EUS compared with endoscopy plus transabdominal US in the initial diagnostic evaluation of patients with upper abdominal pain.

Gastrointestinal Endoscopy
Kenneth J ChangRichard C K Wong

Abstract

Primary upper endoscopy (EGD) and transabdominal US (TUS) are often performed in patients with upper abdominal pain. Primary: Determine whether the combination of EGD and EUS was equivalent to EGD plus TUS in the diagnostic evaluation of upper abdominal pain. Secondary: Compare EUS versus TUS in detecting abdominal lesions, and compare EGD by using an oblique-viewing echoendoscope versus the standard, forward-viewing endoscope in detecting mucosal lesions. Prospective, paired design. Six academic endoscopy centers. This study involved patients with upper abdominal pain referred for endoscopy. All patients had EGD, EUS, and TUS. The EGD was done using both an oblique-viewing echoendoscope and the standard, forward-viewing endoscope (randomized order) by two separate endoscopists in a blinded fashion, followed by EUS. TUS was performed within 4 weeks of EGD/EUS, also in a blinded fashion. telephone interviews and chart reviews. Diagnose possible etiology of upper abdominal pain and detect clinically significant lesions. A diagnosis of the etiology of upper abdominal pain was made in 66 of 172 patients (38%). The diagnostic rate was 42 of 66 patients (64%) for EGD plus EUS versus 41 of 66 patients (62%) for EGD plus TUS, which was...Continue Reading

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Citations

Nov 3, 2010·Gastrointestinal Endoscopy·Mary Lee Krinsky
Feb 13, 2015·Scottish Medical Journal·Paul Lochhead, Perminder Phull
Jun 12, 2014·United European Gastroenterology Journal·James L Buxbaum, Mohamad A Eloubeidi
Mar 20, 2015·The Cochrane Database of Systematic Reviews·Usama Ahmed AliMarja A Boermeester
Oct 2, 2019·Endoscopic Ultrasound·Christoph F DietrichChristian Jenssen
Oct 27, 2015·Journal of Clinical Gastroenterology·Stephen KimVenkataraman R Muthusamy
Dec 23, 2019·Frontline Gastroenterology·Noor Lh Bekkali, Kofi W Oppong

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