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School of Medicine, Pharmacy and Health

Staff Members

Publication details for Professor APS Hungin

Hungin, A.S. (1987). Use of an open-access gastroscopy service by a general practice: findings and subsequent specialist referral rate. Journal of the Royal College of General Practitioners 37(297 ): 170-171.

Author(s) from Durham


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.