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Factors Associated with Clinically Significant Extrinsic Compression on Gastroduodenal Endoscopy
Jin Young Yoon1, Jin Kyung Bae2, Su Bee Park1
1Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Republic of Korea.
Digestive Diseases and Sciences
|January 13, 2025
Summary
Clinicians can identify significant gastroduodenal extrinsic compressive lesions (GDECLs) using patient age, lesion size, prior malignancy history, and abdominal distension. These factors aid in determining the need for further GDECLs evaluation.
Area of Science:
- Gastroenterology
- Endoscopy
- Oncology
Background:
- Gastroduodenal extrinsic compressive lesions (GDECLs) are often incidentally found during upper gastrointestinal endoscopy (UGE).
- Established management guidelines for GDECLs are lacking.
- Identifying factors for clinically significant GDECLs is crucial for appropriate patient management.
Purpose of the Study:
- To identify clinical and endoscopic factors associated with clinically significant GDECLs.
- To stratify GDECLs based on their clinical significance.
Main Methods:
- Retrospective study of 73 patients with suspected GDECLs on UGE.
- Classification of GDECLs into clinically significant and non-significant groups.
- Multivariate analysis to identify independent predictors of clinically significant GDECLs.
Main Results:
- 31.5% of GDECLs were classified as clinically significant.
- Older age (≥60 years), large lesion size (≥4 cm), history of intra-abdominal malignancy, and abdominal distension were independently associated with clinically significant GDECLs.
- All identified factors were statistically significant (p < 0.05).
Conclusions:
- Clinical and endoscopic factors can predict the significance of GDECLs found on UGE.
- These predictive factors can guide decisions regarding further diagnostic work-up for GDECLs.
- Improved GDECLs management through risk stratification.
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