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Endoscopic Experience Improves Interobserver Agreement in the Grading of Esophagitis by Los Angeles Classification: Conventional Endoscopy and Optimal Band Image System

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Affiliated Author(s)
박경식조광범김은수
Alternative Author(s)
Park, Kyung SikCho, Kwang BumKim, Eun Soo
Journal Title
Gut and Liver
ISSN
1976-2283
Issued Date
2014
Abstract
Background/Aims: Interobserver variation by experience
was documented for the diagnosis of esophagitis using
the Los Angeles classification. The aim of this study was to
evaluate whether interobserver agreement can be improved
by higher levels of endoscopic experience in the diagnosis
of erosive esophagitis. Methods: Endoscopic images of
51 patients with gastroesophageal reflux disease (GERD)
symptoms were obtained with conventional endoscopy and
optimal band imaging (OBI). Endoscopists were divided into
an expert group (16 gastroenterologic endoscopic specialists
guaranteed by the Korean Society of Gastrointestinal
Endoscopy) and a trainee group (individuals with fellowships,
first year of specialty training in gastroenterology). All
endoscopists had no or minimal experience with OBI. GERD
was diagnosed using the Los Angeles classification with or
without OBI. Results: The mean weighted paired κ statistics
for interobserver agreement in grading erosive esophagitis
by conventional endoscopy in the expert group was better
than that in the trainee group (0.51 vs 0.42, p<0.05). The
mean weighted paired k statistics in the expert group and in
the trainee group based on conventional endoscopy with OBI
did not differ (0.42, 0.42). Conclusions: Interobserver agreement
in the expert group using conventional endoscopy was
better than that in the trainee group. Endoscopic experience
can improve the interobserver agreement in the grading of
esophagitis using the Los Angeles classification. (Gut Liver
2014;8:154-159)
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
Si Hyung Lee et al. (2014). Endoscopic Experience Improves Interobserver Agreement in the Grading
of Esophagitis by Los Angeles Classification: Conventional Endoscopy and
Optimal Band Image System. Gut and Liver, 8(2), 154–159. doi: 10.5009/gnl.2014.8.2.154
Type
Article
ISSN
1976-2283
DOI
10.5009/gnl.2014.8.2.154
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35789
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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