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- Toth, Ervin, et al.
(författare)
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Endoscopy-assisted capsule endoscopy in patients with swallowing disorders.
- 2004
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Ingår i: Endoscopy. - : Georg Thieme Verlag KG. - 1438-8812 .- 0013-726X. ; 36:8, s. 746-747
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Tidskriftsartikel (refereegranskat)abstract
- Capsule endoscopy (CE) has greatly facilitated the diagnosis of small-bowel lesions in patients with obscure gastrointestinal bleeding [1]. It was recently reported by Hollerbach et al. [2] that endoscopically assisted video capsule endoscopy facilitates the investigation of the small bowel in patients with functional gastric outlet obstruction. Swallowing difficulties, which are not uncommon in elderly patients, may also make it difficult to carry out CE [3]. To avoid this, we have successfully tested a modified approach to CE in these patients.
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- Toth, Ervin, et al.
(författare)
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Evaluation of gastric acid secretion at endoscopy with a modified Congo red test.
- 2002
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Ingår i: Gastrointestinal Endoscopy. - : Elsevier BV. - 1097-6779 .- 0016-5107. ; 56:2, s. 254-259
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Markedly decreased or absent gastric acid production is associated with a number of clinically significant conditions, and identification of patients with hypo/achlorhydria may be important. However, current methods of assessing impaired acid secretion are unreliable, time-consuming, and/or complex. The aim of this prospective study was to evaluate a modified endoscopic Congo red test for the diagnosis of hypo/achlorhydria by correlation with a standard gastric acid secretory test. METHODS: One hundred six consecutive outpatients with or without dyspeptic symptoms referred for endoscopy were evaluated by using a modified endoscopic Congo red test and a standard test of gastric acid secretion. The modified endoscopic Congo red test suggested hypo/achlorhydria when there was no color shift or a shift of small extent (less than one third of fundic mucosa). Hypo/achlorhydria by the standard gastric acid secretory test was defined as a maximal acid output of less than 6.9 mmol/hour in men and 5.0 mmol/hour in women. RESULTS: The accuracy of the modified endoscopic Congo red test for the diagnosis of hypo/achlorhydria was 0.98 (95% CI [0.93, 0.99]). The sensitivity was 1.0 (95% CI [0.92, 1.00]) and specificity 0.96 (95% CI [0.88, 0.99]). All patients tolerated the modified endoscopic Congo red test well. CONCLUSION: The modified endoscopic Congo red is an accurate, simple, fast, inexpensive, and well-tolerated chromoendoscopic method for identification of patients with hypo/achlorhydria during routine upper endoscopy.
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