Card, T. R.; Gorard, D. A.; McIntyre, A. S.
April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA8
Academic Journal
Several studies have demonstrated that without endoscopic or histological suspicion of malignancy, follow up endoscopy (OGD) of gastric ulcers is unnecessary. Despite this, recent guidelines from the British Society of Gastronomy recommend universal follow up OGD for these patients. Over the past five years physicians have endoscopically and histologically followed up under half of gastric ulcers. 49 of 62 gastric carcinomas were diagnosed at the first OGD, only 2 with a fully visible ulcer were not suspected at the first OGD, and neither of these would have been detected earlier following the current guidelines. Endoscopic follow up of gastric ulcers is not always necessary and would have necessitated over 200 extra endoscopies for our patients without any clear benefit.


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