| EUS in the management of uninvestigated dyspepsia. | |
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MedLine Citation:
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PMID: 12447295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Management of dyspepsia often involves multiple diagnostic tests. By virtue of luminal and extraluminal imaging, EUS may be a satisfactory single test for the evaluation of patients with dyspepsia. METHODS: Patients with uninvestigated dyspepsia of more than 4 weeks duration were recruited. All underwent transabdominal US followed by EUS and EGD to look for both luminal and extraluminal lesions that could account for the dyspeptic symptoms. Each of these studies was performed by an independent operator blinded to the results of the other examinations. Patients were followed for 1 year to monitor clinical outcome. RESULTS: Two hundred patients were recruited. Compared with EGD, EUS had accuracies of 92% to 100% for the diagnosis of different luminal lesions. All gastric ulcers and cancers were detected by EUS, but 3 duodenal ulcers were missed. EUS also identified 48 pancreaticobiliary lesions, 23 of which were detected by US, that could account for the dyspeptic symptoms. Other extraintestinal lesions including mediastinal malignant lymphadenopathy and a dissecting aortic aneurysm were also diagnosed by EUS. Through the identification of extraluminal lesions, staging of tumors, and exclusion of pancreaticobiliary diseases, EUS altered clinical management in 50 patients (25%). CONCLUSION: EUS is a useful one-step investigation in patients with dyspepsia. |
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Authors:
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Yuk Tong Lee; Alex C W Lai; Yui Hui; Justin C Y Wu; Vincent K S Leung; Francis K l Chan; S C Sydney Chung; Joseph J Y Sung |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 56 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-11-26 Completed Date: 2003-03-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
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Languages: eng Pagination: 842-8 Citation Subset: IM |
Affiliation:
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Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cholelithiasis / ultrasonography Digestive System Diseases / complications, ultrasonography* Duodenal Ulcer / ultrasonography Dyspepsia / etiology, ultrasonography* Endosonography* Female Humans Male Middle Aged Predictive Value of Tests Stomach Ulcer / ultrasonography |
| Comments/Corrections | |
Comment In:
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Am J Gastroenterol. 2003 Jul;98(7):1650-2
[PMID:
12873596
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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