TITLE

ENDOSCOPY POLICY AND RISK OF MISSING UPPER GASTROINTESTINAL (GI) MALIGNANCY IN PATIENTS AGED OVER 55 YEARS--DATA FROM THE SCOTTISH AUDIT OF GASTRIC AND OESOPHAGEAL CANCER (SAGOC)

AUTHOR(S)
Shail, E.; Park, K. G. M.; Rapson, T.; Phull, P. S.
PUB. DATE
April 2004
SOURCE
Gut;Apr2004 Supplement 3, Vol. 53, pA11
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The British Society of Gastroenterology dyspepsia guidelines suggest that patients with new onset of uncomplicated dyspepsia over the age of 55 years should undergo an urgent endoscopy to exclude upper gastrointestinal (GI) malignancy. However, these guidelines are at variance with those produced by the Scottish Intercollegiate Guidelines Network, which advise an Helicobacter pylori test and treat strategy as initial management. A small proportion of the patients with upper GI malignancy greater than 55 years age may have their diagnosis delayed in urgent endoscopy was restricted to patients with alarm symptoms only. however, only a minority of these patients have potentially curable disease.
ACCESSION #
13218854

 

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