GI QUESTION DISCUSSION

Question 1

What’s the age breakdown for gastric/esopheal cancer

What’s the risk of delaying diagnosis

How does consideration of barrett’s esophagus effect the
decision – is there any utility to screening/surveillance of Barrett’s?

What’s the effect of risk factors for gastric and esophogeal
cancer

What’s the sensitivity and specificity of GI series? What’s the sensitivity and specificity
of the endoscopy

How do we factor in cost?

Is a treatment trial diagnostic at all?

How long should a treatment trial be?

What are the risks of the tests?

Is biopsy less sensitive than h plori titer for ulcer?

Is there any diagnostic utility to the level or change in
titer?

What’s the sens and spec of h pylori titer in population
?

What are the risks of prevpac?

What are the costs of scoping, treating presumptively?

What’s the risk of delayed diagnosis?

How often does eradication of HP lead to symptom relief?

Do we need to r/o other causes of serious bleeding? What is the incidence of other causes of
serious bleeding?

Does defining type of hemorrhoid help in management?

Is there any diagnostic value to direct visualization of a
hemorrhoid on exam?

Is there endoscopic treatment that’s more effective?

What is the efficacy of colace, metamucil, etc.