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BMJ. 1995 April 1; 310(6983): 853–856.
PMCID: PMC2549224

Guidelines on appropriate indications for upper gastrointestinal endoscopy. Working Party of the Joint Committee of the Royal College of Physicians of London, Royal College of Surgeons of England, Royal College of Anaesthetists, Association of Surgeons, the British Society of Gastroenterology, and the Thoracic Society of Great Britain.

Abstract

Upper gastrointestinal endoscopy is a valuable diagnostic tool, but for an endoscopy service to be effective it is essential that it is not overloaded with inappropriately referred patients. A joint working party in Britain has considered the available literature on indications for endoscopy, assessed standard practice through a questionnaire, and audited randomly selected cases using an independent panel of experts and an American database system. They used these data to produce guidelines on the appropriate and inappropriate indications for referral for endoscopy, although they emphasise that under certain circumstances there may be reasons to deviate from the advice given. The need for endoscopy is most difficult to judge in patients with dyspepsia, and this aspect is discussed in detail. Early endoscopy will often prove more cost effective than delaying until the indications are clearer.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Heatley RV, Rathbone BJ. Dyspepsia: a dilemma for doctors? Lancet. 1987 Oct 3;2(8562):779–782. [PubMed]
  • Talley NJ, Weaver AL, Tesmer DL, Zinsmeister AR. Lack of discriminant value of dyspepsia subgroups in patients referred for upper endoscopy. Gastroenterology. 1993 Nov;105(5):1378–1386. [PubMed]
  • Management of dyspepsia: report of a working party. Lancet. 1988 Mar 12;1(8585):576–579. [PubMed]
  • Heading RC. Definitions of dyspepsia. Scand J Gastroenterol Suppl. 1991;182:1–6. [PubMed]
  • Jones R. What happens to patients with non-ulcer dyspepsia after endoscopy? Practitioner. 1988 Jan;232(1441):75–78. [PubMed]
  • Quine MA, Bell GD, McCloy RF, Devlin HB, Hopkins A. Appropriate use of upper gastrointestinal endoscopy--a prospective audit. Steering Group of the Upper Gastrointestinal Endoscopy Audit Committee. Gut. 1994 Sep;35(9):1209–1214. [PMC free article] [PubMed]
  • Brook RH, Park RE, Chassin MR, Solomon DH, Keesey J, Kosecoff J. Predicting the appropriate use of carotid endarterectomy, upper gastrointestinal endoscopy, and coronary angiography. N Engl J Med. 1990 Oct 25;323(17):1173–1177. [PubMed]
  • Hallissey MT, Allum WH, Jewkes AJ, Ellis DJ, Fielding JW. Early detection of gastric cancer. BMJ. 1990 Sep 15;301(6751):513–515. [PMC free article] [PubMed]
  • Maruyama K, Okabayashi K, Kinoshita T. Progress in gastric cancer surgery in Japan and its limits of radicality. World J Surg. 1987 Aug;11(4):418–425. [PubMed]
  • Sue-Ling HM, Martin I, Griffith J, Ward DC, Quirke P, Dixon MF, Axon AT, McMahon MJ, Johnston D. Early gastric cancer: 46 cases treated in one surgical department. Gut. 1992 Oct;33(10):1318–1322. [PMC free article] [PubMed]
  • Sue-Ling HM, Johnston D, Martin IG, Dixon MF, Lansdown MR, McMahon MJ, Axon AT. Gastric cancer: a curable disease in Britain. BMJ. 1993 Sep 4;307(6904):591–596. [PMC free article] [PubMed]
  • de Dombal FT, Price AB, Thompson H, Williams GT, Morgan AG, Softley A, Clamp SE, Unwin BJ. The British Society of Gastroenterology early gastric cancer/dysplasia survey: an interim report. Gut. 1990 Jan;31(1):115–120. [PMC free article] [PubMed]
  • Sobala GM, Crabtree JE, Pentith JA, Rathbone BJ, Shallcross TM, Wyatt JI, Dixon MF, Heatley RV, Axon AT. Screening dyspepsia by serology to Helicobacter pylori. Lancet. 1991 Jul 13;338(8759):94–96. [PubMed]
  • Manning AP, Thompson WG, Heaton KW, Morris AF. Towards positive diagnosis of the irritable bowel. Br Med J. 1978 Sep 2;2(6138):653–654. [PMC free article] [PubMed]
  • Fischer A, Graem N. Gastric stump carcinoma--is prophylactic screening indicated? Acta Chir Scand Suppl. 1988;547:86–87. [PubMed]
  • Logan RF, Langman MJ. Screening for gastric cancer after gastric surgery. Lancet. 1983 Sep 17;2(8351):667–670. [PubMed]
  • Offerhaus GJ, Tersmette AC, Giardiello FM, Huibregtse K, Vandenbroucke JP, Tytgat GN. Evaluation of endoscopy for early detection of gastric-stump cancer. Lancet. 1992 Jul 4;340(8810):33–35. [PubMed]
  • Nyrén O, Lindberg G, Lindström E, Marké LA, Seensalu R. Economic costs of functional dyspepsia. Pharmacoeconomics. 1992 May;1(5):312–324. [PubMed]

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