Özet:

Introduction and Purpose: The need for endoscopy is a widely accepted approach in the distinction between those who are benign and malign in the trace observed in the stomach. But in clinical practice it is not easy to persuade patients for a second or third gastroscopy. It is necessary that the gastroenterologist controls their indications with their own clinical data, so that they can apply evidence-based medicine to their patients. In this study, we evaluated endoscopy indications and results in our clinic again. Method: Patients who accepted endoscopy again and have no injury that may be proven malignant in their first endoscopy were taken to the study. Patients were evaluated in the direction of endoscopic and pathological findings with the number of endoscopic procedures needed to reach the final diagnosis. Results: Sixteen patients with gastrointestinal ulcers were endoscoped again. The average endoscopic number was 2.15. In nine patients, 3, 3 patients needed 4 endoscopic procedures, while in none of the patients, 5 endoscopic procedures were not required. In 77 of the sixteen patients, ulcer has not been observed again in the endoscope. However, 7.2% of 6 patients have malignant ulcers. Four of these were identified in the second endoscope, while the diagnosis of two patients was confirmed only after the third procedure. In 5 patients, gastric adenocarcinoma was detected, while in other cases, gastric lymphoma was detected. Two in five patients with gastric cancer had 40 percent of early stomach cancer. Results: Our study results confirm the need for endoscopies again in patients diagnosed with gastric ulcers. The malignancy rate in our cases is 7.2%. This high rate should encourage the clinic and endoscopist about the need to verify the healing of the gastric ulcer by making endoscopies again.

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