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 language | English |
|---|---|
| Pages (from-to) | 93-98 |
| Number of pages | 6 |
| Journal | Journal of Hepatology |
| Volume | 4 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 1987 |
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ASJC Scopus subject areas
- Gastroenterology
Cite this
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 journal › Article
}
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 -