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Endoscopy v.49 no.2, 2017년, pp.121 - 129   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Development and validation of a training module on the use of acetic acid for the detection of Barrett's neoplasia

Chedgy, Fergus J. Q. (Department of Gastroenterology, Queen Alexandra Hospital, Portsmouth, United Kingdom ) ; Kandiah, Kesavan (Department of Gastroenterology, Queen Alexandra Hospital, Portsmouth, United Kingdom ) ; Barr, Hugh (Department of Surgery, Gloucestershire Royal Hospital, Gloucester, United Kingdom ) ; De Caestecker, John (Department of Gastroenterology, Leicester General Hospital, Leicester, United Kingdom ) ; Dwerryhouse, Simon (Department of Surgery, Gloucestershire Royal Hospital, Gloucester, United Kingdom ) ; Eross, Balint (Department of Gastroenterology, Royal Bournemouth Hospital, Bournemouth, United Kingdom ) ; Gordon, Charles (Department of Gastroenterology, Royal Bournemouth Hospital, Bournemouth, United Kingdom ) ; Green, Susi (Department of Gastroenterology, Royal Sussex County Hospital, Brighton, United Kingdom ) ; Li, Andy (Department of Gastroenterology, Worthing Hospital, Worthing, United Kingdom ) ; Brown, James (School of Pharmacy and Biomedical Sciences, University of Portsmouth, Portsmouth, United Kingdom ) ; Longcroft-Wheaton, Gaius (Department of Gastroenterology, Queen Alexandra Hospital, Portsmouth, United Kingdom ) ; Bhandari, Pradeep (Department of Gastroenterology, Queen ) ;
  • 초록  

    Background and study aims Acetic acid chromoendoscopy (AAC) enhances the ability to correctly identify Barrett’s neoplasia, and is increasingly used by both expert and nonexpert endoscopists. Despite its increasing use, there is no validated training strategy to achieve competence. The aims of our study were to develop a validated training tool in AAC-assisted lesion recognition, to assess endoscopists’ baseline knowledge of AAC-assisted lesion recognition, and to evaluate the efficacy and impact of this training tool.Methods A validated assessment of 40 images and 20 videos was developed. A total of 13 endoscopists with experience of Barrett’s endoscopy but no formal training in AAC were recruited to the study. Participants underwent: baseline assessment 1, online training, assessment 2, interactive seminar, assessment 3.Results Baseline assessment demonstrated a sensitivity of 83 % and a negative predictive value (NPV) of 83 %. The online training intervention significantly improved sensitivity to 95 % and NPV to 94 % (P 


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