Cap-assisted endoscopy increases ampulla of Vater visualization in high-risk patients

Periampullary adenocarcinoma is a major clinical problem in high-risk patients including FAP population. A recent modification for visualizing the ampulla of Vater (AV) involves attaching a cap to the tip of the forward-viewing endoscope. Our aim was to compare the rates of complete visualization of...

Full description

Saved in:
Bibliographic Details
Published in:BMC gastroenterology 2020-07, Vol.20 (1), p.214-214, Article 214
Main Authors: Silva, Leonardo Correa, Arruda, Rondinelle Martins, Botelho, Paula Fortuci Resende, Taveira, Leonardo Nogueira, Giardina, Kelly Menezio, de Oliveira, Marco Antonio, Dias, Julia, Oliveira, Cleyton Zanardo, Fava, Gilberto, Guimarães, Denise Peixoto
Format: Article
Language:English
Subjects:
Adenocarcinoma
Adolescent
Ampulla of Vater
Ampulla of Vater - diagnostic imaging
Ampullary adenoma
Ampullary carcinoma
Anesthesia
Biliary tract cancer
Cancer
Cap-assisted endoscopy
Care and treatment
Common Bile Duct Neoplasms - diagnostic imaging
Duodenal Neoplasms - diagnostic imaging
Endoscopes
Endoscopy
Endoscopy, Digestive System
Esophagogastroduodenoscopy
Fentanyl
Forward-viewing endoscopy
Gastroenterology
Humans
Midazolam
Patients
Propofol
Reproducibility of Results
Risk groups
Scopolamine
Sedatives
Software
Studies
Surveillance
Visualization
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Periampullary adenocarcinoma is a major clinical problem in high-risk patients including FAP population. A recent modification for visualizing the ampulla of Vater (AV) involves attaching a cap to the tip of the forward-viewing endoscope. Our aim was to compare the rates of complete visualization of AV using this cap-assisted endoscopy (CAE) approach to standard forward-viewing endoscopy (FVE). We also determined: (i) the rates of complications and additional sedation; (ii) the mean time required for duodenal examination; and (iii) the reproducibility among endoscopists performing this procedure. We performed esophagogastroduodenoscopy for AV visualization in 102 > 18 years old using FVE followed by CAE. Video recordings were blinded and randomly selected for independent expert endoscopic evaluation. The complete visualization rate for AV was higher in CAE (97.0%) compared to FVE (51.0%) (p 
ISSN:1471-230X
1471-230X
DOI:10.1186/s12876-020-01361-5