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J R Soc Med 1988;81:212-213
© 1988 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 81, Issue 4 212-213, Copyright © 1988 by Royal Society of Medicine

ORIGINAL ARTICLES

Managing the dyspeptic patient: experience of a single-visit dyspepsia clinic

A Lobo and R Dickinson
Department of Medicine, Hinchingbrooke Hospital, Huntingdon, Cambridgeshire.

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.
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