[Role of gastroduodenoscopy in improving the district physician's care of patients with choledochopancreatic diseases].
Analysis was made of records available in the disease histories of 270 patients who had referred to the district internist for pains in the epigastrium and right hypochondrium. In these patients, endoscopy of the upper alimentary tract revealed the indirect signs of the impairment of the choledochopancreatic organs without gross pathology of the gastric or duodenal mucosa. Endoscopy was performed during the first week after the patient had referred to the district internist. It is shown that despite the fact that the endoscopy-performing physician had discovered the indirect signs of biliary diseases, the district internist did not make any attempts at expanding the scope of examinations in order to find out the main cause of pains sensed by the patient in the epigastrium or in the right hypochondrium. This can be accounted for by the fact that the district internists fall short of the skills of a proper interpretation of the data available in the protocol of an endoscopic examination as well as of the desire to adhere to the times of temporary disability in different disease entities, indicated in the methodological instructions. It is concluded that in the course of the training of the district internists, special attention should be paid to a proper interpretation of the paraclinical data and to the design of the program of the diagnostic search.
Antonenko
N I
NI
Turitsyna
I G
IG
D000293:Adolescent; D000328:Adult; D000368:Aged; D003137:Common Bile Duct Diseases / Q000175:diagnosis*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000175:diagnosis*
Rol' gastroduodenoskopii v sovershenstvovanii raboty uchastkovogo terpevta s bol'nymi, stradaiushchimi zabolevaniiami organov kholedokhopankreaticheskoĭ zony.