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Updated: Aug 13, 2026
05:16
Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
Published on: February 19, 2022
General practitioner access to gastroscopy: is 'censorship' valuable?
F H Mourad1, T M Taylor, P D Fairclough
1Digestive Diseases Research Centre, St Bartholomew's, London.
Summary
A gastroenterologist
Area of Science:
- Gastroenterology
- Health Services Research
Background:
- Open access endoscopy allows direct referral for procedures.
- One-stop clinics aim to streamline patient care pathways.
Purpose of the Study:
- To audit the impact of a pre-endoscopy gastroenterologist interview in a one-stop clinic.
- To assess the effect on workload and diagnostic yield.
Main Methods:
- Audit of clinical activities within a one-stop clinic.
- Analysis of patient referrals, interviews, and endoscopy outcomes.
Main Results:
- A pre-procedure gastroenterologist interview did not reduce clinician workload.
- The rate of normal endoscopic examinations remained unchanged.
- The intervention did not improve efficiency of open access endoscopy.
Conclusions:
- Implementing a gastroenterologist interview before endoscopy in a one-stop clinic does not appear to optimize resource utilization.
- The findings suggest that direct access endoscopy models may be more efficient without this intermediary step.
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