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At least 829 records · Page 46Linked to original sources
PubMed1996

[Asymptomatic pneumoperitoneum after fiber gastroscopy].

A case of asymptomatic pneumoperitoneum after fiber gastroscopic sclerosis of bleeding gastric erosions is presented. Air bubbles in gastric curvatures without evidence of macroscopic perforation were found at laparotomy. We comment the etiologies of pneumoperitoneum without macroscopic perforation and suggest that the management of patients with asymptomatic pneumoperitoneum with normal clinical examination and blood analysis might be conservative to avoid needless laparotomies.

Aged↗
PubMed1996

[Gastroscopy in the diagnosis of congenital pylorostenosis].

The gastroscopic examination has been done in 72 children for diagnosis of congenital pylorostenosis in 1993-1995. The authors think that this method is more reliable and sparing to compare with any others for diagnosis of congenital pylorostenosis. The absence of pylorus motility as a reaction for the external stimulation is a main criterium for endoscopic diagnosis of congenital pylorostenosis.

Constriction, Pathologic↗
PubMed1997

Value of gastroscopy without a prior consultation.

Upper endoscopy is the most accurate and cost effective tool available to physicians when confronted with a patient with dyspepsia. Access to this procedure in Canada is generally limited by the requirement to see a consultant physician before the procedure can be performed. This review, in a question and answer style, builds a case for the introduction of open access endoscopy in Canada. Endoscopy is an effective and valid diagnostic test. Consultants are no better at deciding who requires endoscopy than general practitioners. Clinical patterns of dyspepsia are not a valid guideline for appropriate use of endoscopy. There is value in a normal endoscopy in terms of changes to medical treatment, reassurance, lower consultation and medical clinic attendance rates--and radiation exposure is avoided. After endoscopy, normal patients tend to make 41% fewer physician visits, prescriptions decrease by 71%, and 66% feel better and are more productive at work. Open access endoscopy is cost effective, even when American costs are used. Open access endoscopy should not overrun endoscopy suites if we use the British experience as a guide. The endoscopist would only require a limited history and physical examination to determine safety of the procedure. Follow-up and management is the responsibility of the referring physician, and this must be communicated to the patient and referring physician. The Canadian Association of Gastroenterology needs to draw up guidelines along with the Canadian Medical Practitioners Association for the adoption of this practice.

Canada↗
PubMed1998

General practitioner access to gastroscopy: is 'censorship' valuable?

An audit was carried out on the activities of a one stop clinic where patients referred by GPs for endoscopy are first interviewed by a gastroenterologist, directly before the procedure. Such a barrier to open access endoscopy did not seem to reduce the workload or the rate of normal examinations.

Adult↗