PMID: 8957733Dec 1, 1996Paper

Symptom-specific use of upper gastrointestinal endoscopy in human immunodeficiency virus-infected patients yields high dividends

Journal of Clinical Gastroenterology
R M Bashir, C M Wilcox

Abstract

The yield of upper gastrointestinal endoscopy (esophago-gastroduodenoscopy; EGD) in human immunodeficiency virus (HIV)-infected patients based on presenting symptoms has not been well studied. We studied consecutive patients with documented HIV infection undergoing EGD at a large innercity hospital between August 1, 1990 and December 31, 1993; all had presenting symptoms and indications for EGD prospectively recorded at the time of EGD. All endoscopic abnormalities were routinely subjected to biopsy, and extensive histopathological evaluation was performed. EGD was considered helpful when the findings stimulated specific therapeutic intervention other than antifungal or antacid medications. The specific indications for EGD in 156 patients were as follows: esophageal symptoms, 102 patients (65%); abdominal pain, 18 (12%); upper gastrointestinal bleeding, 25 (16%); refractory nausea and vomiting, 11 (7%). Overall, pathologic findings were identified in 116 patients (74%): in refractory esophageal symptoms, 82%; upper gastrointestinal bleeding, 92%; abdominal pain, 39%; nausea and vomiting, 27%. EGD with biopsy identified a specifically treatable opportunistic disorder other than Candida in 80 patients (51%), including idiopathic ...Continue Reading

References

Jun 1, 1992·Journal of Clinical Gastroenterology·C M Wilcox, D A Schwartz
Sep 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Penfold, A J Clark
Jan 1, 1992·Endoscopy·H Dancygier
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Citations

Sep 12, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hugo BonattiRonald A Hinder
Oct 3, 2002·The Journal of Emergency Medicine·Douglas Yoshida, J Michael Caruso
Jan 17, 2009·Journal of Tropical Pediatrics·M L CookeR A Brown
Jun 29, 2001·Journal of Pediatric Gastroenterology and Nutrition·M DiazJ A Tovar
Oct 16, 1999·The American Journal of Gastroenterology·D A CorleyJ Koch
Aug 29, 2003·Journal of the International Association of Physicians in AIDS Care : JIAPAC·Syed Ali Zaidi, Joseph S Cervia

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