Comparative analysis on detective rate of esophageal and cardiac mucosal lesions between screening endoscopy and routine white light endoscopy
10.3760/cma.j.issn.1007-5232.2016.01.005
- VernacularTitle:食管贲门病变内镜筛查与白光内镜检查的对比分析
- Author:
Shi WANG
;
Zhaoshen LI
;
Zhihua ZHANG
;
Qianqian HONG
;
Wei WU
;
Lingbin DU
- Publication Type:Journal Article
- Keywords:
Cardia;
Esophageal diseases;
Endoscopy,Digestive system;
Staining and labe-ling
- From:
Chinese Journal of Digestive Endoscopy
2016;(1):29-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the detection rate of esophageal and cardiac mucosal lesions be?tween screening endoscopy and conventional routine endoscopy. Methods Using iodine staining,a total of 8 918 patients aged 40?69 were screened for esophageal and cardiac early cancer in Xianju and Tiantai county of Zhejiang Province from January 2010 to July 2013.Matched with age, data of 43 834(the conven?tional group) patients who underwent routine endoscopy during the same time period were also retrieved. The detection rates of esophageal and cardia mucosa lesions in both groups were compared and analyzed. Results The detection rate of esophageal mucosal lesions in screening group was significantly higher than that in the conventional group[7?? 48%(667/ 8 918)VS 2?? 17%(953/ 43 834),P<0?? 001].The total detection rate was the lowest in 2010 among 4 years, while that in 2011?2013 were higher and similiar. The detection rate of cardiac mucosal lesions in screening group was higher than that in the conventional group [ 0?? 78%(70/ 8 918)VS 0?? 70%(309/ 43 834)] without significant difference(P>0?? 05). The detection rates of low grade intraepithelial neoplasia, high grade intraepithelial neoplasia and mucosa cancer and total detection rates between 2 groups were similar(P>0?? 05). Conclusion Through training, endoscopists can grasp the skills of finding esophageal mucosal lesions. Iodine staining should be used as addition to conventional endos?copy in areas with high incidence of esophageal cancer. Conventional white light endoscopy plays a limited role in detection of cardia mucosal lesion, depending on joint inspection of other related methods.
