Value of real-time gastric juice analysis in upper gastrointestinal endoscopy

A. Ummarino; F. A. Tucci; G. Pezzicoli; A. P. Di Virgilio; D. Parigino; P. Tucci; M. Bisceglia; M. Rugge; A. Tucci; A. Andriulli

Value of real-time gastric juice analysis in upper gastrointestinal endoscopy

A. Ummarino, F. A. Tucci, G. Pezzicoli, A. P. Di Virgilio, D. Parigino, P. Tucci, M. Bisceglia, M. Rugge, A. Tucci, A. Andriulli

IRCCS Casa Sollievo della Sofferenza

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Abstract

AIM: Esophagogastroduodenoscopy (EGDS) cannot identify microscopic lesions. We determined the contribution of real-time gastric juice analysis in detecting lesions non-detectable with the simple endoscopic inspection.

METHODS: Endoscopy, histology and gastric juice analysis were performed in 216 patients. We assessed six diagnostic strategies: EGDS (strategy-1), EGDS with antral biopsies (hematoxylin-eosin staining) in hypochlorhydrics (strategy-2) or all patients (strategy-3), EGDS with antral and fundic biopsies (hematoxylin-eosin staining) in hypochlorhydrics (strategy-4) or all patients (strategy-5), EGDS with antral and fundic biopsies (hematoxylin-eosin + immunohistochemical staining) in hypochlorhydrics (strategy-6). Then, we determined how many of the pathological conditions identified by the complete histological evaluation would have been detected by each strategy.

RESULTS: In total, 220 pathological conditions were identified. Hypochlorhydria was correlated (r=0.67; P

CONCLUSION: Real-time gastric juice analysis provided information about the presence of gastric lesions in an otherwise "normal" stomach at EGDS. It improved the diagnostic yield and optimized resource utilization without any additional effort by the endoscopist.

Original language	English
Pages (from-to)	1-9
Number of pages	9
Journal	Minerva Gastroenterologica e Dietologica
Volume	61
Issue number	1
Publication status	Published - Mar 1 2015

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Ummarino, A., Tucci, F. A., Pezzicoli, G., Di Virgilio, A. P., Parigino, D., Tucci, P., Bisceglia, M., Rugge, M., Tucci, A., & Andriulli, A. (2015). Value of real-time gastric juice analysis in upper gastrointestinal endoscopy. Minerva Gastroenterologica e Dietologica, 61(1), 1-9.

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abstract = "AIM: Esophagogastroduodenoscopy (EGDS) cannot identify microscopic lesions. We determined the contribution of real-time gastric juice analysis in detecting lesions non-detectable with the simple endoscopic inspection.METHODS: Endoscopy, histology and gastric juice analysis were performed in 216 patients. We assessed six diagnostic strategies: EGDS (strategy-1), EGDS with antral biopsies (hematoxylin-eosin staining) in hypochlorhydrics (strategy-2) or all patients (strategy-3), EGDS with antral and fundic biopsies (hematoxylin-eosin staining) in hypochlorhydrics (strategy-4) or all patients (strategy-5), EGDS with antral and fundic biopsies (hematoxylin-eosin + immunohistochemical staining) in hypochlorhydrics (strategy-6). Then, we determined how many of the pathological conditions identified by the complete histological evaluation would have been detected by each strategy.RESULTS: In total, 220 pathological conditions were identified. Hypochlorhydria was correlated (r=0.67; PCONCLUSION: Real-time gastric juice analysis provided information about the presence of gastric lesions in an otherwise {"}normal{"} stomach at EGDS. It improved the diagnostic yield and optimized resource utilization without any additional effort by the endoscopist.",

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AU - Ummarino, A.

AU - Tucci, F. A.

AU - Pezzicoli, G.

AU - Di Virgilio, A. P.

AU - Parigino, D.

AU - Tucci, P.

AU - Bisceglia, M.

AU - Rugge, M.

AU - Tucci, A.

AU - Andriulli, A.

PY - 2015/3/1

Y1 - 2015/3/1

N2 - AIM: Esophagogastroduodenoscopy (EGDS) cannot identify microscopic lesions. We determined the contribution of real-time gastric juice analysis in detecting lesions non-detectable with the simple endoscopic inspection.METHODS: Endoscopy, histology and gastric juice analysis were performed in 216 patients. We assessed six diagnostic strategies: EGDS (strategy-1), EGDS with antral biopsies (hematoxylin-eosin staining) in hypochlorhydrics (strategy-2) or all patients (strategy-3), EGDS with antral and fundic biopsies (hematoxylin-eosin staining) in hypochlorhydrics (strategy-4) or all patients (strategy-5), EGDS with antral and fundic biopsies (hematoxylin-eosin + immunohistochemical staining) in hypochlorhydrics (strategy-6). Then, we determined how many of the pathological conditions identified by the complete histological evaluation would have been detected by each strategy.RESULTS: In total, 220 pathological conditions were identified. Hypochlorhydria was correlated (r=0.67; PCONCLUSION: Real-time gastric juice analysis provided information about the presence of gastric lesions in an otherwise "normal" stomach at EGDS. It improved the diagnostic yield and optimized resource utilization without any additional effort by the endoscopist.

AB - AIM: Esophagogastroduodenoscopy (EGDS) cannot identify microscopic lesions. We determined the contribution of real-time gastric juice analysis in detecting lesions non-detectable with the simple endoscopic inspection.METHODS: Endoscopy, histology and gastric juice analysis were performed in 216 patients. We assessed six diagnostic strategies: EGDS (strategy-1), EGDS with antral biopsies (hematoxylin-eosin staining) in hypochlorhydrics (strategy-2) or all patients (strategy-3), EGDS with antral and fundic biopsies (hematoxylin-eosin staining) in hypochlorhydrics (strategy-4) or all patients (strategy-5), EGDS with antral and fundic biopsies (hematoxylin-eosin + immunohistochemical staining) in hypochlorhydrics (strategy-6). Then, we determined how many of the pathological conditions identified by the complete histological evaluation would have been detected by each strategy.RESULTS: In total, 220 pathological conditions were identified. Hypochlorhydria was correlated (r=0.67; PCONCLUSION: Real-time gastric juice analysis provided information about the presence of gastric lesions in an otherwise "normal" stomach at EGDS. It improved the diagnostic yield and optimized resource utilization without any additional effort by the endoscopist.

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Value of real-time gastric juice analysis in upper gastrointestinal endoscopy

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