Endoscopic Measurement of Variceal Diameter

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2015 Feb 27

PMID 25717249

Citations 4

Authors

Zhi-Qun Li

En-Qiang Linghu

Min Hu

Xiang-Dong Wang

Hong-Bin Wang

Jing-Yun Meng

Hong Du

Affiliations

Soon will be listed here.

Abstract

Aim: To measure in vitro diameter of imitational varices using a self-made endoscopic scale and confirm its accuracy and clinical feasibility.

Methods: A catheter was introduced into the endoscope accessory channel and attached to a zebra wire guide that was used as a stylet. The wire guide was fixed onto the tip of the catheter by a soft and thin string. By gently advancing the stylet into the catheter, the width of the opening loop at the tip of the endoscope approximated the diameter of the imitational varices. Measurements performed in vitro using this self-made endoscopic ruler were compared to measurements of simulative varices.

Results: At the handle, the sleeve moving distance ranged from 5 to 14 mm. There was no obvious proportional relationship between the sleeve movement distance and endoscopic measurement ruler. The results indicated that the gap between the endoscopic measurement and actual measurement of the object size tended to close. The in vitro measurement of the diameter of the simulative varices showed that the two kinds of measuring methods were not significantly different with respect to their accuracy (P=0.8499).

Conclusion: In vitro experiments confirmed that using a self-designed endoscopic ruler to measure the diameter of simulative varices was objective, accurate and feasible.

Citing Articles

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Duan Z, Zhou S World J Gastrointest Surg. 2024; 16(2):539-545.

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Endoscopic Ruler for varix size measurement: A multicenter pilot study.

Huang Y, Hu S, Bu Y, Li Y, Deng Y, Hu J World J Gastrointest Endosc. 2023; 15(9):564-573.

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Performance of spleen stiffness measurement by 2D-shear wave elastography in evaluating the presence of high-risk varices: comparative analysis of idiopathic portal hypertension versus hepatitis B virus.

Zhou H, Zhang Z, Zhang J, Sang L, Liu L, Gong X BMC Med Imaging. 2023; 23(1):30.

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Spleen Stiffness Performance in the Noninvasive Assessment of Gastroesophageal Varices after Transjugular Intrahepatic Portosystemic Shunts.

Zhou H, Zhang Z, Zhang J, Sang L, Liu L, Lv Y Biomed Res Int. 2021; 2021:5530004.

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