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Endoscopy in the Evaluation of Dyspepsia

[+] Article, Author, and Disclosure Information

Grant support: The development of this paper by the Clinical Efficacy Assessment Project was funded by the John A. Hartford Foundation.

©Requests for reprints should be addressed to Linda Johnson White; Clinical Efficacy Assessment Project, Department of Health and Public Policy, American College of Physicians, 4200 Pine Street; Philadelphia, PA 19104.

*This paper was authored by Katherine Kahn, M.D., and Sheldon Greenfield, M.D., and was developed for the Health and Public Policy Committee by the Clinical Efficacy Assessment Subcommittee: Donald E. Olson, M.D., Chairman; David Banta, M.D.; Howard S. Frazier, M.D.; Richard B. Hornick, M.D.; Seymour Perry, M.D.; and Willis C. Maddrey, M.D. Members of the Health and Public Policy Committee for the 1984-85 term include Edwin P. Maynard III, M.D., Chairman; John H. Eisenberg, M.D.; Richard G. Farmer, M.D.; Daniel D. Federman, M.D.; John R. Hogness, M.D.; Leo E. Hollister, M.D.; Charles E. Lewis, M.D.; Donald E. Olson, M.D.; Malcolm L. Peterson, M.D.; Theodore B. Schwartz, M.D.; and Helen L. Smits, M.D. This paper was adopted by The Executive Committee of the Board of Regents on 16 November 1984.

AMERICAN COLLEGE OF PHYSICIANS; Philadelphia, Pennsylvania

© 1985 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1985;102(2):266-269. doi:10.7326/0003-4819-102-2-266
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Dyspepsia, frequently seen in the general population by primary care physicians and gastroenterologists, has been a common indication for esophagogastroduodenoscopy. Any recommendations regarding the use of this technique in patients with dyspepsia depend on a precise definition of the symptom. The term "dyspepsia," however, represents a vague grouping of upper abdominal symptoms that may be manifested by various underlying illnesses and pathophysiologic findings. The basic element of dyspepsia is epigastric pain or discomfort, accompanied by fullness, burning, belching, bloating, nausea, vomiting, fatty food intolerance, or difficulty completing a meal; bowel habits generally remain unaltered. Despite the difficulties in precisely defining




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