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What is the diagnostic utility of endoscopic scoring systems in children?

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dc.contributor.authorÇELİKEL, ÇİĞDEM
dc.contributor.authorsTutar, Engin; Kutluk, Gunsel; Bayrak, Nevzat Aykut; Celikel, Cigdem Ataizi; Pehlivanoglu, Ender; Ertem, Deniz
dc.date.accessioned2022-03-12T18:08:00Z
dc.date.available2022-03-12T18:08:00Z
dc.date.issued2013
dc.description.abstractBackground/aims: The aim of this study was to evaluate the consistency of the Savary-Miller, the Hetzel-Dent and the Los Angeles endoscopic classification systems and to compare them with the esophageal histopathology in children. Material and Methods: Children between the ages of 5-17 years who underwent esophagogastroduodenoscopy were included in the study. The endoscopic reports and the still images of the esophagus were reclassified by the same gastroenterologist according to the Savary-Miller, Hetzel-Dent and Los Angeles scoring systems. The esophageal biopsies were also reevaluated by the same pathologist and the consistency between endoscopic and histopathologic esophagitis was evaluated. Results: A total of 113 out of 192 pediatric patients were included in the study. Seventy-three patients (64.6%) had esophagitis according to the Hetzel-Dent classification, whereas only 20 (17.7%) patients were defined as having esophagitis according to the other two classification systems. The consistency between the Savary-Miller and Los Angeles classifications was excellent (kappa: 0.92) but the agreement between the Hetzel-Dent and Savary-Miller and between the Hetzel-Dent and Los Angeles classifications were poor. A total of 82 patients (72.6%) had histopathological esophagitis, and there was a weak consistency between all 3 endoscopic scoring systems and the histopathology. Conclusions: Since pediatric patients have milder esophagitis than in adults, the use of endoscopic scoring systems developed for adults seems to be inapplicable for children. The inclusion of minimal endoscopic changes in endoscopic scoring systems by using more sensitive and novel endoscopic techniques would increase the sensitivity of these scoring systems in children.
dc.identifier.doi10.4318/tjg.2013.0700
dc.identifier.eissn2148-5607
dc.identifier.issn1300-4948
dc.identifier.pubmed23794340
dc.identifier.urihttps://hdl.handle.net/11424/231089
dc.identifier.wosWOS:000319951200005
dc.language.isoeng
dc.publisherAVES
dc.relation.ispartofTURKISH JOURNAL OF GASTROENTEROLOGY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectGastroesophageal reflux
dc.subjectendoscopic esophagitis
dc.subjectendoscopic classification system
dc.subjectchildren
dc.subjectGASTROESOPHAGEAL-REFLUX DISEASE
dc.subjectLOS-ANGELES CLASSIFICATION
dc.subjectDILATED INTERCELLULAR SPACES
dc.subjectEVIDENCE-BASED CONSENSUS
dc.subjectEROSIVE ESOPHAGITIS
dc.subjectPEDIATRIC-GASTROENTEROLOGY
dc.subjectINTEROBSERVER AGREEMENT
dc.subjectEUROPEAN-SOCIETY
dc.subjectNATURAL-HISTORY
dc.subjectSYMPTOMS
dc.titleWhat is the diagnostic utility of endoscopic scoring systems in children?
dc.typearticle
dspace.entity.typePublication
local.avesis.ida564ae80-92a4-400d-a3d2-9e7b94437719
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.indexed.atTRDIZIN
local.journal.numberofpages8
oaire.citation.endPage29
oaire.citation.issue1
oaire.citation.startPage22
oaire.citation.titleTURKISH JOURNAL OF GASTROENTEROLOGY
oaire.citation.volume24
relation.isAuthorOfPublicationbc2327ed-471c-42da-86dd-cef77979cda2
relation.isAuthorOfPublication.latestForDiscoverybc2327ed-471c-42da-86dd-cef77979cda2

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