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Diagnostic tests of gastric disorders
P Duroux1, P Bauerfeind, A L Blum
1Département de Médecine Interne, Universitaire Vaudois (CHUV), Lausanne, Suisse.
Annales De Medecine Interne
|January 1, 1988
Summary
Fiberendoscopy is the superior diagnostic procedure for gastric diseases, offering better mucosal evaluation and therapeutic options than radiology. While radiology has specific uses, endoscopy provides more comprehensive gastric health assessments.
Area of Science:
- Gastroenterology
- Medical Diagnostics
Background:
- Fiberendoscopy is the current standard for diagnosing gastric diseases.
- Radiology offers complementary information for specific gastric conditions.
Purpose of the Study:
- To compare the diagnostic efficacy of fiberendoscopy and radiology for gastric diseases.
- To evaluate the utility of other diagnostic methods like gastric pH-metry.
Main Methods:
- Comparative analysis of fiberendoscopy and radiology in gastric disease diagnosis.
- Review of diagnostic capabilities including biopsy, therapeutic interventions, and cost-effectiveness.
- Assessment of 24-hour ambulatory gastric pH-metry for gastric secretion determination.
Main Results:
- Fiberendoscopy excels in evaluating mucosal lesions, enabling biopsies and therapeutic interventions, with comparable costs to radiology.
- Radiology remains valuable for assessing gastric motility, hernias, extrinsic lesions, and post-surgical issues.
- 24-hour ambulatory gastric pH-metry is more effective than gastric aspiration for determining gastric secretion.
Conclusions:
- Fiberendoscopy is the preferred method for diagnosing most gastric mucosal diseases.
- Radiology plays a supporting role in specific gastric evaluations.
- Gastric pH-metry is superior for assessing gastric secretion compared to aspiration tests.