WIDE-AREA TRANSEPITHELIAL SAMPLING IN ADJUNCT TO FORCEPS BIOPSY INCREASES THE DIAGNOSTIC YIELD OF RECURRENT OR RESIDUAL BARRETT'S ESOPHAGUS IN PATIENTS WHO UNDERWENT ENDOSCOPIC TREATMENT: A META-ANALYSIS AND SYSTEMATIC REVIEW

Title

WIDE-AREA TRANSEPITHELIAL SAMPLING IN ADJUNCT TO FORCEPS BIOPSY INCREASES THE DIAGNOSTIC YIELD OF RECURRENT OR RESIDUAL BARRETT'S ESOPHAGUS IN PATIENTS WHO UNDERWENT ENDOSCOPIC TREATMENT: A META-ANALYSIS AND SYSTEMATIC REVIEW

Creator

Kumar VCS; Subedi A; Patthipati VS; Harne PS; Sapkota B

Publisher

Gastrointestinal Endoscopy

Date

2020
2020-06-01

Description

Wide-Area Transepithelial Sampling (WATS) is a novel technique that uses an abrasive brush to obtain samples from a larger surface area of the esophagus as compared to forceps biopsy (FB). Analysis of this specimen is done with specialized computer imaging using neuronal networks optimized to identify esophageal tissue. WATS, in adjunct to FB, has shown to increase the detection rate of Barrett’s esophagus (BE) as well as Esophageal Dysplasia (ED). However, it’s utility in identifying recurrent or residual BE patients who have undergone endoscopic treatment for BE is limited. We conducted a systematic review and meta-analysis to compare the detection rates of BE between FB and WATS in adjunct to FB in such patients.

Subject

A Literature search was done from electronic databases, including PubMed, Embase, Scopus, Cochrane, and CINAHL from inception until 11/2019 assisted by an expert librarian at our university. Data were extracted from studies and abstracts compared WATS in adjunct to FB versus FB in patients undergoing surveillance endoscopies after undergoing endoscopic treatment for BE. Endoscopic treatment included either radiofrequency ablation (RFA) or liquid nitrogen spray cryotherapy (SCT). A meta-analysis using a random-effects model was done using RevMan 5.3.

Rights

Copyright © 2020 Published by Mosby, Inc.

Format

Journal Article

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine

Update Year & Number

jan to Aug list 2021

Citation

Kumar VCS; Subedi A; Patthipati VS; Harne PS; Sapkota B, “WIDE-AREA TRANSEPITHELIAL SAMPLING IN ADJUNCT TO FORCEPS BIOPSY INCREASES THE DIAGNOSTIC YIELD OF RECURRENT OR RESIDUAL BARRETT'S ESOPHAGUS IN PATIENTS WHO UNDERWENT ENDOSCOPIC TREATMENT: A META-ANALYSIS AND SYSTEMATIC REVIEW,” NEOMED Bibliography Database, accessed March 28, 2024, https://neomed.omeka.net/items/show/11923.