Abstract
The goal of this study is to determine factors associated with performance of duodenal biopsy during upper endoscopy. Celiac disease (CD) prevalence approaches 1% in the United States and Europe, yet CD remains underdiagnosed, in part because of low rates of duodenal biopsy during upper endoscopy. We aimed to identify patient and provider factors associated with performance of duodenal biopsy during upper endoscopy. In our hospital-based endoscopy suite, we identified all patients not previously diagnosed with CD who underwent upper endoscopy during a 5-year period for one of the following indications: abdominal pain/dyspepsia, gastroesophageal reflux (GERD), anemia/iron deficiency, diarrhea, and weight loss. We employed univariate and multivariate analysis to determine the association between clinical factors and the performance of duodenal biopsy. Of 8572 patients included in the study, 4863 (57%) underwent duodenal biopsy. Of those who underwent duodenal biopsy, 24 (0.49%) were found to have CD. On multivariate analysis, age, gender, indication, gross endoscopic appearance, physician affiliation with a celiac disease center, and absence of a participating trainee were all significantly associated with the performance of duod...Continue Reading
References
May 29, 1999·Gastroenterology·K D Fine, L R Schiller
Feb 24, 2001·The American Journal of Gastroenterology· Green PHRA I Neugut
Feb 13, 2003·Archives of Internal Medicine·Alessio FasanoKaroly Horvath
Mar 16, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Joseph A MurrayL Joseph Melton
Aug 28, 2004·The American Journal of Gastroenterology·Gavin C HarewoodDavid A Lieberman
Feb 17, 2005·Digestive Diseases and Sciences·Gavin C Harewood
Nov 8, 2006·Gastroenterology·Alaa RostomMartin F Kagnoff
Dec 7, 2007·Endoscopy·A D HopperD S Sanders
Mar 1, 2008·Gastrointestinal Endoscopy·Wilson P PaisCharles N Bernstein
Sep 2, 2008·The American Journal of Gastroenterology·Jason N RogartHarry R Aslanian
Sep 23, 2008·The Journal of Ambulatory Care Management·Askar S ChukmaitovRobert Brooks
Apr 14, 2009·Gastroenterology·Alberto Rubio-TapiaJoseph A Murray
Jun 24, 2010·The American Journal of Medicine·Cynthia W KoLaura-Mae Baldwin
Jul 6, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Fabio NachmanJulio César Bai
Mar 3, 2011·The American Journal of Gastroenterology·Kent D KatzJoseph A Murray
May 13, 2011·Gut·Andrew F GoddardUNKNOWN British Society of Gastroenterology
May 24, 2011·Gastrointestinal Endoscopy·Benjamin LebwohlRobert M Genta
Feb 22, 2012·Gastrointestinal Endoscopy·Daniel A LefflerMark D Aronson
Apr 25, 2012·Seminars in Immunopathology·Norelle Rizkalla Reilly, Peter H R Green
Jun 27, 2012·Gastrointestinal Endoscopy·Benjamin LebwohlPeter H R Green
Aug 2, 2012·The American Journal of Gastroenterology·Alberto Rubio-TapiaJames E Everhart
Jan 31, 2013·Digestive Diseases and Sciences·Benjamin LebwohlPeter H R Green
Mar 21, 2013·The American Journal of Gastroenterology·Jonas F LudvigssonJoseph A Murray
Apr 24, 2013·The American Journal of Gastroenterology·Alberto Rubio-TapiaUNKNOWN American College of Gastroenterology
Sep 3, 2013·European Journal of Gastroenterology & Hepatology·Benjamin LebwohlAndrew Rundle
Jan 22, 2014·Digestive Diseases and Sciences·Rohit DixitPeter H R Green
Mar 31, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Janie J YangBenjamin Lebwohl
Apr 30, 2015·European Journal of Gastroenterology & Hepatology·Peter D MooneyDavid S Sanders
May 20, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Rok Seon ChoungJoseph A Murray
Citations
Oct 13, 2018·Digestive Diseases and Sciences·Omer Faruk BeserUNKNOWN Northern Cyprus Celiac Study Group
Apr 6, 2019·Journal of Clinical Gastroenterology·Juan LasaIgnacio Zubiaurre
Jan 12, 2021·Gastroenterology Research and Practice·Amir BehforouzLadan Goshayeshi
Feb 19, 2021·Scandinavian Journal of Gastroenterology·Claire L Jansson-Knodell, William R Kessler
Sep 21, 2020·Gastroenterology·Benjamin Lebwohl, Alberto Rubio-Tapia
Aug 24, 2020·Gastroenterology·Don C RockeyDenise Kalmaz