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A century ago, Lord Moynihan suggested that the underlying cause of dyspepsia could be discerned by symptoms alone. Subsequent studies have suggested that, unfortunately, this is not the case since the symptoms associated with upper gastrointestinal (GI) disease lack both sensitivity and specificity. ‘Classic’ symptoms of reflux disease (such as heartburn and regurgitation), peptic ulcer disease (such...
Gastrointestinal endoscopy is extensively used in the diagnosis and treatment of a range of conditions by both specialists and generalists. A number of issues will be discussed in this article including the appropriate use of gastroscopy in the management of patients with dyspepsia, the role of endoscopy in the management of upper GI haemorrhage, reducing the risk of harm with bowel preparation, the...
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