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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006368naa a2200661 4500
001oai:lup.lub.lu.se:a02c99c4-175d-44c2-bdaa-e03246b65862
003SwePub
008170619s2017 | |||||||||||000 ||eng|
009oai:DiVA.org:umu-147739
009oai:prod.swepub.kib.ki.se:135903561
0247 a https://lup.lub.lu.se/record/a02c99c4-175d-44c2-bdaa-e03246b658622 URI
0247 a https://doi.org/10.1177/20506406166748372 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1477392 URI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1359035612 URI
040 a (SwePub)lud (SwePub)umud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Haraldsson, Eu Karolinska Institutet,Karolinska Institute,Skaraborg Hospital4 aut
2451 0a Endoscopic classification of the papilla of Vater. Results of an inter- and intraobserver agreement study
264 c 2017-06
264 1b Wiley,c 2017
520 a Background: Many endoscopists acknowledge that the appearance of the papilla of Vater seems to affect biliary cannulation. To assess the association between the macroscopic appearance of the papilla and biliary cannulation and other related clinical issues, a system is needed to define the appearance of the papilla. Objective: The purpose of this study was to validate an endoscopic classification of the papilla of Vater by assessing the interobserver and intraobserver agreements among endoscopist with varying experience. Methods: An endoscopic classification, based on pictures captured from 140 different papillae, containing four types of papillae was proposed. The four types are (a) Type 1: regular papilla, no distinctive features, ‘classic appearance’; (b) Type 2: small papilla, often flat, with a diameter ≤ 3 mm (approximately 9 Fr); (c) Type 3: protruding or pendulous papilla, a papilla that is standing out, protruding or bulging into the duodenal lumen or sometimes hanging down, pendulous with the orifice oriented caudally; and (d) Type 4: creased or ridged papilla, where the ductal mucosa seems to extend distally, rather out of the papillary orifice, either on a ridge or in a crease. To assess the level of interobserver agreement, a web-based survey was sent out to 18 endoscopists, containing 50 sets of still images of the papilla, distributed between the four different types. Three months later a follow-up survey, with images from the first survey was sent to the same endoscopists. Results: Interobserver agreement was substantial (κ = 0.62, 95% confidence interval (CI) 0.58–0.65) and were similar for both experts and non-experts. The intraobserver agreement assessed with the second survey was also substantial (κ = 0.66, 95% CI 0.59–0.72). Conclusion: The proposed endoscopic classification of the papilla of Vater seems to be easy to use, irrespective of the level of experience of the endoscopist. It carries a substantial inter- and intraobserver agreement and now the clinical relevance of the four different papilla types awaits to be determined.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653 a Duodenoscopy
653 a endoscopic classification
653 a endoscopic retrograde cholangio-pancreaticography
653 a interobserver agreement
653 a intraobserver agreement
653 a papilla of Vater
653 a Duodenoscopy
7001 a Lundell, Larsu Karolinska Institutet,Karolinska Institute,Karolinska University Hospital4 aut
7001 a Swahn, F.u Karolinska Institute,Lund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lever-, pankreas- och gallvägskirurgi,Forskargrupper vid Lunds universitet,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Hepato-Pancreato-Biliary Surgery,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-fks
7001 a Enochsson, Larsu Karolinska Institute,Karolinska University Hospital,Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden4 aut0 (Swepub:umu)laen0014
7001 a Löhr, J. M.u Karolinska Institutet,Karolinska Institute,Karolinska University Hospital4 aut
7001 a Arnelo, Uu Karolinska Institutet,Karolinska Institute,Karolinska University Hospital4 aut
7001 a Aabakken, Larsu Oslo university hospital4 aut
7001 a Grönroos, Juhau Turku University Hospital4 aut
7001 a Halttunen, Jormau Helsinki University Central Hospital4 aut
7001 a Hauge, Trulsu Oslo university hospital4 aut0 (Swepub:lu)extLU-1089
7001 a Lindkvist, Björnu Sahlgrenska Academy4 aut0 (Swepub:lu)kir-bl0
7001 a Kylänpää, Marja Leenau Helsinki University Central Hospital4 aut
7001 a Schmidt, Palle Nu Hvidovre Hospital4 aut
7001 a Saarela, Artou Oulu University Hospital4 aut
7001 a Toth, Ervinu Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)ront-eto
7102 a Karolinska Instituteb Skaraborg Hospital4 org
7102 a Scandinavian Association for Digestive Endoscopy (SADE) Study Group of Endoscopic Retrograde Cholangio-Pancreaticography
7730 t United European Gastroenterology Journald : Wileyg 5:4, s. 504-510q 5:4<504-510x 2050-6406x 2050-6414
8564 u http://dx.doi.org/10.1177/2050640616674837y FULLTEXT
8564 u https://europepmc.org/articles/pmc5446150?pdf=render
8564 8u https://lup.lub.lu.se/record/a02c99c4-175d-44c2-bdaa-e03246b65862
8564 8u https://doi.org/10.1177/2050640616674837
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-147739
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:135903561

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