title: Right adrenal gland prospective evaluation through transgastric endoscopic ultrasound: an alternative approach.
abstract: Background and aims:Endoscopic ultrasound (EUS) guided right adrenal gland (RAG) evaluation is frequently unsuccessful and, when feasible, requires a cumbersome maneuver through the duodenum. In our experience, the use of a recent ultrasound platform has enabled transgastric detection of the RAG with a simple maneuver. The aim of this study was to determine the RAG transgastric EUS detection rate and identify predictive factors for failure.Methods:Consecutive patients referred to EUS in a single center were prospectively included over a 6-month period. Success was defined as RAG transgastric EUS detection within 180 seconds. Logistic regression analysis was used to assess factors associated with failure.Results:Among 100 patients, the success rate for RAG transgastric EUS detection was 75 %, with a median maneuver duration of 45 seconds [interquartile range, 25 - 70 seconds]. Two incidental RAG lesions were detected. Of possible demographic and anthropometric predictive factors for failure, only age (OR 1.04;P= 0.04) was statistically significant on multivariate analysis.Conclusions:The transgastric EUS approach for RAG detection is simple, fast and effective.
authors.affiliation: Gastroenterology Department, Hospital da Luz, Lisbon, Portugal.
authors.forename: Pedro C
authors.initials: PC
authors.lastname: Figueiredo
authors.affiliation: Gastroenterology Department, Hospital da Luz, Lisbon, Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Pinto-Marques
authors.affiliation: Gastroenterology Department, Hospital da Luz, Lisbon, Portugal.
authors.forename: Ines
authors.initials: I
authors.lastname: Almeida
authors.affiliation: Anesthesiology Department, Hospital da Luz, Lisbon, Portugal.
authors.forename: Pedro C
authors.initials: PC
authors.lastname: Gomes
authors.affiliation: Gastroenterology Department, Hospital da Luz, Lisbon, Portugal.
authors.forename: David
authors.initials: D
authors.lastname: Serra