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Open-access upper alimentary endoscopy.

M W Gear1, S P Wilkinson

  • 1Gloucestershire Royal Hospital.

British Journal of Hospital Medicine
|May 1, 1989
PubMed
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Open-access endoscopy services show stable positive diagnoses over 11 years. Oesophagitis incidence increased, while duodenal ulcers decreased, impacting diagnostic trends and potentially reducing inappropriate cimetidine prescriptions.

Area of Science:

  • Gastroenterology
  • Diagnostic Endoscopy

Background:

  • Open-access endoscopy services provide direct access for general practitioners.
  • Monitoring diagnostic trends is crucial for healthcare resource allocation.

Purpose of the Study:

  • To analyze diagnostic trends in an 11-year open-access endoscopy service.
  • To evaluate the impact of the service on diagnostic patterns and prescribing habits.

Main Methods:

  • Retrospective analysis of endoscopy service data over 11 years.
  • Comparison of diagnostic yields, including duodenal ulcers and oesophagitis.
  • Assessment of barium meal requests and cimetidine prescribing patterns.

Main Results:

  • Positive diagnosis rates remained constant.

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  • Significant decrease in duodenal ulcer incidence.
  • Increase in oesophagitis, becoming the most common finding.
  • Barium meal requests reduced by approximately 50%.
  • Open-access endoscopy correlated with fewer inappropriate cimetidine prescriptions.

    • Conclusions:

    • Oesophagitis is now the most frequent endoscopic diagnosis.
    • The open-access endoscopy service influences diagnostic pathways and may improve prescribing appropriateness.