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April 1958

Gastroscopy: An Evaluation of the Method

Author Affiliations

San Francisco
Present address (Dr. Dailey): San Jose Medical Clinic, San Jose, Calif.; From the Gastrointestinal Clinic of the Department of Medicine, University of California School of Medicine, San Francisco.

AMA Arch Surg. 1958;76(4):521-524. doi:10.1001/archsurg.1958.01280220041007

Since the introduction of the flexible gastroscope in this country 23 years ago, gastroscopy has been widely employed, usually in conjunction with roentgenography, in the diagnosis of gastric ulcers and tumors. Two recent reports offer excellent background material on this subject.2,3

The present study, describing recent experiences with gastroscopy at the University of California Medical Center, was undertaken to define the usefulness of this procedure. In correlating the information obtained, special attention was given to situations where gastroscopy was of value in the detection, exclusion, or appraisal of gastric lesions and to others where it was misleading or noncontributory.

Methods  The records of 303 consecutive clinic patients who were examined by gastroscopy at the University of California Medical Center between January, 1952, and September, 1954, were reviewed. Of the 303 cases, 70 were considered unacceptable and were excluded from the series—25 because of insufficient follow-up information and 45 because