ArticleDigestive diseases and sciences2026
Incidental Finding of Gastric Lesions During Pancreatobiliary Endoscopic Ultrasonography.
Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGastric lesions may be incidentally detected during pancreatobiliary endoscopic ultrasonography (PB-EUS). We aimed to clarify the detection rate of gastric lesions and the impact of awareness on the detection of gastric lesions during PB-EUS.
methodsWe retrospectively analyzed consecutive patients who underwent PB-EUS (1932 procedures, 1220 patients). We compared the detection rate of incidental gastric lesions and documentation of gastric findings between the groups without and with gastric screening during PB-EUS: former group (2009-2014: 505 procedures, 409 patients) and latter group (2015-2020: 1427 procedures, 918 patients), respectively.
resultsThirteen gastric lesions were incidentally detected during PB-EUS, all in the latter group, including gastric cancer (n = 1), malignant lymphoma (n = 1), gastric adenoma (n = 1), gastric submucosal tumor (n = 2), and gastric ulcer (n = 8). The detection rate of gastric lesions was significantly higher in the latter group than in the former group per procedure (0.91% vs. 0%, P = 0.027) and per patient (1.41% vs. 0%, P = 0.015), and gastric findings were significantly more commonly described in patients' medical records (39.8% vs. 2.97%, P < 0.001).
conclusionsGastric lesions may be encountered during PB-EUS. A quick screening during PB-EUS improved the detection rate of gastric lesions, presumably due to increased awareness of gastric lesions during the procedure.
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