Biopsy Sampling in Upper Gastrointestinal Endoscopy : A Survey from 10 Tertiary Referral Centres across Europe

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dc.contributor.authorBornschein, Jan
dc.contributor.authorTran-Nguyen, Terry
dc.contributor.authorFernandez-Esparrach, Gloria
dc.contributor.authorAsh, Stephen
dc.contributor.authorBalaguer, Francesc
dc.contributor.authorBird-Lieberman, Elisabeth L.
dc.contributor.authorCórdova, Henry
dc.contributor.authorDzerve, Zane
dc.contributor.authorFassan, Matteo
dc.contributor.authorLeja, Marcis
dc.contributor.authorLyutakov, Ivan
dc.contributor.authorMiddelburg, Tim
dc.contributor.authorMoreira, Leticia
dc.contributor.authorNakov, Radislav
dc.contributor.authorNieuwenburg, Stella A.V.
dc.contributor.authorO'Connor, Anthony
dc.contributor.authorRealdon, Stefano
dc.contributor.authorDe Schepper, Heiko
dc.contributor.authorSmet, Annemieke
dc.contributor.authorSpaander, M. C.W.
dc.contributor.authorTolmanis, Ivars
dc.contributor.authorUrbonas, Tadas
dc.contributor.authorWeigt, Jochen
dc.contributor.authorHold, Georgina L.
dc.contributor.authorLink, Alexander
dc.contributor.authorKupcinskas, Juozas
dc.date.accessioned2022-01-17T08:45:01Z
dc.date.available2022-01-17T08:45:01Z
dc.date.issued2021-05
dc.descriptionFunding Information: A. Link reports grants from European Commission “Eu-ropäischer Fond für regionale Entwicklung” (EFRE), outside the submitted work. In Lithuania the work was partly supported by Lithuanian Research Council Grant no APP-2/2016. In Latvia, the methodological support was made available from the project lzp-2018/1-0135. This work was also supported by the NIHR Oxford Biomedical Research Centre (The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care). In Barcelona, we thank the CERCA Programme/Generalitat de Catalunya for the support. Publisher Copyright: © 2020 The Author(s) Published by S. Karger AG, Basel.
dc.description.abstractBackground: Guidelines give robust recommendations on which biopsies should be taken when there is endoscopic suggestion of gastric inflammation. Adherence to these guidelines often seems arbitrary. This study aimed to give an overview on current practice in tertiary referral centres across Europe. Methods: Data were collected at 10 tertiary referral centres. Demographic data, the indication for each procedure, endoscopic findings, and the number and sampling site of biopsies were recorded. Findings were compared between centres, and factors influencing the decision to take biopsies were explored. Results: Biopsies were taken in 56.6% of 9,425 procedures, with significant variation between centres (p < 0.001). Gastric biopsies were taken in 43.8% of all procedures. Sampling location varied with the procedure indication (p < 0.001) without consistent pattern across the centres. Fewer biopsies were taken in centres which routinely applied the updated Sydney classification for gastritis assessment (46.0%), compared to centres where this was done only upon request (75.3%, p < 0.001). This was the same for centres stratifying patients according to the OLGA system (51.8 vs. 73.0%, p < 0.001). More biopsies were taken in centres following the MAPS guidelines on stomach surveillance (68.1 vs. 37.1%, p < 0.001). Biopsy sampling was more likely in younger patients in 8 centres (p < 0.05), but this was not true for the whole cohort (p = 0.537). The percentage of procedures with biopsies correlated directly with additional costs charged in case of biopsies (r = 0.709, p = 0.022). Conclusion: Adherence to guideline recommendations for biopsy sampling at gastroscopy was inconsistent across the participating centres. Our data suggest that centre-specific policies are applied instead.en
dc.description.statusPeer reviewed
dc.format.extent11
dc.format.extent484854
dc.identifier.citationBornschein, J, Tran-Nguyen, T, Fernandez-Esparrach, G, Ash, S, Balaguer, F, Bird-Lieberman, E L, Córdova, H, Dzerve, Z, Fassan, M, Leja, M, Lyutakov, I, Middelburg, T, Moreira, L, Nakov, R, Nieuwenburg, S A V, O'Connor, A, Realdon, S, De Schepper, H, Smet, A, Spaander, M C W, Tolmanis, I, Urbonas, T, Weigt, J, Hold, G L, Link, A & Kupcinskas, J 2021, 'Biopsy Sampling in Upper Gastrointestinal Endoscopy : A Survey from 10 Tertiary Referral Centres across Europe', Digestive Diseases, vol. 39, no. 3, pp. 179-189. https://doi.org/10.1159/000511867
dc.identifier.doi10.1159/000511867
dc.identifier.issn0257-2753
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/7203
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85106540229&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofDigestive Diseases
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBiopsy sampling
dc.subjectCLO test
dc.subjectGastritis
dc.subjectGastroscopy
dc.subjectMAPS
dc.subjectOLGA
dc.subjectSydney
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectGastroenterology
dc.titleBiopsy Sampling in Upper Gastrointestinal Endoscopy : A Survey from 10 Tertiary Referral Centres across Europeen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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