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Related Experiment Videos

Endoscopic re-evaluation of Visick grading

H Qureshi1, M Maher, W Ahmed

  • 1PMRC Research Centre, Jinnah Postgraduate Medical Centre, Karachi.

JPMA. the Journal of the Pakistan Medical Association
|August 1, 1996
PubMed
Summary
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Visick grading accurately reflects deeper duodenal ulcer healing. However, superficial lesions may not correlate well with symptoms, necessitating re-evaluation of grading methods over time.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Duodenal ulceration management often relies on clinical assessment and endoscopic evaluation.
  • Visick grading is a system used to assess the healing of peptic ulcers.

Purpose of the Study:

  • To correlate Visick grading with serial endoscopic findings in patients operated for duodenal ulceration.
  • To evaluate the reliability of Visick grading in reflecting mucosal healing over time.

Main Methods:

  • Serial endoscopic examinations were performed in 19 patients post-operation for duodenal ulceration.
  • Visick grading was applied to assess ulcer healing during these endoscopies.

Main Results:

  • A 100% association was observed between Visick grading and deeper mucosal lesions, specifically ulceration.

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  • Superficial mucosal lesions showed disparity in grading, often being asymptomatic.
  • Symptomatic and endoscopic findings exhibited changes over time.

    • Conclusions:

    • Visick grading demonstrates strong correlation with deeper ulcer healing.
    • The grading system may be less reliable for superficial mucosal lesions due to asymptomatic presentation.
    • Re-evaluation of Visick grading in conjunction with serial endoscopic findings is recommended over time.