Endoscopy of the Upper Gastrointestinal Tract

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Abstract
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.13 There appears, however, to be little consensus on the appropriate uses of endoscopic procedures. In prospective trials involving . . .