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Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre


Citation

Alif Gul, Yunus Gul and Jabar, Mohd Faisal and Mo'min, N. and Hon, Sook Kit (2004) Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre. Medical Journal of Malaysia, 59 (1). pp. 65-71. ISSN 0300-5283

Abstract

A retrospective cross-sectional study was carried out in a tertiary referral centre to determine the appropriateness of usage of emergency upper gastrointestinal endoscopy (EUGIE) with reference to the guidelines set by the American Society of Gastrointestinal Endoscopy (ASGE). EUGIE was defined as early, non-elective endoscopy performed for in-patients within 48 hours of acute hospital admission. The median age of the 668 patients was 55 years (age range 12- 90), 31% of whom had a previous upper gastrointestinal endoscopy. Bleeding in the form of haematemesis, melaena or anaemia was the most common indication (40.7%) for EUGIE. Eighty one percent of the procedures were judged appropriate by the ASGE guidelines. There was a statistically significant relationship between appropriateness and significant diagnostic yield (P<0.05). Procedures performed for melaena, symptomatic anaemia and haemetemesis led to greater significant diagnostic yield (P<0.05) and there was no difference in the yield between working-hours and after-hours EUGIE.


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Official URL or Download Paper: http://www.e-mjm.org/2004/v59n1/index.html

Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Malaysian Medical Association
Keywords: Emergency; Upper gastrointestinal endoscopy; Appropriate; Guideline
Depositing User: Nabilah Mustapa
Date Deposited: 08 Apr 2016 02:55
Last Modified: 08 Apr 2016 02:55
URI: http://psasir.upm.edu.my/id/eprint/15418
Statistic Details: View Download Statistic

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