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Appropriate Indications for
Upper Gastrointestinal Endoscopy (UGE)
-
Uncomplicated dyspepsia
-
Frequent
symptoms (>= 2/wk) suggesting
gastroesophageal reflux
disease (GERD) or history of
reflux-associated mucosal
disease of the esophagus,
without alarm symptoms and
without Barrett's esophagus
-
Known
Barrett's esophagus, without
alarm symptoms
-
Atypical
chest pain
-
Alarm
symptoms: recent upper GI
bleeding, esophageal dysphagia,
unexplained weight loss, iron
deficiency anemia
-
Risk
factors and pre-malignant
conditions of the UGI tract:
pernicious anemia, atrophic
gastritis, status post-gastrectomy,
gastric polyps, familial
adenomatous polyposis
-
Miscellaneous indications:
assess healing of benign
gastric ulcer, follow-up of
sclerotherapy/banding,
suspected malignant lesion on
UGI series, suspected
malabsorption syndrome
Related Criteria
Appropriate Indications for
Colonoscopy
Diagnostic Criteria for Zollinger-Ellison Syndrome (ZES)
Diagnostic Criteria for
Autoimmune Hepatitis (AIH)
Diagnostic Criteria for Wilson's disease
Severity Criteria for Acute
Pancreatitis
More...
References:
-
Kaliszan B, Soule JC,
Vallot T, Mignon M.
Applicability and
efficacy of qualifying
criteria for an
appropriate use of
diagnostic upper
gastrointestinal
endoscopy.
Gastroenterol Clin
Biol. 2006
May;30(5):673-80.
[Medline]
-
Axon AT, Bell GD,
Jones RH, Quine MA,
McCloy RF. 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.
BMJ.
1995 Apr
1;310(6983):853-6.
[Medline]
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