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Letters |19 March 2013

Upper Endoscopy for Gastroesophageal Reflux Disease

Nicholas J. Shaheen, MD, MPH; David S. Weinberg, MD, MSc

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We thank Dr. Kandel for his interest in our guidelines. Regarding the use of upper endoscopy to dispel fears of esophageal cancer, we recognize the value of patient reassurance and peace of mind. However, it is better to address the underlying misunderstanding of the risk for cancer in low-risk individuals as opposed to providing a service of dubious and unproven value to assuage an inappropriately elevated concern. Although a consultation addressing these concerns in a meaningful way may actually take longer than endoscopy itself, it promotes understanding of the real risks involved and averts the risks and costs associated with endoscopy. Such a consultation may also forestall subsequent requests for endoscopy after an initial negative result, because the need for the initial screening was not endorsed.
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Shaheen NJ, Weinberg DS. Upper Endoscopy for Gastroesophageal Reflux Disease. Ann Intern Med. ;158:503–504. doi: 10.7326/0003-4819-158-6-201303190-00023

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Published: Ann Intern Med. 2013;158(6):503-504.

DOI: 10.7326/0003-4819-158-6-201303190-00023

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

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