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Single session panendoscopy. Indications and expectations for yield
S W Unger1, J R Saranto, R J Furlong
1Department of Surgery, Mount Sinai Medical Center of Greater Miami, Miami Beach, Florida.
The American Surgeon
|March 1, 1990
Summary
Single session panendoscopy (SSPE) safely evaluates gastrointestinal issues. For occult blood loss, colonoscopy is recommended first, with esophagogastroduodenoscopy (EGD) used if colonoscopy is normal.
Area of Science:
- Gastroenterology
- Diagnostic Endoscopy
Background:
- Single session panendoscopy (SSPE) combines colonoscopy and esophagogastroduodenoscopy (EGD).
- Assessing indications and diagnostic yield is crucial for optimizing endoscopic procedures.
Purpose of the Study:
- To evaluate the indications and diagnostic yield of single session panendoscopy (SSPE).
- To determine the effectiveness of combined colonoscopy and EGD in a single session.
Main Methods:
- Retrospective review of 101 patients undergoing SSPE over 45 months.
- Analysis of patient demographics, indications for procedures, and endoscopic findings.
Main Results:
- Common indications included positive occult blood tests, anemia, and altered bowel habits.
- Colonoscopy revealed diverticulosis, polyps, and hemorrhoids; EGD showed esophagitis, hiatal hernia, and gastritis.
- Nine cancers were detected via colonoscopy, primarily right-sided. SSPE identified significant unsuspected lesions.
Conclusions:
- SSPE is a safe and specific diagnostic approach.
- For occult blood loss, initiating with colonoscopy is advised, followed by EGD if findings are negative.
- EGD can reveal treatable, unexpected pathologies even when colonoscopy is suggestive of the cause.