Does endoscopy diagnose early gastrointestinal cancer in patients with uncomplicated dyspepsia?

Postgraduate Medical Journal

Volumn 82, Issue 963, 2006, Pages 52-54

  Sundar, N ^a   Muraleedharan, V ^a   Pandit, J ^a   Green, J T ^a   Crimmins, R ^a   Swift, G L ^a  

^a LLANDOUGH HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL PAIN; ADULT; AGED; BARRETT ESOPHAGUS; CANCER CHEMOTHERAPY; CANCER PALLIATIVE THERAPY; CANCER RADIOTHERAPY; CANCER SURGERY; CEREBROVASCULAR ACCIDENT; CHRONIC DIARRHEA; COMORBIDITY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DYSPEPSIA; EARLY CANCER; ESOPHAGUS CARCINOMA; ESOPHAGUS RESECTION; FEMALE; GASTRECTOMY; GASTROESOPHAGEAL REFLUX; GASTROINTESTINAL ENDOSCOPY; GASTROSCOPY; HISTOPATHOLOGY; HUMAN; LIVER METASTASIS; MAJOR CLINICAL STUDY; MALE; REVIEW; STOMACH CARCINOMA; STOMACH ULCER; SURVIVAL TIME; SYMPTOM; TREATMENT OUTCOME;

ADULT; AGED; AGED, 80 AND OVER; DYSPEPSIA; EARLY DIAGNOSIS; ENDOSCOPY, GASTROINTESTINAL; ESOPHAGEAL NEOPLASMS; FEMALE; HUMANS; MALE; MIDDLE AGED; SENSITIVITY AND SPECIFICITY; STOMACH NEOPLASMS;

EID: 30944460885     PISSN: 00325473     EISSN: None     Source Type: Journal    
DOI: 10.1136/pgmj.2005.034033     Document Type: Review

References (21)

1. Quinn M, Babb P, Brock A, et al. Cancer trends in England and Wales 1950-1999. Series SMPS No 66. London: Office for National Statistics, 2001.
2. Canga C, Nimish V. Upper GI malignancy, Uncomplicated dyspepsia and the age threshold for early endoscopy. Am J Gastroenterol 2002;97:600-3.
3. British Society of Gastroenterology. Dyspepsia management guidelines. http://www.bsg.org.uk/clinical.prac/guidelines/dyspepsia.htm
4. Axon ATR, Bell GD, Jones RH, et al. Guidelines on appropriate indications for upper GI endoscopy. BMJ 1995;310:853-6.
5. Bytzer P, Hansen JM, Schaffelitzky de Muckadell OB. Empirical H2-blocker therapy or prompt endoscopy in management of dyspepsia. Lancet 1994;343:811-16.
6. Bodger K, Daly MJ, Heatley RV. Prescribing patterns for dyspepsia in primary care: a prospective study of selected general practitioners. Aliment Pharmacol Ther 1996;10:889-95.
7. Talley NJ, Silverstein MC, Agreus L, et al. A G A technical review. Evaluation of dyspepsia. Gastroenterology 1998;114:582-95.
8. Axon ATR. Chronic dyspepsia: Who needs endoscopy? Gastroenterology 1997;112:1376-80.
9. British Society of Gastroenterology. Dyspepsia management guidelines. London: BSG, 1996:1-8.
10. Talley NJ, Collin Jones D, Koch KL, et al. Functional dyspepsia: a classification with guidelines for diagnosis and management. Gastroenterol Int 1991;4:145-60.
11. Health and Policy Committee. Endoscopy in the evaluation of dyspepsia. Ann Inter Med 1985;102:266-9.
12. Kahn KI, Roth CP, Kosecoff J, et al. Indications for selected medical and surgical procedures. A literature review and ratings of appropriateness. Diagnostic upper gastrointestinal endoscopy. Santa Monica, CA: Rand, 1986.
13. Newham A, Quinn MJ, Babb P, et al. Trends in oesophageal and gastric cancer incidence, mortality and survival in England and Wales 1971-1998/1999. Aliment Pharmacol Ther 2003;17:655-64.
14. NICE. Dyspepsia: managing dyspesia in adults in primary care-NICE guideline clinical guideline 17. Aug 2004. http://www.nice.org.uk.
15. Ebell MH, Warbasse L, Brenner C. Evaluation of the dyspeptic patient: a cost-utility study. J Fam Pract 1997;44:545-55.
16. Laheij RJ, Severens JL, Van de Lisdonk EH, et al. Randomized controlled trial of omeprazole or endoscopy in patients with persistent dyspepsia: a cost-effectiveness analysis. Aliment Pharmacol Ther 1998;12:1249-56.
17. Christie J, Shepherd NA, Codling BW, et al. Gastric cancer below the age of 55: implications for screening patients with uncomplicated dyspepsia. Gut 1997;41:513-17.
18. Gillen D, McColl KEL. Does concern about missing malignancy justify endoscopy in uncomplicated dyspepsia in patients aged less than 55? Am J Gastroenterol 1999;94:75-9.
19. Williams B, Luckas M, Ellingham JH, et al. Do young patients with dyspepsia need investigation? Lancet 1988;ii:1349-51.
20. Vaira D, Stanghellini V, Menegatti M, et al. Prospective screening of dyspeptic patients by H pylori serology: a safe policy? Endoscopy 1997;29:595-601.
21. Kapoor N, Bassi A, Sturgess R, et al. Predictive value of alarm features in a rapid access upper gastrointestinal cancer service. Gut 2005;54:40-5.