Biphasic radiologic examination and endoscopy of the upper gastrointestinal tract. A comparative study.
In this prospective, blind study we compare the diagnostic results of endoscopy with a biphasic radiologic examination with drug-induced hypotony in gastric malignancy, peptic ulcer, and reflux esophagitis. Two hundred fourteen patients underwent both examinations within a week. Both disciplines detected seven malignant tumors. Twenty-three peptic ulcers were found by both; in addition, each diagnosed another ulcer. Fourteen ulcer scars were diagnosed by both; endoscopy demonstrated 10 additional scars and radiology 1. The radiologic examination detected 7 of the 37 cases of endoscopically diagnosed cases of mild reflux esophagitis, 4 of the 7 moderate cases, and 7 of 8 severe ones. A state-of-the-art radiologic examination represents an adequate initial examination in the dyspeptic patient. If the complaints suggest reflux esophagitis, the clinician has to choose between treatment and endoscopy.
Department of Internal Medicine, St. Elisabeth's of Groote Gasthuis, Haarlem, The Netherlands.
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Dekker
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Op den Orth
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D004942:Esophagitis, Peptic / Q000175:diagnosis / Q000000981:diagnostic imaging; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000175:diagnosis / Q000000981:diagnostic imaging; D011446:Prospective Studies; D011859:Radiography; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging