Follow-up endoscopy in gastroenterology: when is it helpful?
Background: The indications for follow-up endoscopy have not been established in all diseases that can be diagnosed by endoscopy. Methods: Selective review of the literature and a survey of national guidelines. Results: In confirmed erosive or non-erosive reflux disease, follow-up endoscopy is indic...
| Publicado en: | Deutsches Ärzteblatt International Vol. 107; no. 3; pp. 30 - 37 |
|---|---|
| Autores principales: | , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Deutscher Aerzte-Verlag GmbH
1/22/2010
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105305086&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105305086 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18660452 5F0N jtl: Deutsches Ärzteblatt International issn: 18660452 maglogo: N pubinfo: dt: 1/22/2010 vid: 107 iid: 3 pid: 25312 pub: Deutscher Aerzte-Verlag GmbH artinfo: ui: 105305086 2010550485 10.3238/aerztebl.2010.0030 105305086 ppf: 30 ppct: 7 formats: fmt: @attributes: type: T tig: atl: Follow-up endoscopy in gastroenterology: when is it helpful? aug: au: Lübbers H Mahlke R Lankisch PG Stolte M sug: subj: After Care Standards Endoscopy Standards Endoscopy Utilization Gastroenterology Care Methods Gastroenterology Care Standards Biopsy Standards Celiac Disease Diagnosis Colonic Neoplasms Diagnosis Colonic Polyps Diagnosis Gastritis Diagnosis Gastroesophageal Reflux Diagnosis Inflammatory Bowel Diseases Diagnosis ab: Background: The indications for follow-up endoscopy have not been established in all diseases that can be diagnosed by endoscopy. Methods: Selective review of the literature and a survey of national guidelines. Results: In confirmed erosive or non-erosive reflux disease, follow-up endoscopy is indicated only in the presence of complications or Barrett's esophagus. In the case of gastric ulcer or complicated duodenal ulcer, monitoring by endoscopy is mandatory. There is no consensus regarding the indication for follow-up biopsy in confirmed endemic sprue. In an acute episode of confirmed ulcerative colitis, endoscopy is indicated only if the treatment depends on the findings. In confirmed Crohn's disease, this procedure is indicated only in the presence of complications, if the findings are unclear, and before elective intestinal surgery. Those at risk of hereditary colorectal carcinoma without polyposis should undergo colonoscopy annually, starting 5 years before the youngest age of occurrence in their family or at the age of 25 years, whichever comes first. Conclusions: With particular reference to further gastrointestinal di seases discussed in the main text, this review unfortunately shows that many of the indications for follow-up endoscopy remain to be ascertained. Controlled studies are needed to establish with sufficient certainty what really helps our patients. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|