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| Authors | J Debono C Zammit D T Gatt |
| Abstract | AIM: To assess the value of random biopsy of the gastro-oesophageal junction and antrum in-patients undergoing endoscopy of the upper gastro-intestinal tract for non-ulcer dyspepsia. METHOD: 25 consecutive new patients undergoing gastroscopy for non-ulcer dyspepsia by the same endoscopist were prospectively assessed. Patients with obvious pathology such as Barretts oesophagus, ulceration, varicies, polyps or growths were not included. CLO test for Helicobacter pylori were taken, the clinical picture recorded and random biopsy of antrum and oesophago-gastric junction at Z-line taken. RESULTS: CLO test over diagnosed the incidence of helicobacter as compared to histology. The clinical appearance correlated well with the histological result with no additional information obtained from the histological picture. CONCLUSION: In the absence of macroscopic pathology, biopsies do not contribute to management of the patient. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | Volume 15 (suppl) |
| Pages | - |
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| Key words | relevance, random biopsy, endoscopy, non-ulcer dyspepsia, gastroenterology, audit |