Hungin A S
J R Coll Gen Pract. 1987 Apr;37(297):170-1.
An analysis of 102 open-access gastroscopy requests from one general practice over 38 months showed that the detection rate of abnormalities was 58%. Even though no predetermined investigation criteria were used these results compare favourably with gastroscopy findings generally and are superior to the detection rate of lesions using barium meals. Only 12% of the patients who underwent gastroscopy required subsequent referral to a consultant. This represents a major benefit, hitherto undocumented, of an open-access gastroscopy service. Considerations of accuracy, safety and cost effectiveness coupled with the availability of efficacious drugs appear to favour the case for open-access gastroscopy for general practitioners.
对某一全科诊所38个月内102例开放式胃镜检查申请的分析表明，异常检出率为58%。尽管未采用预先确定的检查标准，但这些结果与一般胃镜检查结果相比仍较为有利，且优于使用钡餐检查的病变检出率。接受胃镜检查的患者中只有12%需要随后转诊给专科顾问医生。这代表了开放式胃镜检查服务一项此前未被记录的重大益处。对准确性、安全性和成本效益的考量，再加上有效药物的可得性，似乎支持了全科医生采用开放式胃镜检查的理由。
