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Article ; Online: Willingness to undergo screening gastroscopy in a population with low-to-moderate prevalence rate of esophageal and gastric cancer.

Budzyń, Krzysztof / Pelczar, Monika / Romańczyk, Marcin / Barański, Kamil / Hartleb, Marek

2024 Volume 134, Issue 2

MeSH term(s)	Humans ; Stomach Neoplasms/diagnosis ; Stomach Neoplasms/epidemiology ; Gastroscopy ; Esophageal Neoplasms/diagnosis ; Esophageal Neoplasms/epidemiology ; Esophageal Neoplasms/prevention & control ; Prevalence ; Early Detection of Cancer
Language	English
Publishing date	2024-01-23
Publishing country	Poland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.16671
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Article ; Online: Performance of biliary stents in malignant biliary strictures.

Ostrowski, Bartosz / Marek, Tomasz / Janczewska, Aleksandra / Hajder, Norbert / Wiatrek, Artur / Nowakowska-Duława, Ewa / Hartleb, Marek

Polish archives of internal medicine

2024 Volume 134, Issue 3

Abstract: Introduction: Endoscopic stenting is a commonly applied method of treatment in patients with malignant biliary strictures. It involves the use of self‑expandable metal stents (SEMSs) or plastic stents (PSs).: Objectives: The aim of the study was to ... ...

Abstract	Introduction: Endoscopic stenting is a commonly applied method of treatment in patients with malignant biliary strictures. It involves the use of self‑expandable metal stents (SEMSs) or plastic stents (PSs). Objectives: The aim of the study was to compare the effectiveness of SEMSs and PSs in the endoscopic drainage of malignant strictures of the biliary tree and its sequels for future optimalization of this treatment method. Patients and methods: Data on 618 consecutive patients with malignant biliary stricture, in whom 1271endoscopic retrograde cholangiopancreatography procedures with biliary stenting have been performed in the years 2012-2017 with at least 3‑year follow‑up, were retrospectively derived from a hospital database. Results: The main indications for stenting were pancreatic cancer (37%) and cholangiocarcinoma (34%). The use of SEMSs resulted in a greater decline of serum bilirubin as compared with PSs (37% vs 32% of baseline concentration; P = 0.01). Consequently, hospital stay was shorter by more than 2 days (mean [SD], 9.5 [5.6] vs 11.8 [7.9] days; P <0.001). The median (interquartile range) patency time of SEMSs was more than 2 times longer than for PSs (118 [56-232] days vs 46 [18-97] days; P <0.001), and procedure‑related complications were less frequent (19.3% vs 12.9%, respectively in the SEMS and PS group; P = 0.001). SEMSs proved also to be more cost‑effective; the hospital profit was 1375 USD for a single hospitalization with SEMS insertion. Conclusions: In patients with malignant strictures of the biliary tree SEMSs outperform PSs. SEMSs should be used as a treatment of choice for biliary drainage in that group of patients.
MeSH term(s)	Humans ; Constriction, Pathologic ; Retrospective Studies ; Cholangiopancreatography, Endoscopic Retrograde/adverse effects ; Stents/adverse effects ; Cholestasis/etiology ; Bile Duct Neoplasms ; Bile Ducts, Intrahepatic ; Treatment Outcome
Language	English
Publishing date	2024-01-02
Publishing country	Poland
Document type	Journal Article
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.16653
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Article ; Online: Analysis of Point Shear Wave Elastography and Biochemical Markers for the Detection of Liver Fibrosis.

Cebula, Maciej / Gruszczyńska, Katarzyna / Hartleb, Marek / Baron, Jan

Medicina (Kaunas, Lithuania)

2021 Volume 57, Issue 1

MeSH term(s)	Adult ; Aged ; Biomarkers ; Elasticity Imaging Techniques ; Female ; Humans ; Liver/diagnostic imaging ; Liver/pathology ; Liver Cirrhosis/diagnostic imaging ; Liver Cirrhosis/pathology ; Liver Diseases ; Male ; Middle Aged ; Reproducibility of Results
Chemical Substances	Biomarkers
Language	English
Publishing date	2021-01-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2188113-3
ISSN	1648-9144 ; 1010-660X
ISSN (online)	1648-9144
ISSN	1010-660X
DOI	10.3390/medicina57010040
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Article ; Online: Performance of plastic stents used for benign and malignant biliary strictures: experience of a single high‑volume endoscopy unit.

Ostrowski, Bartosz / Marek, Tomasz / Nowakowska-Duława, Ewa / Hartleb, Marek

Polish archives of internal medicine

2021 Volume 132, Issue 1

Abstract: Introduction: Endoscopic plastic biliary stenting has been used for more than 30 years as a temporary or definitive treatment of benign and malignant neoplasms. These stents are commonly available, inexpensive, and easy to implant.: Objectives: We ... ...

Abstract	Introduction: Endoscopic plastic biliary stenting has been used for more than 30 years as a temporary or definitive treatment of benign and malignant neoplasms. These stents are commonly available, inexpensive, and easy to implant. Objectives: We aimed to evaluate the duration of plastic stent patency, to assess complications associated with stent use, and to determine the optimal timing of stent replacement depending on the indication for biliary stenting. Patients and methods: This was a retrospective cohort study with a 5‑year follow‑up including patients who underwent plastic biliary stent implantation between 2012 and 2013 in a tertiary referral gastroenterological center. The performance of stents was assessed on the basis of medical records, direct contact with patients or their family members, and information derived from the national death registry. Results: We assessed 830 biliary stenting procedures performed in 346 patients. The indications for biliary stenting included choledocholithiasis in 120 patients (34.7%), benign stricture in 70 patients (20.2%), and malignant stricture in 156 patients (45.1%). The mean duration of stent patency for these conditions was 110, 106, and 55 days, respectively (P <0.001). Stents implanted for malignant perihilar strictures had a shorter duration of patency than those used for distal strictures (40 days vs 76 days, P = 0.002). Conclusions: The patency of plastic stents depends on the underlying disease. In patients with benign biliary disease, stent replacement is recommended after about 3.5 months. In patients with cancer, the timing of stent replacement should be guided by survival prognosis and location of stricture.
MeSH term(s)	Constriction, Pathologic ; Endoscopy/adverse effects ; Humans ; Plastics ; Retrospective Studies ; Stents/adverse effects ; Treatment Outcome
Chemical Substances	Plastics
Language	English
Publishing date	2021-10-08
Publishing country	Poland
Document type	Journal Article
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.16109
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Article ; Online: The relation of esophagogastroduodenoscopy time and novel upper gastrointestinal quality measures.

Romańczyk, Marcin / Romańczyk, Tomasz / Lesińska, Magdalena / Barański, Kamil / Hartleb, Marek / Waluga, Marek

European journal of gastroenterology & hepatology

2022 Volume 34, Issue 7, Page(s) 763–768

Abstract: Objectives: Various measures of esophagogastroduodenoscopy (EGD) quality have been proposed so far and the examination time was one of the first. The aim of the study was to compare the procedure time with novel novel quality measures - composite ... ...

Abstract	Objectives: Various measures of esophagogastroduodenoscopy (EGD) quality have been proposed so far and the examination time was one of the first. The aim of the study was to compare the procedure time with novel novel quality measures - composite detection rate (CDR) and endoscopist biopsy rate (EBR). Methods: It was prospective observational study. A total of 880 diagnostic EGDs conducted from 01.2019 to 07.2019 have been enrolled in the study. Results: Median EGD time was 4.2 min. Procedures of longer duration were marked with higher CDR (26.3% vs. 11.8%; P < 0.0001), higher EBR (44.9% vs. 12.3%; P < 0.0001), and better upper gastrointestinal neoplasm (UGN) detection (1.8% vs. 0%; P = 0.004) in comparison with procedures of shorter duration. The procedures were divided into 4 groups based on the time quartiles (group 1 <3.3 min; group 2 3.3-4.2 min; group 3 4.2-5.3 min; group 4 >5.3 min). The odds ratios of groups 2, 3, and 4 for biopsy rate were 2.42 (95% CI, 1.33-4.55), 4.33 (95% CI, 2.46-7.94), and 5.51 (95% CI, 3.18-10.03), respectively, in comparison with group 1. The odds ratios of groups 2, 3, and 4 for CDR were 3.18 (95% CI, 2.03-4.97), 5.46 (95% CI, 3.51-8.50), and 23.44 (95% CI, 14.3-38.4), respectively, in comparison with group 1. Conclusions: The procedure time is related to novel metrics - CDR and EBR. It is also related to UGN. Based on our findings it could be concluded that EGD should not last less than 4.2 min.
MeSH term(s)	Biopsy ; Endoscopy, Digestive System/methods ; Humans ; Prospective Studies ; Quality Indicators, Health Care ; Upper Gastrointestinal Tract
Language	English
Publishing date	2022-04-29
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	1034239-4
ISSN	1473-5687 ; 0954-691X
ISSN (online)	1473-5687
ISSN	0954-691X
DOI	10.1097/MEG.0000000000002385
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Article ; Online: Heterotopic Gastric Mucosa in the Proximal Esophagus: Prospective Study and Systematic Review on Relationships with Endoscopic Findings and Clinical Data.

Romańczyk, Marcin / Budzyń, Krzysztof / Romańczyk, Tomasz / Lesińska, Magdalena / Koziej, Mateusz / Hartleb, Marek / Waluga, Marek

Dysphagia

2022 Volume 38, Issue 2, Page(s) 629–640

Abstract: Cervical inlet patches (CIP) are common endoscopic findings with uncertain pathogenesis and clinical significance. We aimed to perform a systematic review and prospective study of clinical data and endoscopic findings related to CIP. It was a prospective ...

Abstract	Cervical inlet patches (CIP) are common endoscopic findings with uncertain pathogenesis and clinical significance. We aimed to perform a systematic review and prospective study of clinical data and endoscopic findings related to CIP. It was a prospective single-center study conducted between 10/01/2017 and 9/01/2018. Forty patients with histopathologically confirmed CIP were compared with 222 individuals in the reference group. The systematic review was executed in accordance with the PRISMA guideline. Alcohol consumption tended to be higher among patients with CIP (3.0 ± 4.6 vs. 1.9 ± 5.0 standard drinks/week CIP patients and reference group, respectively; p < 0.001). Dysphagia was more frequent among patients with CIP (25% vs. 1.4%, CIP patients and reference group, respectively; p < 0.001), and sore throat and hoarseness were less frequent in patients with CIP (17.5% vs. 26.6% CIP patients and reference group, respectively; p < 0.01). In the multivariate regression analysis, the only risk factor of CIP occurrence was dysphagia (OR 21.9, 95%CI 4.9-98.6; p < 0.001). Sore throat and hoarseness were a reverse-risk factor of CIP diagnosis (OR 0.3, 95%CI 0.1-0.93; p = 0.04). Clinical data and coexisting endoscopic findings were not related to CIP. In the presented study, dysphagia was related to CIP occurrence, and sore throat and hoarseness tended to be less frequent among patients with CIP.
MeSH term(s)	Humans ; Prospective Studies ; Esophageal Diseases/epidemiology ; Deglutition Disorders/complications ; Hoarseness/complications ; Hoarseness/pathology ; Gastric Mucosa/pathology ; Pharyngitis/complications ; Pharyngitis/pathology
Language	English
Publishing date	2022-07-09
Publishing country	United States
Document type	Systematic Review ; Journal Article
ZDB-ID	632764-3
ISSN	1432-0460 ; 0179-051X
ISSN (online)	1432-0460
ISSN	0179-051X
DOI	10.1007/s00455-022-10492-8
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Article ; Online: Potential benefits of one‑time gastroscopy in search for precancerous conditions.

Romańczyk, Marcin / Ostrowski, Bartosz / Barański, Kamil / Romańczyk, Tomasz / Błaszczyńska, Małgorzata / Budzyń, Krzysztof / Didkowska, Joanna / Wojciechowska, Urszula / Hartleb, Marek

Polish archives of internal medicine

2023 Volume 133, Issue 5

Abstract: Introduction: Precancerous conditions for esophageal (EA) and gastric adenocarcinoma (GA) are Barrett's esophagus (BE) and atrophic gastritis (AG), respectively. Their surveillance is crucial for the detection of early lesions.: Objectives: The study ...

Abstract	Introduction: Precancerous conditions for esophageal (EA) and gastric adenocarcinoma (GA) are Barrett's esophagus (BE) and atrophic gastritis (AG), respectively. Their surveillance is crucial for the detection of early lesions. Objectives: The study aimed to assess whether one‑timeesophagogastroduodenoscopy (EGD) in search for precancerous conditions would be effective in the population with low‑to‑moderate esophageal and gastric cancer risk. Patients and methods: A total of 5984 individuals who underwent diagnostic EGD in 3 endoscopic centers, from March 2018 to October 2019, were analyzed to assess the age of occurrence of precancerous conditions and cancers. Age distribution of the patients with malignant gastric and esophageal tumors registered in the national cancer registry from 2014 to 2017 was analyzed. Results: In comparison with individuals below 40 years old, the risk of EA and GA diagnosis increased at the age of 60 to 64 years (odds ratio [OR], 12.1; 95% CI, 1.5-98.6), gastric and esophageal dysplasia at the age of 55 to 59 years (OR, 3.6; 95% CI, 1.3-9.7), and BE and AG at the age of 40 to 44 years (OR, 1.6; 95% CI, 1.04-2.4). The number of procedures per 1 cancer that could be potentially avoided was 236, 235, 290, 360, 394, and 344 for the age groups of 40-44 years, 45-49 years, 50-54 years, 55-59 years, 60-64 years, and 65-69 years, respectively. The assessed potential benefit‑to‑harm ratio was 47, 38, 31, 28, and 32 for the age groups of 40-49 years, 50-54 years, 55-59 years, 60-64 years, and 65-69 years, respectively. Conclusions: One‑time EGD in search for precancerous conditions could be potentially applicable in individuals between 40 and 69 years of age.
MeSH term(s)	Humans ; Middle Aged ; Adult ; Esophageal Neoplasms/diagnosis ; Esophageal Neoplasms/epidemiology ; Esophageal Neoplasms/pathology ; Gastroscopy ; Stomach Neoplasms/diagnosis ; Barrett Esophagus ; Precancerous Conditions ; Adenocarcinoma/diagnosis
Language	English
Publishing date	2023-01-05
Publishing country	Poland
Document type	Journal Article
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.16401
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Article ; Online: Influence of narrow-band imaging (NBI) and enhanced operator's attention during esophagus inspection on cervical inlet patches detection.

Romańczyk, Marcin / Romańczyk, Tomasz / Lesińska, Magdalena / Romańczyk, Agnieszka / Hartleb, Marek / Waluga, Marek

Advances in medical sciences

2021 Volume 66, Issue 1, Page(s) 170–175

Abstract: Purpose: Heterotopic gastric mucosa in the upper esophagus (cervical inlet patches - CIP) may be easily missed during esophagogastroduodenoscopy (EGD) due to low awareness of this usually, but not invariably, benign lesion. Narrow-band imaging (NBI) ... ...

Abstract	Purpose: Heterotopic gastric mucosa in the upper esophagus (cervical inlet patches - CIP) may be easily missed during esophagogastroduodenoscopy (EGD) due to low awareness of this usually, but not invariably, benign lesion. Narrow-band imaging (NBI) emphasizes contrast between normal esophageal mucosa and CIP. The purpose of this study was to investigate how NBI use and enhanced attention of operator during inspection of upper esophagus impacts cervical inlet patch detection rate (CIPDR). Materials and methods: This is a prospective, randomized study in which we enrolled 1000 patients, qualified for diagnostic EGD. The trial was divided into two parts; the first, when 6 operators performed EGD with standard attention (SA), and the second, when the same operators were asked to step up with attention at CIP (enhanced attention - EA). In both parts of the study, patients were randomized to NBI and white light endoscopy (WLE) in 1:1 ratio. The study is registered in ClinicalTrials.gov (No. NCT03015571). Results: Differences in CIPDR between WLE and NBI in SA and EA were not statistically different (5.6% vs 7.6%; p = 0.3, and 7.6% vs 11.6%; p = 0.1, respectively). In multivariate regression analysis, the only factors improving CIPDR were NBI with EA (NBI Conclusions: The use of NBI combined with EA significantly improves CIPDR.
MeSH term(s)	Case-Control Studies ; Endoscopy, Digestive System/methods ; Esophagus/pathology ; Female ; Follow-Up Studies ; Humans ; Image Enhancement/methods ; Image Processing, Computer-Assisted ; Male ; Middle Aged ; Narrow Band Imaging/methods ; Observer Variation ; Prognosis ; Prospective Studies ; Retrospective Studies
Language	English
Publishing date	2021-02-25
Publishing country	Netherlands
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2273668-2
ISSN	1898-4002 ; 1896-1126
ISSN (online)	1898-4002
ISSN	1896-1126
DOI	10.1016/j.advms.2021.02.002
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Article: Detection of hepatocellular carcinoma by tissue resonance interaction method (TRIM).

Boryczka, Grzegorz / Hartleb, Marek / Janik, Małgorzata

Przeglad gastroenterologiczny

2018 Volume 13, Issue 1, Page(s) 40–46

Abstract: Introduction: Diagnosis of hepatocellular carcinoma (HCC) is considerably delayed, being frequently done in the non-curative stage of disease. The reason for delayed diagnosis is indolent course in early stages and/or unspecific symptoms ... ...

Abstract	Introduction: Diagnosis of hepatocellular carcinoma (HCC) is considerably delayed, being frequently done in the non-curative stage of disease. The reason for delayed diagnosis is indolent course in early stages and/or unspecific symptoms indistinguishable from underlying cirrhosis. Hitherto methods used for screening of HCC have important limitations. TRIMprob is a non-invasive method, which showed utility in detection of cancers located in prostate, breast, or urinary bladder. Aim: To determine the diagnostic accuracy of TRIMprob in detecting HCC in cirrhotic liver. Material and methods: Forty-five patients were prospectively enrolled according to final clinical diagnosis into a group of cirrhosis and HCC or a group of cirrhosis without HCC. A control group consisted of 33 healthy subjects. Hepatocellular carcinoma was diagnosed by computed tomography (CT) or magnetic resonance (MR) and guided biopsy. The TRIMprob examination was performed in each patient. Three wave frequencies were used: 465, 930, and 1395 MHz. Results: In patients with HCC the intensity of return signal using wave a frequency of 465 MHz was significantly reduced in patients with HCC in comparison to healthy subjects ( Conclusions: TRIMprob identifies HCC with good sensitivity; however, the accuracy of this method to identify HCC in screening circumstances may be hindered by attenuation of the resonance interaction signal by cirrhosis itself.
Language	English
Publishing date	2018-03-26
Publishing country	Poland
Document type	Journal Article
ZDB-ID	2596134-2
ISSN	1897-4317 ; 1895-5770
ISSN (online)	1897-4317
ISSN	1895-5770
DOI	10.5114/pg.2018.74561
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Article ; Online: The prospective validation of a scoring system to assess mucosal cleanliness during upper endoscopy (EGD).

Romańczyk, Marcin / Ostrowski, Bartosz / Lesińska, Magdalena / Wieszczy-Szczepanik, Paulina / Pawlak, Katarzyna Monika / Kurek, Krzysztof / Wrońska, Ewa / Kozlowska-Petriczko, Katarzyna / Waluga, Marek / Romańczyk, Tomasz / Wosiewicz, Piotr / Bugajski, Marek / Hartleb, Marek / Kamiński, Michał Filip / Sharma, Prateek

Gastrointestinal endoscopy

2024

Abstract: Background and aims: Cleanliness of the mucosa of the upper gastrointestinal (UGI) tract is critical for performing a high-quality esophagogastroduodenoscopy (EGD). The aim of this study was to validate a recently developed UGI cleanliness scale (the ... ...

Abstract	Background and aims: Cleanliness of the mucosa of the upper gastrointestinal (UGI) tract is critical for performing a high-quality esophagogastroduodenoscopy (EGD). The aim of this study was to validate a recently developed UGI cleanliness scale (the PEACE system) in the detection of clinically significant lesions (CSL) in the UGI tract. Methods: Patients who underwent a complete diagnostic EGD were prospectively enrolled between August 2021 to October 2022. The UGI tract (esophagus, stomach, and duodenum) cleanliness was scored 0-3 for each segment. The primary outcomes were the detection of CSL and PEACE scores. Results: Of 995 patients enrolled from 5 centers in the study adequate cleanliness (AQ; all scores of >2) was found in 929 patients. In multivariate regression analysis, AQ was associated with the number of diagnosed CSLs (OR 1.78 95% CI 1.06-3.01, p=0.03). Other factors related with CSL detection were: duration of EGD (OR 1.29 95% CI 1.23-1.35, p<0.001), male gender (OR 1.33 95% CI 1.04-1.71, p=0.025), and EGD indication (dyspepsia, alarm symptoms, gastritis surveillance, other indications vs GERD) (OR 0.43 95% CI 0.31-0.6, p<0.001; OR 0.44 95% CI 0.28-0.67, p<0.001; OR 0.44 95% CI 0.25-0.76, p=0.004 and OR 0.44 95% CI 0.31-0.62, p<0.001 respectively). 27 patients were diagnosed with UGI neoplasia - all in patients with adequate cleanliness of the UGI tract. Conclusions: Adequate cleanliness of the UGI tract as assessed with the PEACE system was associated with a significantly higher detection rate of CSLs during EGD. The relationship of this scale with UGI neoplasia detection warrants further investigation.
Language	English
Publishing date	2024-01-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	391583-9
ISSN	1097-6779 ; 0016-5107
ISSN (online)	1097-6779
ISSN	0016-5107
DOI	10.1016/j.gie.2024.01.012
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