the esophageal wall, and the procedure time were compared between the jelly-filling and water-filling methods. Thirty cases were analyzed (jelly-filling method in 13 and water-filling method in 17). The EUS image quality score was significantly higher in the jelly-filling method (jelly vs. water; three points vs. two points, <i>p</i> < 0.001). Additionally, EUS image quality scores in both nonexperts and experts were significantly higher in the jelly-filling method. The diagnostic ability of the presence of perforation veins was significantly higher in the jelly-filling method (jelly vs. water; 100% vs. 52.9%, <i>p</i> = 0.004). However, the procedure time was significantly longer in the jelly-filling method (<i>p</i> = 0.024). In conclusion, EUS using the jelly-filling method for EVs provided sufficient image quality.https://www.mdpi.com/2075-4418/11/9/1726endoscopic ultrasoundendoscopyesophageal varicesjellyportal hypertension |
| spellingShingle | Tsunetaka Kato Takuto Hikichi Jun Nakamura Mika Takasumi Minami Hashimoto Ryoichiro Kobashi Takumi Yanagita Tadayuki Takagi Rei Suzuki Mitsuru Sugimoto Yuki Sato Hiroki Irie Yoshinori Okubo Masao Kobayakawa Hiromasa Ohira Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices Diagnostics endoscopic ultrasound endoscopy esophageal varices jelly portal hypertension |
| title | Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices |
| title_full | Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices |
| title_fullStr | Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices |
| title_full_unstemmed | Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices |
| title_short | Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices |
| title_sort | usefulness of endoscopic ultrasound with the jelly filling method for esophageal varices |
| topic | endoscopic ultrasound endoscopy esophageal varices jelly portal hypertension |
| url | https://www.mdpi.com/2075-4418/11/9/1726 |
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