More than 1,600 examinations using the technique of endoscopy with a flexible fiber-optic gastroduodenoscope indicate it is a valuable aid in diagnosis of superficial lesions of the gastro-duodenal mucosa, and in determining the exact site and activity of upper gastrointestinal hemorrhage. It is particularly useful after gastrectomy to determine certain pathological evidence often not demonstrable by radiologic techniques, an Alabama physician has reported.
"In certain areas, endoscopy has been recognized as essential for a proper diagnosis because of the intrinsic inadequacies of radiology," Basil Hirschowitz, MD, associate professor of medicine and director of the Division of Gastroenterology, University of Alabama, Birmingham, said at the 13th Hahnemann Symposium on the Stomach held in Philadelphia. In addition, endoscopy is particularly advantageous in clarifying diagnosis of ulcer or cancer. "There is no reason why every gastroenterologist should not examine the upper digestive tract as easily as the lower part by endoscopic means," he