Paterson, H.M.; McCole, D.; Auld, C.D.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA112
Academic Journal
Aim: To assess the impact of an open access endoscopy service on stage of oesophageal and gastric malignancy 1994-2001. Methods: BSG guidelines were issued to GPs at the start of the study and a further dyspepsia guideline package re-issued in 1998. Data were retrieved from a prospectively collected registry of upper Gl cancers and correlated with a prospectively compiled endoscopy database. Patients diagnosed in 1994-1997 were compared with those diagnosed in 1998-2001 with regard to presenting symptoms and stage of disease. Results: There were 140 upper Gl cancers in the period 1994-97 (median age 71) and 172 in 1998-2001 (median age 73). Site of tumour and mode of referral were similar in each time period. There was a small increase in patients with benign symptoms in the second period (12.8% vs 19.9%) associated with a similar increase in stage II disease (see Table) though these did not reach statistical significance. There was a lower rate of resection in the second period (35% vs 28%) and no difference in stage of disease in those patients undergoing resection. Conclusions: Despite a steady increase in open access endoscopy (3037 examinations in 1994-97 and 5383 in 1998-2001) we found no evidence for detection of upper Gl cancer at an earlier stage in this series.


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