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( Nisa Netinatsunton ),( Siriboon Attasaranya ),( Bancha Ovartlarnporn ),( Sulee Sangnil ),( Sopa Boonviriya ),( Teerha Piratvisuth ) 대한소화기기능성질환·운동학회(구 대한소화관운동학회) 2011 Journal of Neurogastroenterology and Motility (JNM Vol.17 No.2
Background/Aims Symptom-based diagnosis for gastroesophageal reflux disease (GERD) has been accepted in the population with high prevalence. Carlsson-Dent questionnaire (CDQ) is a standardized symptom-based diagnosis tool for GERD. The value of this tool in the population with low prevalence is unknown. The aim of this study was to determine CDQ performance for diagnosis of GERD in Thai population with low prevalence versus endoscopy or 24 hour pH monitoring. Methods Patients with dyspepsia by Rome II criteria were recruited. All patients completed a Thai version of CDQ and underwent endoscopic examination. Those without esophagitis or peptic ulcer and positive CDQ score took pH monitoring. Results One hundred patients (68 female) with mean age ± SD of 45.6 ± 12.4 years were recruited. Six with Los Angeles grade A esophagitis had negative CDQ score. In 44 with positive CDQ score, 3 had Los Angeles grade B esophagitis and 41 had pH monitoring done with 8 having positive test. The GERD diagnosis by CDQ was confirmed in 11 of 44 patients (25%). CDQ detected 11 out of 17 GERD detected by endoscopy and pH monitoring and the sensitivity of CDQ was 64%. Conclusions CDQ diagnosed more GERD in Thai population with low prevalence compared with endoscopy and pH monitoring. This may be due to some patients with functional heartburn were picked up by CDQ and some patients with GERD were not detected by endoscopy and pH monitoring. (J Neurogastroenterol Motil 2011;17:164-168)
Parit Mekaroonkamol,Kasenee Tiankanon,Rapat Pittayanon,Wiriyaporn Ridtitid,Fariha Shams,Ghias Un Nabi Tayyab,Julia Massaad,Saurabh Chawla,Stanley Khoo,Siriboon Attasaranya,Nonthalee Pausawasdi,Qiang C 대한소화기내시경학회 2022 Clinical Endoscopy Vol.55 No.2
Background/Aims: The Thai Association for Gastrointestinal Endoscopy published recommendations on safe endoscopyduring the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to assess the practicality and applicability of therecommendations and the perceptions of endoscopy personnel on them. Methods: A validated questionnaire was sent to 1290 endoscopy personnel globally. Of these, the data of all 330 responders (25.6%)from 15 countries, related to the current recommendations on proper personal protective equipment (PPE), case selection, scopecleaning, and safety perception, were analyzed. Ordinal logistic regression was used to determine the relationships between thevariables. Results: Despite an overwhelming agreement with the recommendations on PPE (94.5%) and case selection (95.5%), theirpracticality and applicability on PPE recommendations and case selection were significantly lower (p=0.001, p=0.047, p<0.001, andp=0.032, respectively). Factors that were associated with lower sense of safety in endoscopy units were younger age (p=0.004), lessworking experience (p=0.008), in-training status (p=0.04), and higher national prevalence of COVID-19 (p=0.003). High prevalentcountries also had more difficulty implementing the guidelines (p<0.001) and they considered the PPE recommendations lesspractical and showed lower agreement with them (p<0.001 and p=0.008, respectively). A higher number of in-hospital COVID-19patients was associated with less agreement with PPE recommendations (p=0.039). Conclusions: Using appropriate PPE and case selection in endoscopic practice during a pandemic remains a challenge. Resourceavailability and local prevalence are critical factors influencing the adoption of the current guidelines.