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Correspondence
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Volume 342:1219-1221 April 20, 2000 Number 16
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Endoscopy

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 by Dam, J. V.
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 by Brugge, W. R.
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To the Editor: In their otherwise excellent review of endoscopy of the upper gastrointestinal tract, Drs. Van Dam and Brugge (Dec. 2 issue)1 start with a discussion of the likely economic benefits of performing upper gastrointestinal endoscopy without using sedation. They appear to imply that this practice would be acceptable only with the use of "ultrathin" flexible endoscopes (6 mm in diameter).

In the United Kingdom, the practice of performing diagnostic upper gastrointestinal endoscopy without sedation in selected patients has become more common over the past few years, even with conventional 9-to-11-mm endoscopes. Thus, although a 1991 British Society of . . . [Full Text of this Article]

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