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  1. Clinical implications of endoscopic ultrasound : the American Endosonography Club Study.

    Article - En anglais

    Background 

    Despite increased clinical use of endoscopic ultrasound (EUS), there are little data regarding complications of EUS or its impact on patient management.

    Methods 

    A prospective multicenter study was completed to evaluate clinical outcomes of EUS.

    Before each EUS examination the endosonographer recorded further theoretical patient management plans as if EUS was unavailable.

    After the EUS, endosonographers recorded actual management plans based on EUS results.

    The actual management plan after EUS was compared to the theoretical management before EUS.

    Complications were assessed in short-term follow-up.

    Results 

    Four hundred twenty-eight subjects were enrolled.

    Of subjects able to be evaluated, EUS changed the treatment plan in 74%. Management changes of major importance occurred in 120 patients (31% of subjects able to be evaluated) and included decisions regarding surgery (62 patients), decisions regarding nonsurgical invasive management (36 patients), and decisions regarding further follow-up (22 patients).

    When there was a change in management, the change was to less costly, risky, or invasive management in 55%, to more costly/risky/invasive in 37%, and to equally costly/risky/invasive in 8%. Short-term follow-up was completed in 81% of subjects, with six complications identified (1.7%). Three complications were mild, two were moderate, one severe, and none fatal. (...)

    Mots-clés Pascal : Exploration ultrason, Endoscopie, Gastrointestinal, Influence, Modification, Stratégie, Traitement, Critère décision, Complication, Etude statistique, Homme, Etats Unis, Amérique du Nord, Amérique, Appareil digestif pathologie

    Mots-clés Pascal anglais : Sonography, Endoscopy, Gastrointestinal, Influence, Modification, Strategy, Treatment, Decision criterion, Complication, Statistical study, Human, United States, North America, America, Digestive diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0493583

    Code Inist : 002B24C05. Création : 10/04/1997.