Endoscopy in the Evaluation of Dyspepsia

Position Paper1 February 1985Endoscopy in the Evaluation of DyspepsiaHEALTH AND PUBLIC POLICY COMMITTEEHEALTH AND PUBLIC POLICY COMMITTEESearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-102-2-266 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDyspepsia, frequently seen in the general population by primary care physicians and gastroenterologists, has been a common indication for esophagogastroduodenoscopy. Any recommendations regarding the use of this technique in patients with dyspepsia depend on a precise definition of the symptom. The term "dyspepsia," however, represents a vague grouping of upper abdominal symptoms that may be manifested by various underlying illnesses and pathophysiologic findings. The basic element of dyspepsia is epigastric pain or discomfort, accompanied by fullness, burning, belching, bloating, nausea, vomiting, fatty food intolerance, or difficulty completing a meal; bowel habits generally remain unaltered. Despite the difficulties in precisely defining...References1. Data base on dyspepsia [Editorial]. Br Med J. 1978;6121:1163-4. Google Scholar2. MOLLMANNBONNEVIEGUDBRAND HOYERWULFF KOEH. A diagnostic study of patients with upper abdominal pain. Scand J Gastroenterol. 1975;10:105-9. CrossrefMedlineGoogle Scholar3. BARNESGEARNICOLDEW RMAA. Study of dyspepsia in a general practice as assessed by endoscopy and radiology. Br Med J. 1974;4:214-6. CrossrefMedlineGoogle Scholar4. KIILANDERSON JD. X-ray examination and/or endoscopy in the diagnosis of gastroduodenal ulcer and cancer. Scand J Gastroenterol. 1979;15:39-43. CrossrefGoogle Scholar5. READPASSKOMAROFF LTA. Diagnosis and treatment of dyspepsia, a cost effectiveness analysis. 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The gastroscopic yield from the negative upper gastrointestinal series. Gastroenterol Endosc. 1972;19:79-82. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: AMERICAN COLLEGE OF PHYSICIANS Philadelphia, Pennsylvania*This paper was authored by Katherine Kahn, M.D., and Sheldon Greenfield, M.D., and was developed for the Health and Public Policy Committee by the Clinical Efficacy Assessment Subcommittee: Donald E. Olson, M.D., Chairman; David Banta, M.D.; Howard S. Frazier, M.D.; Richard B. Hornick, M.D.; Seymour Perry, M.D.; and Willis C. Maddrey, M.D. Members of the Health and Public Policy Committee for the 1984-85 term include Edwin P. Maynard III, M.D., Chairman; John H. Eisenberg, M.D.; Richard G. Farmer, M.D.; Daniel D. Federman, M.D.; John R. Hogness, M.D.; Leo E. Hollister, M.D.; Charles E. Lewis, M.D.; Donald E. Olson, M.D.; Malcolm L. Peterson, M.D.; Theodore B. Schwartz, M.D.; and Helen L. Smits, M.D. This paper was adopted by The Executive Committee of the Board of Regents on 16 November 1984. 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Solomon, MD, Robert H. Brook, MD, ScDMedical regimens in short- and long-term ulcer managementNon-Ulcer Dyspepsia: Potential Causes and PathophysiologyNICHOLAS J. TALLEY, M.B., B.S., Ph.D., SIDNEY F. PHILLIPS, M.D.Peptic Ulcer DiseaseClinical Competence in Diagnostic EsophagogastroduodenoscopyHEALTH AND PUBLIC POLICY COMMITTEEImpact of endoscopy on mortality from occult cancer in radiographically benign gastric ulcersThe Vote on the MotionEconomic and health aspects of peptic ulcer disease and H2-receptor antagonists“Open‐access” endoscopy for general practitioners: Experience of a private gastrointestinal clinic 1 February 1985Volume 102, Issue 2Page: 266-269KeywordsGastroenterology and hepatologyHabitsNauseaPainPrevention, policy, and public healthPrimary care physiciansPublic policySafetySub-specialty careVomiting ePublished: 1 December 2008 Issue Published: 1 February 1985 Copyright & Permissions© 1985 American College of PhysiciansPDF downloadLoading ...