Cap-assisted endoscopy increases ampulla of Vater visualization in high-risk patients.

ABSTRACT: BACKGROUND:Periampullary adenocarcinoma is a major clinical problem in high-risk patients including FAP population. A recent modification for visualizing the ampulla of Vater (AV) involves attaching a cap to the tip of the forward-viewing endoscope. Our aim was to compare the rates of complete visualization of AV using this cap-assisted endoscopy (CAE) approach to standard forward-viewing endoscopy (FVE). We also determined: (i) the rates of complications and additional sedation; (ii) the mean time required for duodenal examination; and (iii) the reproducibility among endoscopists performing this procedure. METHODS:We performed esophagogastroduodenoscopy for AV visualization in 102?>?18?years old using FVE followed by CAE. Video recordings were blinded and randomly selected for independent expert endoscopic evaluation. RESULTS:The complete visualization rate for AV was higher in CAE (97.0%) compared to FVE (51.0%) (p?

SUBMITTER: Silva LC 

PROVIDER: S-EPMC7346639 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature