Prospective validation of a cleanliness scoring system for the upper digestive tract – the visual study

M. Romańczyk; B. Ostrowski; M. Lesińska; P. Wieszczy-Szczepanik; K. M. Pawlak; K. Kurek; E. Wrońska; K. Kozłowska-Petriczko; M. Waluga; T. Romańczyk; P. Wosiewicz; M. Bugajski; M. Hartleb; M. F. Kamiński; P. Sharma

doi:10.1055/s-0043-1765268

Endoscopy, Table of Contents

Endoscopy 2023; 55(S 02): S111-S112
DOI: 10.1055/s-0043-1765268

Abstracts | ESGE Days 2023

Oral presentation

Focusing on quality in upper GI endoscopy 22/04/2023, 13:00 – 14:00 Liffey Meeting Room 3

Prospective validation of a cleanliness scoring system for the upper digestive tract – the visual study

Authors

M. Romańczyk

¹Medical University of Silesia, Katowice, Poland

²H-T. Medical Center-ENDOTERAPIA, Tychy, Poland
B. Ostrowski

¹Medical University of Silesia, Katowice, Poland
M. Lesińska

²H-T. Medical Center-ENDOTERAPIA, Tychy, Poland

³Higher Technical School in Katowice, Katowice, Poland
P. Wieszczy-Szczepanik

⁴Maria Skłodowska-Curie Institute of Oncology, Warszawa, Poland
K. M. Pawlak

⁵Hospital of Ministry of Interior, Szczecin, Poland

⁶Medical Center Sonomed, Szczecin, Poland
K. Kurek

⁷Medical University of Białystok, Białystok, Poland
E. Wrońska

⁴Maria Skłodowska-Curie Institute of Oncology, Warszawa, Poland
K. Kozłowska-Petriczko

⁸Centrum Medyczne Sonomed, Szczecin, Poland

⁶Medical Center Sonomed, Szczecin, Poland
M. Waluga

¹Medical University of Silesia, Katowice, Poland

²H-T. Medical Center-ENDOTERAPIA, Tychy, Poland
T. Romańczyk

²H-T. Medical Center-ENDOTERAPIA, Tychy, Poland

³Higher Technical School in Katowice, Katowice, Poland
P. Wosiewicz

¹Medical University of Silesia, Katowice, Poland
M. Bugajski

⁴Maria Skłodowska-Curie Institute of Oncology, Warszawa, Poland
M. Hartleb

¹Medical University of Silesia, Katowice, Poland
M. F. Kamiński

⁴Maria Skłodowska-Curie Institute of Oncology, Warszawa, Poland

⁹University of Oslo, Oslo, Norway
P. Sharma

¹⁰The University Of Kansas Medical Center, Kansas City, United States of America

Abstract

Full Text

Aims No widely accepted cleanliness score has been validated for esophagogastroduodenoscopy (EGD) so far. The aim of our study was to assess the relationship between the presence of UGI lesions and a recently created polprep upper-gastrointestinal cleanliness scale (PUCS)¹.

Methods A prospective study was conducted at 5 centers. Patients who underwent a complete diagnostic EGD were included. The degree of UGI tract cleanliness was assessed using the PUCS, each segment (esophagus, stomach and duodenum) was scored 0–3 (0=inadequate, 1=poor, 2=good, 3=excellent) [1].

Results Of 995 patients enrolled in the study, 2985 segments were evaluated: score 3 – 2154, score 2 – 757 and score 1 – 74 segments respectively. The overall clinically significant condition detection rate (CSCDR) was 21.9% – 21.6%, 23.8% and 13.5% CSCDR rates for scores 3, 2 and 1 respectively (p=0.043 for score 1 versus 2; p=0.22 for score 2 versus 3). Similarly, gastric lesion detection rate was 25.8%, 23.6% and 10.7% for scores 3, 2 and 1 respectively (p=0.027 for score 1 versus 2; p=0.45 for score 2 versus 3). Finally, of 27 cases of UGI neoplasia diagnosed in the study, 17 were in areas scored as 3, 10 in those with a score of 2 but none in areas scored as 1.

Conclusions Significantly higher number of UGI clinically significant conditions and gastric lesions were detected in areas of good cleanliness as assessed by PUCS (score 2). There were no significant differences between good and excellent PUCS (scores 2 and 3). The comparison of UGI neoplastic lesion detection warrants further investigation.

References

1 Romańczyk M, Ostrowski B, Kozłowska-Petriczko K. et al. Scoring system assessing mucosal visibility of upper gastrointestinal tract: The POLPREP scale. J Gastroenterol Hepatol 2022; 37: 164-168