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Logo of jroyalcgpracBJGP at RCGPBJGP at PubMed CentralJ R Coll Gen Pract at PubMed CentralRCGP homepage
J R Coll Gen Pract. 1986 January; 36(282): 6–8.
PMCID: PMC1960352

Upper gastrointestinal endoscopy — a view from general practice


An open-access upper gastrointestinal endoscopy service for general practitioners is described. Between July 1981 and May 1985, 391 endoscopies were performed on 354 patients. In contrast to the results of other studies, demand for endoscopy and the pick-up rate for major lesions has remained steady, and the number of requests for barium meals has fallen by almost a quarter. Major lesions — cancer, gastric and duodenal ulcers and severe oesophagitis — were found in 33% of patients. Oesophagitis accounted for 28% of positive endoscopies and 18% of positive endoscopies in patients with barium negative dyspepsia. With scarce resources there may, however, be a case for `selective' access to upper gastrointestinal endoscopy in the future.

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Selected References

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  • Gibson MA, Varghese A, Clarke KE, Irwin WG, Love AG. Heartburn for the patient--heartache for the doctor? Br Med J (Clin Res Ed) 1983 Aug 13;287(6390):465–466. [PMC free article] [PubMed]
  • Cotton PB. Fibreoptic endoscopy and the barium meal--results and implications. Br Med J. 1973 Apr 21;2(5859):161–165. [PMC free article] [PubMed]
  • Rogers IM, Sokhi GS, Moule B, Joffe SN, Blumgart LH. Endoscopy and routine and double-contrast barium meal in diagnosis of gastric and duodenal disorders. Lancet. 1976 Apr 24;1(7965):901–902. [PubMed]
  • Dooley CP, Larson AW, Stace NH, Renner IG, Valenzuela JE, Eliasoph J, Colletti PM, Halls JM, Weiner JM. Double-contrast barium meal and upper gastrointestinal endoscopy. A comparative study. Ann Intern Med. 1984 Oct;101(4):538–545. [PubMed]
  • Fisher JA, Surridge JG, Vartan CP, Loehry CA. Upper gastrointestinal endoscopy--a GP service. Br Med J. 1977 Nov 5;2(6096):1199–1201. [PMC free article] [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]
  • Gear MW, Ormiston MC, Barnes RJ, Rocyn-Jones J, Voss GC. Endoscopic studies of dyspepsia in the community: an "open-access" service. Br Med J. 1980 May 3;280(6223):1135–1135. [PMC free article] [PubMed]
  • Cockel R, Colin-Jones DG, Schiller KF. Gastrointestinal endoscopy services--a review of the 70s with predictions for the 80s. Health Trends. 1982 May;14(2):46–49. [PubMed]
  • Holdstock GE. Open-access endoscopy. Br Med J. 1980 Jun 28;280(6231):1617–1617. [PMC free article] [PubMed]
  • Mann J, Holdstock G, Harman M, Machin D, Loehry CA. Scoring system to improve cost effectiveness of open access endoscopy. Br Med J (Clin Res Ed) 1983 Oct 1;287(6397):937–940. [PMC free article] [PubMed]
  • Davenport PM, Morgan AG, Darnborough A, De Dombal FT. Can preliminary screening of dyspeptic patients allow more effective use of investigational techniques? Br Med J (Clin Res Ed) 1985 Jan 19;290(6463):217–220. [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]
  • Gear MW, Barnes RJ. Endoscopic studies of dyspepsia in a general practice. Br Med J. 1980 May 3;280(6223):1136–1137. [PMC free article] [PubMed]
  • Davies HA, Jones DB, Rhodes J. 'Esophageal angina' as the cause of chest pain. JAMA. 1982 Nov 12;248(18):2274–2278. [PubMed]
  • Benjamin SB, Castell DO. Chest pain of esophageal origin. Where are we, and where should we go? Arch Intern Med. 1983 Apr;143(4):772–776. [PubMed]
  • Goldstein F, Thornton JJ, 3rd, Abramson J, McGroarty DJ, Kline IK. Bile reflux gastritis and esophagitis in patients without prior gastric surgery, with pilot study of the therapeutic effects of metoclopramide. Am J Gastroenterol. 1981 Nov;76(5):407–411. [PubMed]

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