ArticleJournal of gastroenterology2009
Can Western endoscopists identify the end of the lower esophageal palisade vessels as a landmark of esophagogastric junction?
Article in Journal of gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Identification of the distal end of the palisade vessels under sedation: a multicenter prospective study in Japan.Journal of gastroenterology · 2026Article
- Endoscopic Evaluation of the Gastroesophageal Junction and Diagnosis of Barrett's Esophagus.Digestion · 2026Review
- Article
- Endoscopic diagnosis and screening of Barrett's esophagus: Inconsistency of diagnostic criteria between Japan and Western countries.DEN open · 2022Review
- Endoscopic features of esophageal adenocarcinoma derived from short-segment versus long-segment Barrett's esophagus.Journal of gastroenterology and hepatology · 2020Article
- Clinicopathological features of Siewert type II adenocarcinoma: comparison of gastric cardia adenocarcinoma and Barrett's esophageal adenocarcinoma following endoscopic submucosal dissection.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2017Article
- Trajectories of endoscopic Barrett esophagus: Chronological changes in a community-based cohort.World journal of gastroenterology · 2016Article
- Detection of palisade vessels as a landmark for Barrett's esophagus in a Western population.Journal of gastroenterology · 2016Observational
- Carcinogenesis of Barrett's esophagus: a review of the clinical literature.Clinical journal of gastroenterology · 2013Article
- A substantial incidence of silent short segment endoscopically suspected esophageal metaplasia in an adult Japanese primary care practice.World journal of gastrointestinal endoscopy · 2012Article
- Etiological difference between ultrashort- and short-segment Barrett's esophagus.Journal of gastroenterology · 2011Article
- Interobserver reliability in the endoscopic diagnosis and grading of Barrett's esophagus: an Asian multinational study.Endoscopy · 2010Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimThe endoscopic landmark of esophagogastric junction (EGJ) for diagnosis of Barrett's esophagus (BE) differs between Japan and Western countries. Japanese endoscopists use the distal end of the lower esophageal palisade vessels to localize EGJ. In the West, endoscopists use the proximal gastric folds because of concerns that palisade vessels may be difficult to recognize. We evaluated whether there were differences between American and Japanese endoscopists in the recognition of palisade vessels.
methodA total of 82 patients were enrolled in this study. Patients were referred for diagnostic esophagogastroduodenoendoscopy (EGD) at the Veterans Affairs Palo Alto Health Care System, from May to July 2008. American and Japanese endoscopists evaluated the EGJ of patients undergoing diagnostic EGD. We analyzed the differences in the recognition of the distal end of palisade vessels. We calculated the kappa statistic to measure interobserver variability.
resultsBased on localization using the distal end of the palisade vessels, American and Japanese endoscopists identified the EGJ in 87.8% (72/82) and 89.0% (73/82) of cases, respectively. The kappa statistic for visualization of EGJ was 0.88 [95% confidence interval (CI): 0.73-1.00].
conclusionAmerican and Japanese endoscopists similarly recognized the distal end of palisade vessels as EGJ.
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