title: Upper gastrointestinal endoscopy or not, and in whom?
abstract: Despite progress in knowledge and effective therapies for acid-sensitive problems the indications for gastroscopy seem even more confusing than before. The primary care physician, faced with the patient with undifferentiated symptoms, is now less sure when to seek an endoscopy which is actively discouraged in many health care settings. Management guidelines, based essentially on maximizing the yield from endoscopy, may define the direction of travel but do not sit comfortably in the consultation setting.
authors.affiliation: School for Health, University of Durham, Wolfson Research Institute, Queen's Campus, Stockton on Tees, UK. A.P.S.Hungin@durham.ac.uk
authors.forename: A Pali S
authors.initials: AP
authors.lastname: Hungin
authors.forename: Bohumil
authors.initials: B
authors.lastname: Seifert
mesh_terms: D004415:Dyspepsia / Q000209:etiology; D016099:Endoscopy, Gastrointestinal; D005773:Gastroscopy; D006801:Humans; D018579:Patient Selection; D017410:Practice Guidelines as Topic