Endoterapia, H-T. Centrum Medyczne, Tychy.
Chair and Department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia.
Eur J Gastroenterol Hepatol. 2022 Jul 1;34(7):763-768. doi: 10.1097/MEG.0000000000002385. Epub 2022 Apr 29.
Various measures of esophagogastroduodenoscopy (EGD) quality have been proposed so far and the examination time was one of the first. The aim of the study was to compare the procedure time with novel novel quality measures - composite detection rate (CDR) and endoscopist biopsy rate (EBR).
It was prospective observational study. A total of 880 diagnostic EGDs conducted from 01.2019 to 07.2019 have been enrolled in the study.
Median EGD time was 4.2 min. Procedures of longer duration were marked with higher CDR (26.3% vs. 11.8%; P < 0.0001), higher EBR (44.9% vs. 12.3%; P < 0.0001), and better upper gastrointestinal neoplasm (UGN) detection (1.8% vs. 0%; P = 0.004) in comparison with procedures of shorter duration. The procedures were divided into 4 groups based on the time quartiles (group 1 <3.3 min; group 2 3.3-4.2 min; group 3 4.2-5.3 min; group 4 >5.3 min). The odds ratios of groups 2, 3, and 4 for biopsy rate were 2.42 (95% CI, 1.33-4.55), 4.33 (95% CI, 2.46-7.94), and 5.51 (95% CI, 3.18-10.03), respectively, in comparison with group 1. The odds ratios of groups 2, 3, and 4 for CDR were 3.18 (95% CI, 2.03-4.97), 5.46 (95% CI, 3.51-8.50), and 23.44 (95% CI, 14.3-38.4), respectively, in comparison with group 1.
The procedure time is related to novel metrics - CDR and EBR. It is also related to UGN. Based on our findings it could be concluded that EGD should not last less than 4.2 min.
到目前为止，已经提出了各种食管胃十二指肠镜（EGD）质量的衡量标准，检查时间是最早的标准之一。本研究的目的是将检查时间与新型的复合检出率（CDR）和内镜医师活检率（EBR）等质量指标进行比较。
这是一项前瞻性观察性研究。2019 年 1 月至 7 月共纳入 880 例诊断性 EGD。
中位 EGD 时间为 4.2 分钟。持续时间较长的检查，CDR 更高（26.3%比 11.8%；P<0.0001），EBR 更高（44.9%比 12.3%；P<0.0001），上消化道肿瘤（UGN）检出率也更高（1.8%比 0%；P=0.004）。根据时间四分位数（第 1 组<3.3 分钟；第 2 组 3.3-4.2 分钟；第 3 组 4.2-5.3 分钟；第 4 组>5.3 分钟），将检查分为 4 组。与第 1 组相比，第 2、3、4 组的活检率比值比（OR）分别为 2.42（95%可信区间，1.33-4.55）、4.33（95%可信区间，2.46-7.94）和 5.51（95%可信区间，3.18-10.03），CDR 的 OR 分别为 3.18（95%可信区间，2.03-4.97）、5.46（95%可信区间，3.51-8.50）和 23.44（95%可信区间，14.3-38.4）。
检查时间与新型的 CDR 和 EBR 相关，也与 UGN 相关。根据我们的研究结果，可得出 EGD 时间应不短于 4.2 分钟的结论。
