Errors, rarities and surprises in our urgent upper panendoscopic series

During the last three decades 4412 urgent panendoscopies were performed because of upper gastrointestinal bleeding in our department. In 2562 cases we had the chance to compare the initial results of the emergency oesophago-gastro-duodenoscopy with the findings of a repeated endoscopy, histology, surgery or autopsy. Based on the evaluation of diagnostic end-points, in 46 cases out of 1348 patients followed-up with repeated endoscopy, in 13 out of 139 patients with a definitive histological finding, in 52 out of 635 surgeries, and in 26 out of 440 autopsies a discrepancy or error was discovered in the initial ide…