| 식도 상피하 병변에 대한 젤리를 이용한 세경 탐촉자 내시경초음파 검사 |
| 하태인ㆍ김광하ㆍ엄재섭ㆍ박찬호ㆍ박형열ㆍ최철웅ㆍ김경엽ㆍ김일두ㆍ김표준ㆍ이혜정ㆍ이선미ㆍ김태오ㆍ강대환ㆍ송근암 |
| 부산대학교 의학전문대학원 내과학교실 |
| Catheter Probe Endoscopic Ultrasonography Using the Jelly-Filled Method for Esophageal Subepithelial Lesions |
| Tae In Ha, M.D., Gwang Ha Kim, M.D., Jae Sup Eum, M.D., Chan Ho Park, M.D., Hyoung Yoel Park, M.D., Cheul Woong Choi, M.D., Kyung Yeob Kim, M.D., Il Du Kim, M.D., Pyo Jun Kim, M.D., Hye Jeong Lee, M.D., Sun Mi Lee, M.D., Tae Oh Kim, M.D., Dae Hwan Kang, M |
| Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea |
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| Abstract |
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Background/Aims:
The catheter probe endoscopic ultrasonography (EUS) system is widely used to evaluate upper gastrointestinal tract lesions. The depiction of the esophageal wall by probe EUS remains problematic due to the difficulty of the filling of water in the esophageal lumen. In addition, filling the esophagus with water can be associated with an increased risk of aspiration. To resolve such problems, we recently applied the use of probe EUS with the jelly-filled method for the evaluation of subepithelial lesions. The procedure is characterized by filling the esophageal lumen with jelly. In this study, we evaluated the efficacy of probe EUS by using the jelly-filled method for esophageal subepithelial lesions.
Methods:
We analyzed the records of the patients with suspected subepithelial lesions at the time of endoscopy that was performed from November 2005 to June 2007. Esophageal subepithelial lesions with both EUS findings and pathological reports were retrospectively compared.
Results:
The study included 181 patients (96 males, 85 females), with an average age of 55.5 years (age range, 29∼78 years). Sixty-eight patients had lesions in the upper esophagus, 60 patients had lesions in the middle esophagus and 53 patients had lesions in the lower esophagus. Secondary layers of esophageal lesions were predominant (91/181) in the cases. Pathological findings were available for 34 patients. Compared with the pathological findings, the diagnostic accuracy of EUS was 91.1%.
Conclusions:
Probe EUS by using the jelly-filled method is convenient and safe to perform and provides clear and full-circumferential imaging of a lesion. It is an alternative method to use in place of previously used probe-EUS procedures for the assessment of esophageal subepithelial lesions. (Korean J Gastrointest Endosc 2008;36:125-131) |
| Key Words:
Subepithelial lesion, Jelly, Catheter probe EUS |
| 주요어:
식도 상피하 병변, 젤리, 세경 탐촉자 내시경초음파 |
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