Application of tissue paper in gastroscopic examination

doi:10.3877/cma.j.issn.1674-0785.2019.01.010

Abstract

Abstract:

Objective

To study the effect of normal tissue paper as a preoperative preparation on gastric mucosal visibility, operation time, and micro-lesion detection during gastroscopic examination.

Methods

Patients who underwent gastroscopy at Shandong Provincial Qianfoshan Hospital between January 2018 and March 2018 were enrolled in this prospective, randomized controlled trial, and they were divided randomly into either an experimental group (given tissue paper) or a control group (no tissue paper given). Gastric mucosal visibility, operation time, micro-lesion detection, and pathological biopsy were compared between the two groups.

Results

Among the 656 patients included, 351 were divided into the experimental group, and 305 were divided into the control group. The scores of gastric mucosal visibility in the fundus, body, and antrum as well as the total score in the experimental group were significantly lower than that in the control group [(1.58±0.72) vs (2.53±0.83), t=0.057, P<0.001; (1.57±0.74) vs (2.50±0.85), t=0.083, P<0.001; (1.54±0.74) vs (2.51±0.83), t=0.082, P<0.001; (4.69±2.07) vs (7.54±2.43), t=0.017, P<0.001]. Operation time was significantly shorter in the experimental group than in the control group [(6.21±0.37) min vs (6.78±0.65) min, t=-8.78, P<0.001]. There were 198 and 92 micro-lesions that were detected in the experimental group and control group, respectively, and the number of micro-lesions in the experimental group was higher compared with the control group (χ²=9.361, P=0.009). For biopsy pathology, the number of gastric lesions in the experimental group was significantly higher than that in the control group (166 vs 78, χ²=5.112, P=0.029). The number for esophageal and duodenal lesions between the two groups had no significant difference (P>0.05).

Conclusion

Use of normal tissue paper could enhance mucosal visibility, shorten the time of examination, be conducive to the detection of micro-lesions, and improve the accuracy of gastroscopy effectively. The normal tissue paper is a kind of simple and economical method for preoperative preparation.

Key words: Gastroscopy, Preoperative preparation, Mucosal visibility, Tissue paper

Yan Zhang, Xiaoyan Lv, Qing Yan, Haiyan Dong, Guodong Li, Qiuping Pang, Xiubin Zhang, Yan Lu, Yuping Zhang, Shanbin Wu, Shuai Wu, Hongbo Ren, Xinyong Jia. Application of tissue paper in gastroscopic examination[J]. Chinese Journal of Clinicians(Electronic Edition), 2019, 13(01): 45-49.

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References 16

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项目		试验组（351例）	对照组（305例）	统计值	P值
年龄（岁，±s）		55.32±12.67	56.09±13.56	t=0.463	0.640
男性［例（%）］		186（53.0）	140（45.9）	χ²=3.821	0.072
文化程度［例（%）］		?	?	χ²=0.761	0.432
?	小学及以下	74（21.1）	56（18.4）	?	?
?	初中及以上	277（78.9）	249（81.6）	?	?
胃镜检查原因［例（%）］		?	?	χ²=2.097	0.553
?	健康查体	81（23.1）	75（24.6）	?	?
?	反酸烧心	80（22.8）	68（22.3）	?	?
?	上腹不适	110（31.3）	84（27.5）	?	?
?	复查	80（22.8）	78（25.6）	?	?
进行麻醉［例（%）］		289（82.3）	241（79.0）	χ²=1.159	0.320
进行肠镜检查［例（%）］		187（53.3）	156（51.1）	χ²=0.296	0.638

项目		试验组（351例）	对照组（305例）	统计值	P值
年龄（岁，±s）		55.32±12.67	56.09±13.56	t=0.463	0.640
男性［例（%）］		186（53.0）	140（45.9）	χ²=3.821	0.072
文化程度［例（%）］		?	?	χ²=0.761	0.432
?	小学及以下	74（21.1）	56（18.4）	?	?
?	初中及以上	277（78.9）	249（81.6）	?	?
胃镜检查原因［例（%）］		?	?	χ²=2.097	0.553
?	健康查体	81（23.1）	75（24.6）	?	?
?	反酸烧心	80（22.8）	68（22.3）	?	?
?	上腹不适	110（31.3）	84（27.5）	?	?
?	复查	80（22.8）	78（25.6）	?	?
进行麻醉［例（%）］		289（82.3）	241（79.0）	χ²=1.159	0.320
进行肠镜检查［例（%）］		187（53.3）	156（51.1）	χ²=0.296	0.638

胃黏膜部位	试验组（351例）	对照组（305例）	t值	P值
胃底黏膜	1.58±0.72	2.53±0.83	0.057	＜0.001
胃体黏膜	1.57±0.74	2.50±0.85	0.083	＜0.001
胃窦黏膜	1.54±0.74	2.51±0.83	0.082	＜0.001
胃黏膜总体	4.69±2.07	7.54±2.43	0.017	＜0.001

胃黏膜部位	试验组（351例）	对照组（305例）	t值	P值
胃底黏膜	1.58±0.72	2.53±0.83	0.057	＜0.001
胃体黏膜	1.57±0.74	2.50±0.85	0.083	＜0.001
胃窦黏膜	1.54±0.74	2.51±0.83	0.082	＜0.001
胃黏膜总体	4.69±2.07	7.54±2.43	0.017	＜0.001

项目		试验组（351例）	对照组（305例）	统计值	P值
胃镜检查时间（min，±s）		6.21±0.37	6.78±0.65	t=-8.78	＜0.001
检出微小病变（处）		198	92	χ²=9.361	0.009
?	溃疡、糜烂	128	42	?	?
?	息肉样隆起	26	18	?	?
?	黄斑、红斑及出血点	44	32	?	?

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