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Previous Volume 341:1738-1748 December 2, 1999 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The rapid development of high-technology procedures has come at a time when the ability of the U.S. health care system to provide expensive services to all patients is increasingly constrained. The inverse relation between expanding medical achievement and contracting resources for health care delivery has stimulated an evaluation of the appropriate use of endoscopic procedures. Serious concern about the effects of a reduction in health care costs on the quality of patient care has led to critical analysis of endoscopic practice.^1,2,3 There appears, however, to be little consensus on the appropriate uses of endoscopic procedures. In prospective trials involving primary . . . [Full Text of this Article]

Diagnosis and Treatment of Nonvariceal Bleeding of the Upper Gastrointestinal Tract

Diagnosis and Treatment of Variceal Bleeding of the Upper Gastrointestinal Tract

Endoscopy of the Small Intestine

Diagnosis and Treatment of Nonmalignant Diseases of the Upper Gastrointestinal Tract

Subepithelial Lesions

Barrett's Esophagus

Achalasia

Diagnosis and Staging of Malignant Disease

Esophagus

Stomach

Treatment of Malignant Disease in the Upper Gastrointestinal Tract

Esophagus

Stomach

Source Information

From the Division of Gastroenterology, Department of Medicine, Brigham and Women's Hospital (J.V.D.), Massachusetts General Hospital (W.R.B.), and Harvard Medical School (J.V.D., W.R.B.) — all in Boston.

Address reprint requests to Dr. Van Dam at Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115.

References

Related Letters:

Endoscopy
Fisher N. C., Putnam S. G., Schwarz R. E., Dam J. V., Brugge W. R.
Extract | Full Text  
N Engl J Med 2000; 342:1219-1221, Apr 20, 2000. Correspondence

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