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Letter
Reassessing gastroscopy practices: the need for improved methodology and interpretation
  1. Jia Xu,
  2. Xiaowei Tang
  1. Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
  1. Correspondence to Dr Xiaowei Tang, Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, China; solitude5834{at}hotmail.com

https://doi.org/10.1136/gutjnl-2024-333295

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    We read with great interest the recent publication by Beaton et al on the diagnostic yield of symptomatic gastroscopies in the UK.1 While this study provided valuable insights into the efficiency of gastroscopy practices, several methodological concerns warrant further discussion, particularly regarding the study’s approach to symptom categorisation.

    One notable limitation of this study is its reliance on endoscopic findings without histopathological confirmation. The UK National Endoscopy Database records diagnoses based solely on visual endoscopic impressions, which may not always accurately reflect the underlying pathology. Histopathological correlation is crucial for validating endoscopic …

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    Footnotes

    • Contributors Both authors: study conception and design and revision and final approval of the manuscript . Drafting of the manuscript: JX. Critical revision: XT.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.