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J R Soc Med. 1988 April; 81(4): 212–213.
PMCID: PMC1291542

Managing the dyspeptic patient: experience of a single-visit dyspepsia clinic.


During a one-year period, 206 of 245 patients referred directly to a single-visit dyspepsia clinic underwent gastroscopy after clinical consultation. Endoscopic findings enabled diagnosis in the majority and no complications occurred. In 12 patients with positive endoscopies there was an unrelated clinical diagnosis, and 23 with normal endoscopies had organic disease. Such a clinic has advantages both for patients in providing single-visit diagnosis and management for the majority, and for the hospital in reducing the load on outpatient services. Prior consultation may prevent both unwarranted use of endoscopy facilities and inappropriate diagnosis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Mead GM, Morris A, Webster GK, Langman MJ. Uses of barium meal examination in dyspeptic patients under 50. Br Med J. 1977 Jun 4;1(6074):1460–1461. [PMC free article] [PubMed]
  • Holdstock G, Wiseman M, Loehry CA. Open-access endoscopy service for general practitioners. Br Med J. 1979 Feb 17;1(6161):457–459. [PMC free article] [PubMed]
  • Horrocks JC, de Dombal FT. Computer-aided diagnosis of "dyspepsia". Am J Dig Dis. 1975 May;20(5):397–406. [PubMed]
  • Beavis AK, La Brooy S, Misiewicz JJ. Evaluation of one-visit endoscopic clinic for patients with dyspepsia. Br Med J. 1979 May 26;1(6175):1387–1389. [PMC free article] [PubMed]

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