Is there any association between referral indications for open-access upper gastrointestinal endoscopy and endoscopic findings?

Kerkhoven, Lieke A. S. van; Rijswijck, Sally J. van; Rossum, L.G.M. van; Laheij, R.J.F.; Witteman, E. M.; Tan, Adriaan C.; Jansen, J. B. M. J.

doi:10.1055/s-2007-966269

Cited by 13 publications

(13 citation statements)

References 15 publications

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“…On the other hand, the percentage of patients with normal endoscopic findings showed a rapid increase over the years. In addition, endoscopic findings rarely alter therapy, since most patients with dyspeptic symptoms receive acid-suppressive treatment after endoscopy anyway (17,18). Therefore, we suggest that patients who have dyspepsia without alarm symptoms, clinical characteristics and H. pylori infection should not initially undergo an upper GI endoscopy.…”

Section: Discussionmentioning

confidence: 97%

Changes of Upper Gastrointestinal Symptoms and Endoscopic Findings in Japan Over 25 Years

et al. 2011

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Background and Aims In Japan, the prevalence of Helicobacter pylori infection has decreased recently, but there has been little longitudinal research on the changes of symptoms and endoscopic findings over many years. The aim of this study was to evaluate the changes in endoscopic findings and symptoms over time in patients undergoing upper gastrointestinal endoscopy for assessment of upper abdominal symptoms. Methods Over a period of 25 years, between 1981 and 2005, we performed three investigations (1981-2, 1990-1 and 2004-5) on the symptoms and endoscopic findings of patients undergoing endoscopy at Kawasaki Medical School Hospital for the assessment of upper abdominal symptoms. Results The most common complaint for all ages was "discomfort and/or pain". Over time, the percentage of patients complaining of "heartburn" increased almost 5-fold. With respect to endoscopic findings, the prevalence of peptic ulcers decreased, whereas the detection of no abnormalities and the detection of erosive esophagitis increased. Conclusion In the future in Japan, there will be fewer patients with peptic ulcers and more patients with gastro-esophageal reflux disease or dyspeptic patients who display no endoscopic abnormal findings.

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Section: Discussionmentioning

confidence: 97%

Changes of Upper Gastrointestinal Symptoms and Endoscopic Findings in Japan Over 25 Years

et al. 2011

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“…16 Diagnostic performance for failure of antacid medication from three studies [22][23][24] showed a low association with oesophagogastric cancer (Table 2).…”

Section: Other Symptomsmentioning

confidence: 99%

Diagnostic value of symptoms of oesophagogastric cancers in primary care: a systematic review and meta-analysis

et al. 2015

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“…Criteria for referral were most commonly listed for suspected colorectal cancer[8, 10, 12, 13, 15-20, 22, 23, 25, 27, 28, 30, 31, 33, 35, 36, 38, 40]. Other GI conditions for which some referral criteria were found included suspected upper GI cancer[9, 24, 25, 27-30, 38, 39], hepatitis[11, 14, 26, 30], and functional disorders such as irritable bowel syndrome, dyspepsia, diarrhoea and constipation[21, 30, 32, 34, 37]. We found four papers on the management of a variety of important GI conditions, but they did not contain criteria for referral: inflammatory bowel disease[42], pancreatitis [43-44] and acute gastrointestinal blood loss[45].…”

Section: Resultsmentioning

confidence: 99%

“…Negative predictors of cancer were the presence of heartburn and having dysphagia for more than one year [24]. Another study concluded that alarm symptoms, defined as weight loss, dysphagia or melena/haematemesis, had a 4% positive predictive value for finding cancer, but that many patients with cancer identified using these guidelines are untreatable [39]. …”

Section: Resultsmentioning

confidence: 99%

Criteria for Referring Patients With Outpatient Gastroenterological Disease for Specialist Consultation: A Review of the Literature

et al. 2011

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BackgroundDemands on gastroenterology are growing, as a result of the high prevalence of digestive diseases, the impact of colon cancer screening programs and an aging population. Prioritizing referrals to gastroenterology would assist in managing wait times. Our objectives were (1) to assess whether there were consistent criteria to guide referrals from family physicians for gastroenterological outpatient consultation and (2) to determine if there were different levels of urgency or priority in referral criteria.MethodsWe conducted a scoping review, searching Medline, Embase and Cochrane databases from 1997 to 2009, using the terms referral, triage, consultation and at least one from a list of gastroenterology-specific search terms. Of 2978 initial results, 51 papers were retrieved, and 20 were retained after review by two reviewers. Additional publications were identified through hand searches of retained papers, website searches and nomination by a panel of specialists.ResultsThirty-four papers, reports or websites were retained. No referral criteria covered the spectrum of disorders that might be referred by family physicians to gastroenterologists. Criteria for referral were most commonly listed for suspected colorectal cancer, followed by suspected upper GI cancer, hepatitis, and functional disorders.ConclusionsA clinical panel comprised of gastroenterologists and primary care providers, informed by this literature review, are completing the work of formulating a Gastroenterology Priority Referral Score, and plan to test the reliability and validity of the tool for determining the relative urgency for referral from primary care to gastroenterology.

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Is there any association between referral indications for open-access upper gastrointestinal endoscopy and endoscopic findings?

Cited by 13 publications

References 15 publications

Changes of Upper Gastrointestinal Symptoms and Endoscopic Findings in Japan Over 25 Years

Changes of Upper Gastrointestinal Symptoms and Endoscopic Findings in Japan Over 25 Years

Diagnostic value of symptoms of oesophagogastric cancers in primary care: a systematic review and meta-analysis

Criteria for Referring Patients With Outpatient Gastroenterological Disease for Specialist Consultation: A Review of the Literature

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