Reliability of endoscopy in the assessment of variceal features. The Italian Liver Cirrhosis Project

Luigi Pagliaro, G. Paolo Spina, Gennaro D'Amico, Emilio Brocchi, GianCarlo Caletti, Felice Cosentino, Roberto De Franchis, Emilio Di Giulio, Giampiero Rigo, Marco Zoli, Fabio Tinè, Mariano Amuso, Claudio Antona, Luigi Buri, Giovanni Cucchiaro, Maria Di Giovanni, Fabrizio Galeotti, Giovanni Gatto, Giacomo Magnani, Diego Martines & 7 others Roberto Mazzanti, Piergiorgio Mosca, Enrico Opocher, Roberto Santambrogio, Domenico Taranto, Mario Traina, Vincenzo Ziparo

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

In order to evaluate the reliability of the endoscopic assessment of variceal features, 6 skilled endoscopists separately examined 28 patients with liver cirrhosis and varices. Definitions of variceal features were set up on the basis of the classification of the Japanese Research Society for Portal Hypertension. A new item, i.e. oesophageal lumen occupancy, and a semiquantitative rating system of endoscopic findings were introduced. Beyond chance agreement (Kappa index) was poor on the assessment of the extension of blue colour (0.33) and prevalence of cherry red spots or red weal marking (0.17) whereas was fair to good (0.40-0.66; P <10-5) on the following: location, size, lumen occupancy, presence of blue colour, presence and extension of red colour sign, haematocystic spot. We conclude that the endoscopic assessment of oesophageal varices based on these features is reliable; their prognostic value as predictors of bleeding risk should be prospectively assessed.

Original languageEnglish
Pages (from-to)93-98
Number of pages6
JournalJournal of Hepatology
Volume4
Issue number1
DOIs
Publication statusPublished - 1987

Fingerprint

Liver Cirrhosis
Endoscopy
Color
Esophageal and Gastric Varices
Varicose Veins
Portal Hypertension
Hemorrhage
Research

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Pagliaro, L., Spina, G. P., D'Amico, G., Brocchi, E., Caletti, G., Cosentino, F., ... Ziparo, V. (1987). Reliability of endoscopy in the assessment of variceal features. The Italian Liver Cirrhosis Project. Journal of Hepatology, 4(1), 93-98. https://doi.org/10.1016/S0168-8278(87)80015-6

Reliability of endoscopy in the assessment of variceal features. The Italian Liver Cirrhosis Project. / Pagliaro, Luigi; Spina, G. Paolo; D'Amico, Gennaro; Brocchi, Emilio; Caletti, GianCarlo; Cosentino, Felice; De Franchis, Roberto; Di Giulio, Emilio; Rigo, Giampiero; Zoli, Marco; Tinè, Fabio; Amuso, Mariano; Antona, Claudio; Buri, Luigi; Cucchiaro, Giovanni; Di Giovanni, Maria; Galeotti, Fabrizio; Gatto, Giovanni; Magnani, Giacomo; Martines, Diego; Mazzanti, Roberto; Mosca, Piergiorgio; Opocher, Enrico; Santambrogio, Roberto; Taranto, Domenico; Traina, Mario; Ziparo, Vincenzo.

In: Journal of Hepatology, Vol. 4, No. 1, 1987, p. 93-98.

Research output: Contribution to journalArticle

Pagliaro, L, Spina, GP, D'Amico, G, Brocchi, E, Caletti, G, Cosentino, F, De Franchis, R, Di Giulio, E, Rigo, G, Zoli, M, Tinè, F, Amuso, M, Antona, C, Buri, L, Cucchiaro, G, Di Giovanni, M, Galeotti, F, Gatto, G, Magnani, G, Martines, D, Mazzanti, R, Mosca, P, Opocher, E, Santambrogio, R, Taranto, D, Traina, M & Ziparo, V 1987, 'Reliability of endoscopy in the assessment of variceal features. The Italian Liver Cirrhosis Project', Journal of Hepatology, vol. 4, no. 1, pp. 93-98. https://doi.org/10.1016/S0168-8278(87)80015-6
Pagliaro, Luigi ; Spina, G. Paolo ; D'Amico, Gennaro ; Brocchi, Emilio ; Caletti, GianCarlo ; Cosentino, Felice ; De Franchis, Roberto ; Di Giulio, Emilio ; Rigo, Giampiero ; Zoli, Marco ; Tinè, Fabio ; Amuso, Mariano ; Antona, Claudio ; Buri, Luigi ; Cucchiaro, Giovanni ; Di Giovanni, Maria ; Galeotti, Fabrizio ; Gatto, Giovanni ; Magnani, Giacomo ; Martines, Diego ; Mazzanti, Roberto ; Mosca, Piergiorgio ; Opocher, Enrico ; Santambrogio, Roberto ; Taranto, Domenico ; Traina, Mario ; Ziparo, Vincenzo. / Reliability of endoscopy in the assessment of variceal features. The Italian Liver Cirrhosis Project. In: Journal of Hepatology. 1987 ; Vol. 4, No. 1. pp. 93-98.
@article{daa40827c3724154a897a84c8ffb98f2,
title = "Reliability of endoscopy in the assessment of variceal features. The Italian Liver Cirrhosis Project",
abstract = "In order to evaluate the reliability of the endoscopic assessment of variceal features, 6 skilled endoscopists separately examined 28 patients with liver cirrhosis and varices. Definitions of variceal features were set up on the basis of the classification of the Japanese Research Society for Portal Hypertension. A new item, i.e. oesophageal lumen occupancy, and a semiquantitative rating system of endoscopic findings were introduced. Beyond chance agreement (Kappa index) was poor on the assessment of the extension of blue colour (0.33) and prevalence of cherry red spots or red weal marking (0.17) whereas was fair to good (0.40-0.66; P <10-5) on the following: location, size, lumen occupancy, presence of blue colour, presence and extension of red colour sign, haematocystic spot. We conclude that the endoscopic assessment of oesophageal varices based on these features is reliable; their prognostic value as predictors of bleeding risk should be prospectively assessed.",
author = "Luigi Pagliaro and Spina, {G. Paolo} and Gennaro D'Amico and Emilio Brocchi and GianCarlo Caletti and Felice Cosentino and {De Franchis}, Roberto and {Di Giulio}, Emilio and Giampiero Rigo and Marco Zoli and Fabio Tin{\`e} and Mariano Amuso and Claudio Antona and Luigi Buri and Giovanni Cucchiaro and {Di Giovanni}, Maria and Fabrizio Galeotti and Giovanni Gatto and Giacomo Magnani and Diego Martines and Roberto Mazzanti and Piergiorgio Mosca and Enrico Opocher and Roberto Santambrogio and Domenico Taranto and Mario Traina and Vincenzo Ziparo",
year = "1987",
doi = "10.1016/S0168-8278(87)80015-6",
language = "English",
volume = "4",
pages = "93--98",
journal = "Journal of Hepatology",
issn = "0168-8278",
publisher = "Elsevier B.V.",
number = "1",

}

TY - JOUR

T1 - Reliability of endoscopy in the assessment of variceal features. The Italian Liver Cirrhosis Project

AU - Pagliaro, Luigi

AU - Spina, G. Paolo

AU - D'Amico, Gennaro

AU - Brocchi, Emilio

AU - Caletti, GianCarlo

AU - Cosentino, Felice

AU - De Franchis, Roberto

AU - Di Giulio, Emilio

AU - Rigo, Giampiero

AU - Zoli, Marco

AU - Tinè, Fabio

AU - Amuso, Mariano

AU - Antona, Claudio

AU - Buri, Luigi

AU - Cucchiaro, Giovanni

AU - Di Giovanni, Maria

AU - Galeotti, Fabrizio

AU - Gatto, Giovanni

AU - Magnani, Giacomo

AU - Martines, Diego

AU - Mazzanti, Roberto

AU - Mosca, Piergiorgio

AU - Opocher, Enrico

AU - Santambrogio, Roberto

AU - Taranto, Domenico

AU - Traina, Mario

AU - Ziparo, Vincenzo

PY - 1987

Y1 - 1987

N2 - In order to evaluate the reliability of the endoscopic assessment of variceal features, 6 skilled endoscopists separately examined 28 patients with liver cirrhosis and varices. Definitions of variceal features were set up on the basis of the classification of the Japanese Research Society for Portal Hypertension. A new item, i.e. oesophageal lumen occupancy, and a semiquantitative rating system of endoscopic findings were introduced. Beyond chance agreement (Kappa index) was poor on the assessment of the extension of blue colour (0.33) and prevalence of cherry red spots or red weal marking (0.17) whereas was fair to good (0.40-0.66; P <10-5) on the following: location, size, lumen occupancy, presence of blue colour, presence and extension of red colour sign, haematocystic spot. We conclude that the endoscopic assessment of oesophageal varices based on these features is reliable; their prognostic value as predictors of bleeding risk should be prospectively assessed.

AB - In order to evaluate the reliability of the endoscopic assessment of variceal features, 6 skilled endoscopists separately examined 28 patients with liver cirrhosis and varices. Definitions of variceal features were set up on the basis of the classification of the Japanese Research Society for Portal Hypertension. A new item, i.e. oesophageal lumen occupancy, and a semiquantitative rating system of endoscopic findings were introduced. Beyond chance agreement (Kappa index) was poor on the assessment of the extension of blue colour (0.33) and prevalence of cherry red spots or red weal marking (0.17) whereas was fair to good (0.40-0.66; P <10-5) on the following: location, size, lumen occupancy, presence of blue colour, presence and extension of red colour sign, haematocystic spot. We conclude that the endoscopic assessment of oesophageal varices based on these features is reliable; their prognostic value as predictors of bleeding risk should be prospectively assessed.

UR - http://www.scopus.com/inward/record.url?scp=0023143115&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023143115&partnerID=8YFLogxK

U2 - 10.1016/S0168-8278(87)80015-6

DO - 10.1016/S0168-8278(87)80015-6

M3 - Article

VL - 4

SP - 93

EP - 98

JO - Journal of Hepatology

JF - Journal of Hepatology

SN - 0168-8278

IS - 1

ER -