Managing the Dyspeptic Patient: Experience of a Single-Visit Dyspepsia Clinic

Lôbo, Anna Beatriz Alves Pereira; Dickinson, Rebecca

doi:10.1177/014107688808100409

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…In the relatively small number of dyspeptic patients who, via open access endoscopy or referral to a single visit dyspepsia clinic, undergo endoscopic examination, the resulting clinical diagnoses suggest that the majority of dyspepsia (> 90%) is acid‐related, with a proportion (> 40%) also having an endoscopic diagnosis suggesting mucosal tissue damage 16 , . 17 It would be expected, therefore, that inhibitors of acid secretion such as omeprazole would heal a greater proportion of the underlying mucosal lesions than antacid/alginate therapy 18 .…”

Section: Introductionmentioning

confidence: 99%

First line treatment with omeprazole provides an effective and superior alternative strategy in the management of dyspepsia compared to antacid/alginate liquid: a multicentre study in general practice

Goves¹,

Oldring²,

Kerr³

et al. 1998

Aliment Pharmacol Ther

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Section: Introductionmentioning

confidence: 99%

First line treatment with omeprazole provides an effective and superior alternative strategy in the management of dyspepsia compared to antacid/alginate liquid: a multicentre study in general practice

Goves¹,

Oldring²,

Kerr³

et al. 1998

Aliment Pharmacol Ther

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The one-stop dyspepsia clinic—an alternative to open-access endoscopy for patients with dyspepsia

1998

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The most sensitive investigative tool for the upper gastrointestinal tract is endoscopy, and many gastroenterologists offer an open-access endoscopy service to general practitioners. However, for patients with dyspepsia, endoscopy is not always the most appropriate initial investigation, and the one-stop dyspepsia clinic allows for different approaches. We have audited, over one year, the management and outcomes of patients attending a one-stop dyspepsia clinic. All patients seen in the clinic were included, and for those not endoscoped the notes were reviewed one year after the end of the study to check for reattendances and diagnoses originally missed. Patients' and general practitioners' views of the service were assessed by questionnaire. 485 patients were seen, of whom 301 (62%) were endoscoped at first attendance. In 66 patients (14%), endoscopy was deemed inappropriate and only one of these returned subsequently for endoscopy. 118 patients (24%) were symptom-free when seen in the clinic and were asked to telephone for an appointment if and when symptoms recurred; half of these returned and were endoscoped. Oesophagitis and duodenal ulcer were significantly more common in this 'telephone endoscopy' group than in those endoscoped straight from the clinic. Overall, 25% of patients referred were not endoscoped. Important additional diagnoses were made from the clinic consultation. General practitioners and patients valued the system, in particular the telephone endoscopy service. 84% of general practitioners said they would prefer the one-stop dyspepsia clinic to open-access endoscopy.

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Ultrasound as part of a 1-day gastroenterology clinic: advantages and problems

Ryan

Chua²,

Clabby³

et al. 1990

The British Journal of Radiology

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Ultrasound was introduced into a 1-day gastroenterology clinic so that clinical assessment, endoscopy and ultrasound could be performed as appropriate in a single hospital visit. The findings in 602 patients are reported. A total of 256 (43%) patients underwent ultrasound, 35% of which showed positive findings including cholelithiasis in 12% and tumours in 7%. This system of referral for ultrasound is very convenient for patients and their general practitioner and is less costly than traditional referral methods. It is, however, time-consuming for the radiologist.

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Managing the Dyspeptic Patient: Experience of a Single-Visit Dyspepsia Clinic

Cited by 4 publications

References 5 publications

First line treatment with omeprazole provides an effective and superior alternative strategy in the management of dyspepsia compared to antacid/alginate liquid: a multicentre study in general practice

First line treatment with omeprazole provides an effective and superior alternative strategy in the management of dyspepsia compared to antacid/alginate liquid: a multicentre study in general practice

The one-stop dyspepsia clinic—an alternative to open-access endoscopy for patients with dyspepsia

Ultrasound as part of a 1-day gastroenterology clinic: advantages and problems

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