CAN ENDOSCOPISTS PREDICT LESIONS AT UPPER GI ENDOSCOPY (EGD)?
GROUND: EGD is an essential part of gastroenterologists’ practice; however, the accuracy of endoscopists’ pre-test assessment of lesion likelihood is not known. AIM: To evaluate the prevalence of clinically significant EGD lesions, based on endoscopists’ pre-test categorization of lesion likelihood, using a PDA-based, practice audit (‘PAGE’) program. METHODS: Endoscopists recorded data at consecutive EGDs over a 3-week period on a PDA (Ipaq, Compaq): indication, expected diagnosis and likelihood of finding a lesion (pre-EGD) and diagnosis, whether biopsy was taken and effect of EGD on management (post-EGD). RESULTS: To date (31/10/02), 136 endoscopists reported on 4647 EGDs.
