Same-day Bidirectional Endoscopy: Patients or Practice?

A subset of patients undergo both EGD and colonoscopy on the same day (bidirectional endoscopy or BDE). Although no clear guidelines exist, same-day bidirectional endoscopy has been recommended for patients with anemia or positive fecal occult blood test (FOBT). In a recent study (Urquhart et al, 2009) bidirectional endoscopy revealed important pathology in patients with anemia or positive FOBT. Patients with pain had a lower prevalence of serious findings compared to the other groups studied. It was concluded that the benefits of BDE in patients with pain are uncertain and require additional investigation.

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