Analyses suggest refining gastroscopy criteria in dyspeptic patients to enhance resource allocation.
Weight loss, dysphagia and anaemia should continue to trigger investigation in all patients. Reflux and vomiting were considered low-yield symptoms in patients aged <50 years, indicating opportunities for more efficient allocation of resources. Further prospective follow-up studies are needed to assess the role of gastroscopy in patients aged 55-60 years with dyspepsia and in patients aged <50 years with reflux or vomiting.
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Ollila et al. (2026) studied this question.
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