Concordance of Outpatient Esophagogastroduodenoscopy of the Upper Gastrointestinal Tract With Evidence-Based Guidelines.

LESS ISMORE Concordance of Outpatient Esophagogastroduodenoscopy of the Upper Gastrointestinal Tract With Evidence-BasedGuidelines Esophagogastroduodenoscopy (EGD) is widely used for the management of gastroesophageal reflux disease and low-risk dyspepsia.1 Indications for endoscopy inpatientswith gastroesophageal reflux disease were recently clarified as guidelines from the American College of Physicians2 to help primary care physicians decide when to refer a patient for EGD. Our study examined procedures that were concordant with the guidelines across types of physicians and indications, the percentage of repeated EGDs within 3 years, and reasons for discordance.