Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre
A retrospective cross-sectional study was carried out in a tertiary referral centre to determine the appropriateness of usage of emergency upper gastrointestinal endoscopy (EUGIE) with reference to the guidelines set by the American Society of Gastrointestinal Endoscopy (ASGE). EUGIE was defined as...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Malaysian Medical Association
2004
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| Online Access: | http://psasir.upm.edu.my/id/eprint/15418/ http://psasir.upm.edu.my/id/eprint/15418/1/Appropriate%20utilisation%20of%20emergency%20upper%20gastrointestinal%20endoscopy%20in%20a%20tertiary%20referral%20centre.pdf |
| _version_ | 1848842671918940160 |
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| author | Alif Gul, Yunus Gul Jabar, Mohd Faisal Mo'min, N. Hon, Sook Kit |
| author_facet | Alif Gul, Yunus Gul Jabar, Mohd Faisal Mo'min, N. Hon, Sook Kit |
| author_sort | Alif Gul, Yunus Gul |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | A retrospective cross-sectional study was carried out in a tertiary referral centre to determine the appropriateness of usage of emergency upper gastrointestinal endoscopy (EUGIE) with reference to the guidelines set by the American Society of Gastrointestinal Endoscopy (ASGE). EUGIE was defined as early, non-elective endoscopy performed for in-patients within 48 hours of acute hospital admission. The median age of the 668 patients was 55 years (age range 12- 90), 31% of whom had a previous upper gastrointestinal endoscopy. Bleeding in the form of haematemesis, melaena or anaemia was the most common indication (40.7%) for EUGIE. Eighty one percent of the procedures were judged appropriate by the ASGE guidelines. There was a statistically significant relationship between appropriateness and significant diagnostic yield (P<0.05). Procedures performed for melaena, symptomatic anaemia and haemetemesis led to greater significant diagnostic yield (P<0.05) and there was no difference in the yield between working-hours and after-hours EUGIE. |
| first_indexed | 2025-11-15T08:02:51Z |
| format | Article |
| id | upm-15418 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T08:02:51Z |
| publishDate | 2004 |
| publisher | Malaysian Medical Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-154182016-04-08T02:55:08Z http://psasir.upm.edu.my/id/eprint/15418/ Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre Alif Gul, Yunus Gul Jabar, Mohd Faisal Mo'min, N. Hon, Sook Kit A retrospective cross-sectional study was carried out in a tertiary referral centre to determine the appropriateness of usage of emergency upper gastrointestinal endoscopy (EUGIE) with reference to the guidelines set by the American Society of Gastrointestinal Endoscopy (ASGE). EUGIE was defined as early, non-elective endoscopy performed for in-patients within 48 hours of acute hospital admission. The median age of the 668 patients was 55 years (age range 12- 90), 31% of whom had a previous upper gastrointestinal endoscopy. Bleeding in the form of haematemesis, melaena or anaemia was the most common indication (40.7%) for EUGIE. Eighty one percent of the procedures were judged appropriate by the ASGE guidelines. There was a statistically significant relationship between appropriateness and significant diagnostic yield (P<0.05). Procedures performed for melaena, symptomatic anaemia and haemetemesis led to greater significant diagnostic yield (P<0.05) and there was no difference in the yield between working-hours and after-hours EUGIE. Malaysian Medical Association 2004-03 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/15418/1/Appropriate%20utilisation%20of%20emergency%20upper%20gastrointestinal%20endoscopy%20in%20a%20tertiary%20referral%20centre.pdf Alif Gul, Yunus Gul and Jabar, Mohd Faisal and Mo'min, N. and Hon, Sook Kit (2004) Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre. Medical Journal of Malaysia, 59 (1). pp. 65-71. ISSN 0300-5283 http://www.e-mjm.org/2004/v59n1/index.html |
| spellingShingle | Alif Gul, Yunus Gul Jabar, Mohd Faisal Mo'min, N. Hon, Sook Kit Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre |
| title | Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre |
| title_full | Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre |
| title_fullStr | Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre |
| title_full_unstemmed | Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre |
| title_short | Appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre |
| title_sort | appropriate utilisation of emergency upper gastrointestinal endoscopy in a tertiary referral centre |
| url | http://psasir.upm.edu.my/id/eprint/15418/ http://psasir.upm.edu.my/id/eprint/15418/ http://psasir.upm.edu.my/id/eprint/15418/1/Appropriate%20utilisation%20of%20emergency%20upper%20gastrointestinal%20endoscopy%20in%20a%20tertiary%20referral%20centre.pdf |