[The value of gastroscopy in patients with radiological diagnosis of stomach diseases].

A Mendoza Valdés, J R Nogueira de Rojas
Author Information

Abstract

Eighty-seven records of patients with a radiologic diagnosis of benign ulcer, cancer or non-specific gastric changes and with a final diagnosis confirmed by biopsy, surgery or follow-up were analyzed to find out whether gastroscopy was useful. In patients with radiologic diagnosis of benign ulcer, gastroscopy was useful in 87% of the cases. When radiology suspected gastric cancer, gastroscopy established the diagnosis in two thirds of the cases. When the radiologist considered a diagnosis as certain his accuracy and specificity were comparable with those of the endoscopist. In such cases endoscopy is only confirmatory. In 7 patients with a radiologic diagnosis of non-specific gastric changes gastroscopy established diagnosis in 6. We concluded that gastroscopy is useful for the patient with a diagnosis of benign ulcer, non-specific gastric changes, or suspicion of gastric cancer. When diagnosis of gastric cancer is established by radiology, gastroscopy is not useful.

MeSH Term

Adolescent
Adult
Aged
Diagnostic Errors
Female
Gastroscopy
Humans
Male
Middle Aged
Radiography
Stomach Neoplasms
Stomach Ulcer

Word Cloud

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