dyspepsia: endoscopy usually unnecessary
An updated systematic review/meta-analysis reaffirmed the general lack of utility of endoscopy in patients who have symptomatic dyspepsia but without alarm features (see dyspepsia review of endoscopy findings ClinGastroHep2022 in dropbox, or doi.org/10.1016/j.cgh.2022.05.041 ) Details : -- 15 cross-sectional surveys, including 6 printed from 2010 until January 2022, analyzed the prevalence of dyspepsia as well as endoscopy (EGD) -- EGD was performed in all participating individuals regardless of their symptoms in 6 studies, in all individuals with dyspepsia in 2 studies, and in some patients having EGD regardless of symptoms in the remaining 7 studies -- 41,763 people underwent EGD, of whom 16,900 (40.4%) had dyspepsia -- the prevalence of dyspepsia in these surveys range from 2.4% to 68.5% with a pooled prevalence of 26.6% (13.6%-42.1%), but with lots of heterogeneity between the studies -- 5 studies were conducted in the West,...