La derivación protocolizada a endoscopía asociada a la detección de Helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipiente
Background Chile has one of the highest mortality rates by gastric cancer (GC) worldwide. Primary prevention of GC and detection of pre-neoplastic and early neoplastic lesions should be a national priority. Aim To assess the impact of the protocolization of endoscopy referral and the use of H. pyl...
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| Lenguaje: | Spanish / Castilian |
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Sociedad Médica de Santiago
2019
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| Acceso en línea: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001101382 |
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oai:scielo:S0034-988720190011013822020-02-25La derivación protocolizada a endoscopía asociada a la detección de Helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipienteCOPPELLI,LUISDÍAZ,LUIS ANTONIORIQUELME,ARNOLDOWAEGER,CRISTIANROLLÁN,ANTONIOBELLOLIO,ENRIQUEARAYA,JUAN CARLOSVILLASECA,MIGUEL ANGELVILLASMIL,MIGUELPÉREZ,GONZALOCOPPELLI,CATALINA Early Detection of Cancer Endoscopy, Gastrointestinal Gastritis, Atrophic Helicobacter pylory Stomach Neoplasms Background Chile has one of the highest mortality rates by gastric cancer (GC) worldwide. Primary prevention of GC and detection of pre-neoplastic and early neoplastic lesions should be a national priority. Aim To assess the impact of the protocolization of endoscopy referral and the use of H. pylori stool antigen test (HPSA) in the management of dyspepsia to decrease the waiting list for endoscopy and increase the detection of gastric pre-neoplastic and early neoplastic lesions. Material and Methods We included all patients referred to the Endoscopy Unit of a regional hospital, from January 2015 to December 2017. We also included patients with known pre-neoplastic lesions and all those with first degree relatives with GC. We implemented protocols for referral of patients with dyspepsia considering the use of HPSA test, prioritizing to endoscopy those with a higher risk of GC. Results A total of 4,641 endoscopies and 2,631 HPSA tests were carried out. After the adoption of these protocols, we observed a 52% decrease in the waiting time for endoscopy. The GC detection rate in this period was 1.8 to 3.1 cases per 100 endoscopies. After the adoption of the protocols, we observed a significant increase in early GC detection rate (from none in 2015 to 13% in 2017, p = 0.03). Conclusions The protocolization of the referral for endoscopy associated with widespread use of HPSA test in the management of patients with dyspepsia, are successful strategies to decrease waiting lists for endoscopy and optimize the detection rate of pre-neoplastic lesions and early GC.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.11 20192019-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001101382es10.4067/S0034-98872019001101382 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Early Detection of Cancer Endoscopy, Gastrointestinal Gastritis, Atrophic Helicobacter pylory Stomach Neoplasms |
| spellingShingle |
Early Detection of Cancer Endoscopy, Gastrointestinal Gastritis, Atrophic Helicobacter pylory Stomach Neoplasms COPPELLI,LUIS DÍAZ,LUIS ANTONIO RIQUELME,ARNOLDO WAEGER,CRISTIAN ROLLÁN,ANTONIO BELLOLIO,ENRIQUE ARAYA,JUAN CARLOS VILLASECA,MIGUEL ANGEL VILLASMIL,MIGUEL PÉREZ,GONZALO COPPELLI,CATALINA La derivación protocolizada a endoscopía asociada a la detección de Helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipiente |
| description |
Background Chile has one of the highest mortality rates by gastric cancer (GC) worldwide. Primary prevention of GC and detection of pre-neoplastic and early neoplastic lesions should be a national priority. Aim To assess the impact of the protocolization of endoscopy referral and the use of H. pylori stool antigen test (HPSA) in the management of dyspepsia to decrease the waiting list for endoscopy and increase the detection of gastric pre-neoplastic and early neoplastic lesions. Material and Methods We included all patients referred to the Endoscopy Unit of a regional hospital, from January 2015 to December 2017. We also included patients with known pre-neoplastic lesions and all those with first degree relatives with GC. We implemented protocols for referral of patients with dyspepsia considering the use of HPSA test, prioritizing to endoscopy those with a higher risk of GC. Results A total of 4,641 endoscopies and 2,631 HPSA tests were carried out. After the adoption of these protocols, we observed a 52% decrease in the waiting time for endoscopy. The GC detection rate in this period was 1.8 to 3.1 cases per 100 endoscopies. After the adoption of the protocols, we observed a significant increase in early GC detection rate (from none in 2015 to 13% in 2017, p = 0.03). Conclusions The protocolization of the referral for endoscopy associated with widespread use of HPSA test in the management of patients with dyspepsia, are successful strategies to decrease waiting lists for endoscopy and optimize the detection rate of pre-neoplastic lesions and early GC. |
| author |
COPPELLI,LUIS DÍAZ,LUIS ANTONIO RIQUELME,ARNOLDO WAEGER,CRISTIAN ROLLÁN,ANTONIO BELLOLIO,ENRIQUE ARAYA,JUAN CARLOS VILLASECA,MIGUEL ANGEL VILLASMIL,MIGUEL PÉREZ,GONZALO COPPELLI,CATALINA |
| author_facet |
COPPELLI,LUIS DÍAZ,LUIS ANTONIO RIQUELME,ARNOLDO WAEGER,CRISTIAN ROLLÁN,ANTONIO BELLOLIO,ENRIQUE ARAYA,JUAN CARLOS VILLASECA,MIGUEL ANGEL VILLASMIL,MIGUEL PÉREZ,GONZALO COPPELLI,CATALINA |
| author_sort |
COPPELLI,LUIS |
| title |
La derivación protocolizada a endoscopía asociada a la detección de Helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipiente |
| title_short |
La derivación protocolizada a endoscopía asociada a la detección de Helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipiente |
| title_full |
La derivación protocolizada a endoscopía asociada a la detección de Helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipiente |
| title_fullStr |
La derivación protocolizada a endoscopía asociada a la detección de Helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipiente |
| title_full_unstemmed |
La derivación protocolizada a endoscopía asociada a la detección de Helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipiente |
| title_sort |
la derivación protocolizada a endoscopía asociada a la detección de helicobacter pylori mediante antígeno en deposiciones disminuye lista de espera para endoscopía y optimiza la detección de lesiones pre-malignas y cáncer gástrico incipiente |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2019 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001101382 |
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