We describe an audit using Gastroenterology Clinical Indicators (CIs) to measure quality of care for older patients with gastrointestinal haemorrhage. The gastroenterology CI for gastroscopy within 24 hours of admission was 60%, it was 70% for diagnosis of a cause of acute gastrointestinal bleeding after upper gastroscopy, and it was 30% for death after blood transfusion in a geriatric restorat...

a middle age woman was hospitalized for investigation of a mobile filling defect in the stomach with exacerbation of 3-year gastric symptoms. gastroscopy revealed a huge pedunculated polyp. histologic report of the mass was gastric antral lipoma. since the patient refused surgery, cauterization polypectomy was performed without any complication.

BACKGROUND The incidence of early gastric cancer has not increased despite better access to endoscopic facilities for general practitioners. Many patients receive a course of symptomatic treatment while waiting for gastroscopy. AIMS To ascertain the effect of antisecretory therapy on the diagnostic process and findings for patients with upper gastrointestinal cancer. METHODS A consecutive c...

This is often a frustratingly non-specific reason for referral to gastrointestinal clinics for investigation. For a few patients, serology with gliadin antibodies supported by endomysial antibody tests positive will lead to small bowel biopsy and the diagnosis of coeliac disease. However, for the majority where menorrhagia and epistaxis have been excluded, invasive tests are needed as a primary...