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Upper gastrointestinal endoscopy--a view from general practice.

R Jones

    The Journal of the Royal College of General Practitioners
    |January 1, 1986
    PubMed
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    An open-access upper gastrointestinal endoscopy service for general practitioners showed a steady demand and pick-up rate for major lesions. Oesophagitis was common, suggesting potential for selective endoscopy access given resource constraints.

    Area of Science:

    • Gastroenterology
    • Medical Services Research

    Background:

    • General practitioner (GP) access to upper gastrointestinal endoscopy services can improve diagnostic capabilities.
    • Evaluating the impact of open-access endoscopy on referral patterns and lesion detection is crucial for resource allocation.

    Purpose of the Study:

    • To describe an open-access upper gastrointestinal endoscopy service for GPs.
    • To assess the demand, lesion detection rates, and impact on barium meal requests.
    • To evaluate the prevalence of specific upper gastrointestinal conditions.

    Main Methods:

    • Retrospective analysis of 391 upper gastrointestinal endoscopies performed between July 1981 and May 1985.
    • Data collection on patient demographics, indications, findings, and referral patterns.
    • Comparison of endoscopy findings with barium meal requests.

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    Main Results:

    • A steady demand for endoscopy and a consistent pick-up rate for major lesions (33% of patients) were observed.
    • Requests for barium meals decreased by nearly 25%.
    • Oesophagitis was the most frequent finding (28% of positive endoscopies), particularly in barium-negative dyspepsia (18%).

    Conclusions:

    • Open-access endoscopy services are effective in managing upper gastrointestinal conditions and reducing reliance on barium meals.
    • The consistent detection of significant lesions supports the utility of this service.
    • Future resource allocation may benefit from selective access criteria for upper gastrointestinal endoscopy.