The average waiting time for all booked cases, including those with alarm symptoms
, was as follows: upper endoscopy 27 (range 7-60) days, colonoscopy 29 (range 7-90) days and duodenoscopy/ERCP 13 (range 4-20) days.
Once alarm symptoms
have been excluded, the diagnosis of IBS is based upon the presence of characteristic symptoms and changes in stool habits (figure 2 (3,10)).
Meta-analysis: the diagnostic value of alarm symptoms
for upper gastrointestinal malignancy.
These are alarm symptoms
necessitating urgent upper gastrointestinal endoscopy.
19) The small number of older patients who were found to have esophageal cancer had no higher prevalence of alarm symptoms
than other subjects in this study.
Under the ACG approach, a patient who gives a history consistent with IBS and has no alarm symptoms
or signs--weight loss, fever, rectal bleeding, malnutrition, anemia, a low albumin level, or an elevated WBC--can reasonably be assumed to have IBS and can move straight to a therapeutic trial.
Under the AGO approach, a patient who gives a history consistent with IBS and has no alarm symptoms
or signs-weight loss, fever, rectal bleeding malnutrition, anemia, a low albumin level, or an elevated WBC--can reasonably be assumed to have IBS and can move straight to a therapeutic trial.
Red flags or FGID alarm symptoms
include multiple organ involvement, gastrointestinal Needing, weight loss, mouth ulcers, and liver disease.
Early endoscopy for patients with gastroesophageal reflux disease (GERD) without alarm symptoms
does not improve symptoms or quality of life, though it does increase costs.
23) In general, diagnostic testing is reserved for patients who fail to respond to a trial of adequate medical therapy or for patients who have alarm symptoms
Worrying about wasting your GP's time is stopping people reporting cancer alarm symptoms
, says a University of Surrey study in the British Journal of Clinical Practice.