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Optimization of upper gastrointestinal endoscopy: Value of real-time gastric juice analysis

Published:April 09, 2014DOI:https://doi.org/10.1016/j.dld.2014.03.008
      Upper gastro-intestinal endoscopy (EGDS) has limitations in identifying microscopic lesions [
      • Carpenter H.A.
      • Talley N.J.
      Gastroscopy is incomplete without biopsy: clinical relevance of distinguishing gastropathy from gastritis.
      ]. Unfortunately, microscopic lesions are frequent in patients undergoing EGDS and often represent pre-neoplastic conditions. Hence the need for biopsies and histological evaluation which, however, do not ensure total protection from diagnostic errors.
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      References

        • Carpenter H.A.
        • Talley N.J.
        Gastroscopy is incomplete without biopsy: clinical relevance of distinguishing gastropathy from gastritis.
        Gastroenterology. 1995; 108: 917-924
        • Tucci A.
        • Bisceglia M.
        • Rugge M.
        • et al.
        Clinical usefulness of gastric juice analysis in 2007, the stone that the builders rejected has become the cornerstone.
        Gastrointestinal Endoscopy. 2007; 5: 881-890
        • Andersen J.
        • Strom M.
        A technique for screening of achlorhydria and hypochlorhydria during upper gastrointestinal endoscopy.
        Scandinavian Journal of Gastroenterology. 1990; 25: 1084-1088
        • Kearney D.J.
        • Ritchie K.
        • Peacock J.S.
        Gastric juice ammonia assay for diagnosis of Helicobacter pylori infection and relationship of ammonia concentration to gastritis severity.
        American Journal of Gastroenterology. 2000; 95: 3399-3403