Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease
Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish...
Ausführliche Beschreibung
Autor*in: |
Wada, Masahiro [verfasserIn] Lefor, Alan T. [verfasserIn] Mutoh, Hiroyuki [verfasserIn] Yano, Tomonori [verfasserIn] Hayashi, Yoshikazu [verfasserIn] Sunada, Keijiro [verfasserIn] Nishimura, Naoyuki [verfasserIn] Miura, Yoshimasa [verfasserIn] Sato, Hiroyuki [verfasserIn] Shinhata, Hakuei [verfasserIn] Yamamoto, Hironori [verfasserIn] Sugano, Kentaro [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2014 |
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Übergeordnetes Werk: |
Enthalten in: Surgical endoscopy and other interventional techniques - New York, NY : Springer, 1987, 28(2014), 8 vom: 12. März, Seite 2428-2436 |
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Übergeordnetes Werk: |
volume:28 ; year:2014 ; number:8 ; day:12 ; month:03 ; pages:2428-2436 |
Links: |
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DOI / URN: |
10.1007/s00464-014-3493-y |
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Katalog-ID: |
SPR00631256X |
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520 | |a Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. | ||
650 | 4 | |a Endoscopic ultrasonography |7 (dpeaa)DE-He213 | |
650 | 4 | |a Double-balloon endoscopy |7 (dpeaa)DE-He213 | |
650 | 4 | |a Small intestine |7 (dpeaa)DE-He213 | |
700 | 1 | |a Lefor, Alan T. |e verfasserin |4 aut | |
700 | 1 | |a Mutoh, Hiroyuki |e verfasserin |4 aut | |
700 | 1 | |a Yano, Tomonori |e verfasserin |4 aut | |
700 | 1 | |a Hayashi, Yoshikazu |e verfasserin |4 aut | |
700 | 1 | |a Sunada, Keijiro |e verfasserin |4 aut | |
700 | 1 | |a Nishimura, Naoyuki |e verfasserin |4 aut | |
700 | 1 | |a Miura, Yoshimasa |e verfasserin |4 aut | |
700 | 1 | |a Sato, Hiroyuki |e verfasserin |4 aut | |
700 | 1 | |a Shinhata, Hakuei |e verfasserin |4 aut | |
700 | 1 | |a Yamamoto, Hironori |e verfasserin |4 aut | |
700 | 1 | |a Sugano, Kentaro |e verfasserin |4 aut | |
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10.1007/s00464-014-3493-y doi (DE-627)SPR00631256X (SPR)s00464-014-3493-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Wada, Masahiro verfasserin aut Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. Endoscopic ultrasonography (dpeaa)DE-He213 Double-balloon endoscopy (dpeaa)DE-He213 Small intestine (dpeaa)DE-He213 Lefor, Alan T. verfasserin aut Mutoh, Hiroyuki verfasserin aut Yano, Tomonori verfasserin aut Hayashi, Yoshikazu verfasserin aut Sunada, Keijiro verfasserin aut Nishimura, Naoyuki verfasserin aut Miura, Yoshimasa verfasserin aut Sato, Hiroyuki verfasserin aut Shinhata, Hakuei verfasserin aut Yamamoto, Hironori verfasserin aut Sugano, Kentaro verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 28(2014), 8 vom: 12. März, Seite 2428-2436 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:28 year:2014 number:8 day:12 month:03 pages:2428-2436 https://dx.doi.org/10.1007/s00464-014-3493-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 28 2014 8 12 03 2428-2436 |
spelling |
10.1007/s00464-014-3493-y doi (DE-627)SPR00631256X (SPR)s00464-014-3493-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Wada, Masahiro verfasserin aut Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. Endoscopic ultrasonography (dpeaa)DE-He213 Double-balloon endoscopy (dpeaa)DE-He213 Small intestine (dpeaa)DE-He213 Lefor, Alan T. verfasserin aut Mutoh, Hiroyuki verfasserin aut Yano, Tomonori verfasserin aut Hayashi, Yoshikazu verfasserin aut Sunada, Keijiro verfasserin aut Nishimura, Naoyuki verfasserin aut Miura, Yoshimasa verfasserin aut Sato, Hiroyuki verfasserin aut Shinhata, Hakuei verfasserin aut Yamamoto, Hironori verfasserin aut Sugano, Kentaro verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 28(2014), 8 vom: 12. März, Seite 2428-2436 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:28 year:2014 number:8 day:12 month:03 pages:2428-2436 https://dx.doi.org/10.1007/s00464-014-3493-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 28 2014 8 12 03 2428-2436 |
allfields_unstemmed |
10.1007/s00464-014-3493-y doi (DE-627)SPR00631256X (SPR)s00464-014-3493-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Wada, Masahiro verfasserin aut Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. Endoscopic ultrasonography (dpeaa)DE-He213 Double-balloon endoscopy (dpeaa)DE-He213 Small intestine (dpeaa)DE-He213 Lefor, Alan T. verfasserin aut Mutoh, Hiroyuki verfasserin aut Yano, Tomonori verfasserin aut Hayashi, Yoshikazu verfasserin aut Sunada, Keijiro verfasserin aut Nishimura, Naoyuki verfasserin aut Miura, Yoshimasa verfasserin aut Sato, Hiroyuki verfasserin aut Shinhata, Hakuei verfasserin aut Yamamoto, Hironori verfasserin aut Sugano, Kentaro verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 28(2014), 8 vom: 12. März, Seite 2428-2436 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:28 year:2014 number:8 day:12 month:03 pages:2428-2436 https://dx.doi.org/10.1007/s00464-014-3493-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 28 2014 8 12 03 2428-2436 |
allfieldsGer |
10.1007/s00464-014-3493-y doi (DE-627)SPR00631256X (SPR)s00464-014-3493-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Wada, Masahiro verfasserin aut Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. Endoscopic ultrasonography (dpeaa)DE-He213 Double-balloon endoscopy (dpeaa)DE-He213 Small intestine (dpeaa)DE-He213 Lefor, Alan T. verfasserin aut Mutoh, Hiroyuki verfasserin aut Yano, Tomonori verfasserin aut Hayashi, Yoshikazu verfasserin aut Sunada, Keijiro verfasserin aut Nishimura, Naoyuki verfasserin aut Miura, Yoshimasa verfasserin aut Sato, Hiroyuki verfasserin aut Shinhata, Hakuei verfasserin aut Yamamoto, Hironori verfasserin aut Sugano, Kentaro verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 28(2014), 8 vom: 12. März, Seite 2428-2436 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:28 year:2014 number:8 day:12 month:03 pages:2428-2436 https://dx.doi.org/10.1007/s00464-014-3493-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 28 2014 8 12 03 2428-2436 |
allfieldsSound |
10.1007/s00464-014-3493-y doi (DE-627)SPR00631256X (SPR)s00464-014-3493-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Wada, Masahiro verfasserin aut Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. Endoscopic ultrasonography (dpeaa)DE-He213 Double-balloon endoscopy (dpeaa)DE-He213 Small intestine (dpeaa)DE-He213 Lefor, Alan T. verfasserin aut Mutoh, Hiroyuki verfasserin aut Yano, Tomonori verfasserin aut Hayashi, Yoshikazu verfasserin aut Sunada, Keijiro verfasserin aut Nishimura, Naoyuki verfasserin aut Miura, Yoshimasa verfasserin aut Sato, Hiroyuki verfasserin aut Shinhata, Hakuei verfasserin aut Yamamoto, Hironori verfasserin aut Sugano, Kentaro verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 28(2014), 8 vom: 12. März, Seite 2428-2436 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:28 year:2014 number:8 day:12 month:03 pages:2428-2436 https://dx.doi.org/10.1007/s00464-014-3493-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 28 2014 8 12 03 2428-2436 |
language |
English |
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Enthalten in Surgical endoscopy and other interventional techniques 28(2014), 8 vom: 12. März, Seite 2428-2436 volume:28 year:2014 number:8 day:12 month:03 pages:2428-2436 |
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Enthalten in Surgical endoscopy and other interventional techniques 28(2014), 8 vom: 12. März, Seite 2428-2436 volume:28 year:2014 number:8 day:12 month:03 pages:2428-2436 |
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Endoscopic ultrasonography Double-balloon endoscopy Small intestine |
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Surgical endoscopy and other interventional techniques |
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Wada, Masahiro @@aut@@ Lefor, Alan T. @@aut@@ Mutoh, Hiroyuki @@aut@@ Yano, Tomonori @@aut@@ Hayashi, Yoshikazu @@aut@@ Sunada, Keijiro @@aut@@ Nishimura, Naoyuki @@aut@@ Miura, Yoshimasa @@aut@@ Sato, Hiroyuki @@aut@@ Shinhata, Hakuei @@aut@@ Yamamoto, Hironori @@aut@@ Sugano, Kentaro @@aut@@ |
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2014-03-12T00:00:00Z |
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254909620 |
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However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. 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Wada, Masahiro |
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Wada, Masahiro ddc 610 bkl 44.87 misc Endoscopic ultrasonography misc Double-balloon endoscopy misc Small intestine Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease |
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610 ASE 44.87 bkl Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease Endoscopic ultrasonography (dpeaa)DE-He213 Double-balloon endoscopy (dpeaa)DE-He213 Small intestine (dpeaa)DE-He213 |
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Surgical endoscopy and other interventional techniques |
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Wada, Masahiro Lefor, Alan T. Mutoh, Hiroyuki Yano, Tomonori Hayashi, Yoshikazu Sunada, Keijiro Nishimura, Naoyuki Miura, Yoshimasa Sato, Hiroyuki Shinhata, Hakuei Yamamoto, Hironori Sugano, Kentaro |
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Wada, Masahiro |
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title_sort |
endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease |
title_auth |
Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease |
abstract |
Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. |
abstractGer |
Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. |
abstract_unstemmed |
Background Double-balloon endoscopy (DBE) has become a new standard in enteroscopy. However, it may be difficult to make a diagnosis or plan treatment strategy with endoscopic visualization alone. The addition of endoscopic ultrasonography (EUS) has the potential to improve the ability to establish the diagnosis and develop a treatment strategy. The present study was conducted to assess the feasibility and usefulness of EUS with DBE. Methods EUS with DBE was performed in 31 of 891 patients who underwent DBE from July 2004 to March 2011 at Jichi Medical University Hospital. We analyzed the EUS findings for lesions and evaluated the usefulness of EUS considering the following three factors: qualitative diagnostic value for lesions, depth grading of lesions, and evaluation of the structure of severe strictures prior to endoscopic balloon dilation. Results EUS was performed for 31/32 lesions (97 %) in 31 patients. EUS findings were informative for 29/32 lesions (91 %). EUS findings were useful for establishing a qualitative diagnosis in 15/25 lesions (60 %). EUS findings for depth grading provided useful information for determining the therapeutic strategy in 11/13 lesions (85 %). EUS with DBE was useful in the evaluation of strictures for all six lesions (100 %). The overall usefulness of EUS with DBE on decision making was 72 % (23/32) in this study. Conclusions EUS with DBE is feasible and useful. It provides additional information on small-bowel disease and contributes to establishing a precise diagnosis and selection of an appropriate therapeutic strategy. |
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container_issue |
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title_short |
Endoscopic ultrasound with double-balloon endoscopy in the evaluation of small-bowel disease |
url |
https://dx.doi.org/10.1007/s00464-014-3493-y |
remote_bool |
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author2 |
Lefor, Alan T. Mutoh, Hiroyuki Yano, Tomonori Hayashi, Yoshikazu Sunada, Keijiro Nishimura, Naoyuki Miura, Yoshimasa Sato, Hiroyuki Shinhata, Hakuei Yamamoto, Hironori Sugano, Kentaro |
author2Str |
Lefor, Alan T. Mutoh, Hiroyuki Yano, Tomonori Hayashi, Yoshikazu Sunada, Keijiro Nishimura, Naoyuki Miura, Yoshimasa Sato, Hiroyuki Shinhata, Hakuei Yamamoto, Hironori Sugano, Kentaro |
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up_date |
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|
score |
7.4011974 |