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.
Dekker
W
W
Department of Internal Medicine, St. Elisabeth's of Groote Gasthuis, Haarlem, The Netherlands.
Op den Orth
J O
JO
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