Year 2018 / Volume 110 / Number 3
Original
Inter and intra-observer concordance for the diagnosis of portal hypertension gastropathy

166-171

DOI: 10.17235/reed.2018.5169/2017

Meritxell Casas, Mercedes Vergara, Enric Brullet, Félix Junquera, Eva Martínez-Bauer, Mireia Miquel, Jordi Sánchez-Delgado, Blai Dalmau, Rafael Campo, Xavier Calvet,

Abstract
Introduction: At present there is no fully accepted endoscopic classification for the assessment of the severity of portal hypertensive gastropathy (PHG). Few studies have evaluated inter and intra-observer concordance or the degree of concordance between different endoscopic classifications. Objectives: To evaluate inter and intra-observer agreement for the presence of portal hypertensive gastropathy and enteropathy using different endoscopic classifications. Methods: Patients with liver cirrhosis were included into the study. Enteroscopy was performed under sedation. The location of lesions and their severity was recorded. Images were videotaped and subsequently evaluated independently by three different endoscopists, one of whom was the initial endoscopist. The agreement between observations was assessed using the kappa index. Results: Seventy-four patients (mean age 63.2 years, 53 males and 21 females) were included. The agreement between the three endoscopists regarding the presence or absence of PHG using the Tanoue and McCormack classifications was very low (kappa scores = 0.16 and 0.27, respectively). Conclusions: The current classifications of portal hypertensive gastropathy have a very low degree of intra and inter-observer agreement for the diagnosis and assessment of gastropathy severity.
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Casas M, Vergara M, Brullet E, Junquera F, Martínez-Bauer E, Miquel M, et all. Inter and intra-observer concordance for the diagnosis of portal hypertension gastropathy. 5169/2017


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Publication history

Received: 12/07/2017

Accepted: 17/11/2017

Online First: 11/01/2018

Published: 28/02/2018

Article revision time: 120 days

Article Online First time: 183 days

Article editing time: 231 days


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