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[Open access upper endoscopy. Can the practice be improved?]

P Qvist1, C D Jacobsen

  • 1Medisinsk avdeling, Sentralsykehuset i Akershus, Nordbyhagen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 20, 1993
PubMed
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Open access endoscopy provides valuable insights for upper gastrointestinal examinations. Optimizing patient selection and timely diagnosis are crucial for effective medical treatment and system efficiency.

Area of Science:

  • Gastroenterology
  • Medical Diagnostics

Background:

  • Open access endoscopy is utilized for upper gastrointestinal examinations.
  • Evaluating the diagnostic value and practicality of this system is essential.

Purpose of the Study:

  • To determine the clinical utility of upper GI endoscopy in patient treatment.
  • To assess the feasibility and efficiency of the open access endoscopy system.

Main Methods:

  • Study involved 150 patients referred for upper gastrointestinal examination.
  • Analysis focused on diagnostic value and system practicality.

Main Results:

  • Timely diagnosis is necessary to avoid medication masking effects (H-2 blockers, omeprazole).
  • Improved case selection through attention to anamnestic risk factors is recommended.

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  • X-ray examination can be a reliable alternative in many cases, reducing endoscopy unit burden.
  • Conclusions:

    • Open access endoscopy can be valuable for patient treatment when properly managed.
    • Enhancing patient selection and considering alternative diagnostic methods like X-ray can improve efficiency and service.
    • The system's practicality is linked to timely diagnosis and appropriate case selection.