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Letters |19 March 2013

Upper Endoscopy for Gastroesophageal Reflux Disease

Gabor Kandel, MD

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Author, Article, and Disclosure Information
  • From St. Michael's Hospital, Toronto, Ontario, Canada.

    Potential Conflicts of Interest: None disclosed.

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TO THE EDITOR:
Shaheen and colleagues (1) thoughtfully illuminate a perplexing problem. However, I believe that 2 further indications for upper endoscopy to evaluate gastroesophageal reflux should be considered.
First, upper endoscopy may be more reassuring and more cost-effective for patients worried about cancer than explanation alone. In a study of gastric acid suppressants versus immediate gastroscopy for dyspepsia, Bytzer and colleagues (2) found that the group assigned to endoscopy was not only more satisfied with medical care but also had lower health care costs, in part because of decreased drug costs, sick days, and physician follow-ups presumably from the...
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Kandel G. Upper Endoscopy for Gastroesophageal Reflux Disease. Ann Intern Med. 2013;158:502–503. doi: https://doi.org/10.7326/0003-4819-158-6-201303190-00022

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Published: Ann Intern Med. 2013;158(6):502-503.

DOI: 10.7326/0003-4819-158-6-201303190-00022

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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