Lobo A, Dickinson R
Department of Medicine, Hinchingbrooke Hospital, Huntingdon, Cambridgeshire.
J R Soc Med. 1988 Apr;81(4):212-3. doi: 10.1177/014107688808100409.
During a one-year period, 206 of 245 patients referred directly to a single-visit dyspepsia clinic underwent gastroscopy after clinical consultation. Endoscopic findings enabled diagnosis in the majority and no complications occurred. In 12 patients with positive endoscopies there was an unrelated clinical diagnosis, and 23 with normal endoscopies had organic disease. Such a clinic has advantages both for patients in providing single-visit diagnosis and management for the majority, and for the hospital in reducing the load on outpatient services. Prior consultation may prevent both unwarranted use of endoscopy facilities and inappropriate diagnosis.
在一年期间，直接转诊至单次就诊消化不良诊所的245例患者中有206例在临床会诊后接受了胃镜检查。内镜检查结果使大多数患者得以确诊，且未发生并发症。12例内镜检查阳性的患者有不相关的临床诊断，23例内镜检查正常的患者患有器质性疾病。这样的诊所对患者而言，能为大多数患者提供单次就诊诊断和治疗；对医院而言，能减轻门诊服务负担。预先会诊可避免内镜检查设施的不必要使用和不恰当诊断。
