Clinical Research
Application of tissue paper in gastroscopic examination
Yan Zhang, Xiaoyan Lv, Qing Yan, Haiyan Dong, Guodong Li, Qiuping Pang, Xiubin Zhang, Yan Lu, Yuping Zhang, Shanbin Wu, Shuai Wu, Hongbo Ren, Xinyong Jia
Published 2019-01-01
Cite as Chin J Clinicians(Electronic Edition), 2019, 13(1): 45-49. DOI: 10.3877/cma.j.issn.1674-0785.2019.01.010
Abstract
ObjectiveTo study the effect of normal tissue paper as a preoperative preparation on gastric mucosal visibility, operation time, and micro-lesion detection during gastroscopic examination.
MethodsPatients who underwent gastroscopy at Shandong Provincial Qianfoshan Hospital between January 2018 and March 2018 were enrolled in this prospective, randomized controlled trial, and they were divided randomly into either an experimental group (given tissue paper) or a control group (no tissue paper given). Gastric mucosal visibility, operation time, micro-lesion detection, and pathological biopsy were compared between the two groups.
ResultsAmong the 656 patients included, 351 were divided into the experimental group, and 305 were divided into the control group. The scores of gastric mucosal visibility in the fundus, body, and antrum as well as the total score in the experimental group were significantly lower than that in the control group [(1.58±0.72) vs (2.53±0.83), t=0.057, P<0.001; (1.57±0.74) vs (2.50±0.85), t=0.083, P<0.001; (1.54±0.74) vs (2.51±0.83), t=0.082, P<0.001; (4.69±2.07) vs (7.54±2.43), t=0.017, P<0.001]. Operation time was significantly shorter in the experimental group than in the control group [(6.21±0.37) min vs (6.78±0.65) min, t=-8.78, P<0.001]. There were 198 and 92 micro-lesions that were detected in the experimental group and control group, respectively, and the number of micro-lesions in the experimental group was higher compared with the control group (χ2=9.361, P=0.009). For biopsy pathology, the number of gastric lesions in the experimental group was significantly higher than that in the control group (166 vs 78, χ2=5.112, P=0.029). The number for esophageal and duodenal lesions between the two groups had no significant difference (P>0.05).
ConclusionUse of normal tissue paper could enhance mucosal visibility, shorten the time of examination, be conducive to the detection of micro-lesions, and improve the accuracy of gastroscopy effectively. The normal tissue paper is a kind of simple and economical method for preoperative preparation.
Key words:
Gastroscopy; Preoperative preparation; Mucosal visibility; Tissue paper
Contributor Information
Yan Zhang
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Xiaoyan Lv
Department of Gastroenterology, People's Hospital of Zouping County Shandong Province, Zouping 256200, China
Qing Yan
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Haiyan Dong
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Guodong Li
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Qiuping Pang
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Xiubin Zhang
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Yan Lu
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Yuping Zhang
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Shanbin Wu
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Shuai Wu
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Hongbo Ren
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
Xinyong Jia
Department of Endoscopy, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan 250014, China
