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Radiology and Endoscopy: A Radiologic Viewpoint

DAVID W. GELFAND, M.D.; DAVID J. OTT, M.D.; H. ALEXANDER MUNITZ, M.B., B.CH.; and YU MEN CHEN, M.D.
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Bowman Gray School of Medicine; Winston-Salem, North Carolina


Ann Intern Med. 1984;101(4):550-552. doi:10.7326/0003-4819-101-4-550
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The article in this issue by Dooley and associates (1) again raises the question of the relative merits of endoscopy and radiology in the examination of patients suspected of having disease of the gastrointestinal tract. Most recent discussions of this subject have been written by gastroenterologists expressing the endoscopic point of view. These reports suggest that radiologic examination of the gastrointestinal tract is inferior to endoscopy and that many lesions are undetected radiologically. That radiology be replaced by endoscopy as the initial means of examining the gastrointestinal tract is occasionally recommended.

Unfortunately, many of these reports are flawed by errors

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