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A 22-year-old male asked:

I know endoscopy is the best test for diagnosing gastric cancer but how good/ sensitive is the double contrast upper gi series at detecting it?

2 doctor answers4 doctors weighed in
Dr. You Sung Sang
Internal Medicine - Gastroenterology 32 years experience
Not as good: In advanced cases, the UGI series will be able to pick up abnormalities in the stomach folds to suggest the DX of stomach cancer. But in early cases, it will be missed. Also, the endoscppy allows for the ability to biopsy as suspicious looking sites.
Dr. Perry Milman
49 years experience
Not that good: The key to improved survival of gastric cancer is early detection. Although a double contrast UGI series can detect gastric cancer, it is not that good at picking up small lesions. By the time a gastric cancer is detected by x-ray, it may be too late for cure.
Last updated Jun 29, 2018


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