有与常规内视镜检查法相比的可处理的食管镜的 transnasal 内视镜检查法的精确性

• 作者: Arturo Meixueiro-Daza José María Remes-Troche María R Aedo Miguel  Zavala-González
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: ESOPHAGOSCOPY ESOPHAGUS TRANSNASAL ENDOSCOPY
• 年，卷（期）: 2014,（4）
• 页码范围: 128-136
• 页数: 9页
• 分类号: R571

摘要

AIM: To assess feasibility of unsedated esophagoscopy using a small-caliber disposable transnasal esophagosco-py and to compare its accuracy with standard endoscopy.METHODS: We prospectively included subjects who were referred for upper endoscopy. All subjects un-derwent transnasal endoscopy with E.G. Scan^TM. The disposable probe has a 3.6 mm gauge and at its distal end there is a 6 mm optical capsule, with a viewing angle of 125°. Patients underwent conventional endos-copy after the completion of E.G. Scan^TM. We describe the findings detected by the E.G. Scan^TM and calculate the diagnostic accuracy, sensitivity, specificity, positive predictive value, negative predictive value and Kappa index for esophageal diagnosis.RESULTS: A total of 96 patients（54 women）, mean age of 50.12 years（14 to 79）, were evaluated. In all cases we were able to perform esophagoscopy with E.G.Scan^TM. The average realization time was 5 min. A total of 58 alterations were detected in the esophagus, 49 gastric abnormalities and 13 duodenal abnormalities. We found that for esophageal varices, E.G. Scan^TM has sensitivity, specificity and diagnostic accuracy of 95%, 97% and 97%, respectively. Kappa coefficients were 0.32 for hiatal hernia, 0.409 for erosive gastroesopha-geal reflux disease, 0.617 for Barrett’s esophagus, and 0.909 for esophageal varices.CONCLUSION: Esophagoscopy with E.G. Scan? is a well-tolerated, fast and safe procedure. It has an ap-propriate diagnostic accuracy for esophageal varices when compared with conventional endoscopy.