Screening esophagus during routine ultrasound

Elrazek, Abd Elrazek M.A. Abd; Eid, Khaled A; Elsherif, Abd Elhalim A.; Al, Usama M. Abd El; El-Sherbiny, Samir M.; Bilasy, Shymaa E.

doi:10.1097/meg.0000000000000196

Cited by 12 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent study accepted in the European Journal of Gastroenterology & Hepatology entitled 'Screening esophagus during routine US: medical and cost benefits' has confirmed all the data mentioned above [10].…”

supporting

confidence: 54%

“…However, in the present experience, anticoagulation is not used: this choice is beyond the current recommendation [2,4], although recent data report unsatisfactory outcomes on medical treatment only [8]. Moreover, the present, as with other previous experiences, does not get to the bottom of one of the most debated issues on BCS management, that is, timing of treatment [4,7,9,10]. In this respect, two different opinions have been compared: the former suggests moving forward with the step-wise management when no response to therapy is observed [2], although the definition for response to therapy was not stated; the latter proposes a new algorithm in which medical therapy is suggested only for patients without any sign of portal hypertension, whether early interventional treatment is suggested when either any symptom or sign of portal hypertension appears, with the aim of preventing…”

mentioning

confidence: 80%

See 1 more Smart Citation

Criticism of

Elrazek

2015

European Journal of Gastroenterology &Amp; Hepatology

Self Cite

View full text Add to dashboard Cite

gastric alterations in dyspeptic patients. In any case, regardless of the design, and the diagnostic intention behind the study, a method offering an area under the receiver operating characteristic curve lower than 0.70 is considered poor or failed. Even taking the higher range of the 95% confidence intervals for the sensitivity and specificity achieved by GastroPanel in our population, between 20 and 30% of patients would be misdiagnosed either in clinical or screening settings.

show abstract

supporting

confidence: 54%

mentioning

confidence: 80%

Criticism of

Elrazek

2015

European Journal of Gastroenterology &Amp; Hepatology

Self Cite

View full text Add to dashboard Cite

show abstract

“…The use of 2D U/S to detect risky esophageal varices in cirrhotic patients was recently proposed. 28 , 29 The intra-abdominal portion of esophagus could be detected using 2D U/S, Figure 3 . Esophageal wall thicknesses >6.5 mm were correlated with large esophageal varices, while esophageal wall thicknesses <4 mm was correlated with normal endoscopic finding.…”

Section: Discussionmentioning

confidence: 99%

Prior to the Oral Therapy, What Do We Know About HCV-4 in Egypt

et al. 2014

Self Cite

View full text Add to dashboard Cite

Hepatitis C virus (HCV) affects over 180 million people worldwide and it's the leading cause of chronic liver diseases and hepatocellular carcinoma. HCV is classified into seven major genotypes and a series of subtypes. In general, HCV genotype 4 (HCV-4) is common in the Middle East and Africa, where it is responsible for more than 80% of HCV infections. Although HCV-4 is the cause of approximately 20% of the 180 million cases of chronic hepatitis C worldwide, it has not been a major subject of research yet. The aim of the current study is to survey the morbidities and disease complications among Egyptian population infected with HCV-4 using data mining advanced computing methods mainly and other complementary statistical analysis.Six thousand six hundred sixty subjects, aged between 17 and 58 years old, from different Egyptian Governorates were screened for HCV infection by ELISA and qualitative PCR. HCV-positive patients were further investigated for the incidence of liver cirrhosis and esophageal varices. Obtained data were analyzed by data mining approach.Among 6660 subjects enrolled in this survey, 1018 patients (15.28%) were HCV-positive. Proportion of infected-males was significantly higher than females; 61.6% versus 38.4% (P = 0.0052). Around two-third of infected-patients (635/1018; 62.4%) were presented with liver cirrhosis. Additionally, approximately half of the cirrhotic patients (301/635; 47.4%) showed degrees of large esophageal varices (LEVs), with higher variceal grade observed in males. Age for esophageal variceal development was 47 ± 1. Data mining analysis yielded esophageal wall thickness (>6.5 mm), determined by conventional U/S, as the only independent predictor for esophageal varices.This study emphasizes the high prevalence of HCV infection among Egyptian population, in particular among males. Egyptians with HCV-4 infection are at a higher risk to develop cirrhotic liver and esophageal varices. Data mining, a new analytic technique in medical field, shed light in this study on the clinical importance of esophageal wall thickness as a useful predictor for risky esophageal varices using decision tree algorithm.

show abstract

“…1–5 Two-dimensional ultrasonography (2D-U/S) is a simple, portable, and rapid technique that can play an important role in screening for gastrointestinal (GI) and hepatobiliary diseases that cause different forms of UGIB. 6 Additionally U/S has recently been used to assess the degree of esophageal varices (EVs) in cirrhotic patients by 2D-U/S. 7,8 Data mining programs have identified factors significantly associated with patient mortality.…”

Section: Introductionmentioning

confidence: 99%

The Value of U/S to Determine Priority for Upper Gastrointestinal Endoscopy in Emergency Room

Elrazek¹,

Mahfouz

Elazeem

et al. 2015

Medicine

View full text Add to dashboard Cite

In countries endemic for liver and GIT diseases, frequent emergency department (ED) patients contribute to a disproportionate number of visits consuming substantial amount of medical resources. One of the most frequent ED visits is patients who present with hypovolemic shock, abdominal pain, or confusion with or without signs of upper gastrointestinal bleeding (UGIB). The use of conventional two-dimensional ultrasound (2D-U/S) may provide immediate and useful information on the presence of esophageal varices, gastrointestinal tumors, and other GIT abnormalities.The current study investigated the feasibility of using (2D-U/S) to predict the source of UGIB in ED and to determine patients’ priority for UGE.Between February 2003 and March 2013, we retrospectively reviewed the profiles of 38,551 Egyptian patients, aged 2 to 75 years old, who presented with a history of GI/liver diseases and no alcohol consumption. We assessed the value of 2D-U/S technology in predicting the source of UGIB.Of 38,551 patients presenting to ED, 900 patients (2.3%), 534 male (59.3%) and 366 female (40.7%) developed UGIB. Analyzing results obtained from U/S examinations by data mining for emergent UGE were patients with liver cirrhosis (LC), splenomegaly, and ascites (42.6% incidence of UGIB), followed by LC and splenomegaly (14.6%), LC only (9.4%), and was only 0.5% who had no morbidity finding by 2D-U/S.Ultrasonographic instrumentation increases the feasibility of predictive emergency medicine. The area has recently not only gained a fresh impulse, but also a new set of complex problems that needs to be addressed in the emergency medicine setting according to each priority.

show abstract

Screening esophagus during routine ultrasound

Abstract: Two-dimensional US can play an important role in screening for esophageal abnormalities, thus saving money and time. The esophagus should be screened during routine conventional abdominal US.

Cited by 12 publications

References 17 publications

Criticism of

Criticism of

Prior to the Oral Therapy, What Do We Know About HCV-4 in Egypt

The Value of U/S to Determine Priority for Upper Gastrointestinal Endoscopy in Emergency Room

Contact Info

Product

Resources

About