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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 123344
Country Türkiye
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Diagnostic yield and biopsy practice variability between gastroenterologists and general surgeons performing upper gastrointestinal endoscopy
Manuscript Source Unsolicited Manuscript
All Author List Ömer Küçükdemirci, Sumru Cagaptay and Berk Bas
Funding Agency and Grant Number
Corresponding Author Ömer Küçükdemirci, Chief Physician, Department of Gastroenterology, Hakkari State Hospital, Dağgöl, Gençlik Cd. No. 2, Hakkari 30000, Türkiye. drkucukdemirci@yahoo.com
Key Words Endoscopy, Gastrointestinal; Biopsy; Intestinal metaplasia; Helicobacter pylori; General surgery; Diagnostic techniques and procedures
Core Tip Upper gastrointestinal endoscopy is frequently performed by both gastroenterologists and general surgeons in geographically remote and specialist-limited settings, yet data comparing diagnostic yield between specialties remain limited. In this 10-year real-world study including 8825 procedures, gastroenterologists obtained biopsies more frequently, performed multisite sampling more often, and detected Helicobacter pylori infection and dysplasia more frequently than general surgeons. However, the association between endoscopist specialty and intestinal metaplasia detection was attenuated after adjustment for biopsy sampling intensity and temporal factors. These findings suggest that biopsy strategy and sampling behavior may influence the detection of premalignant gastric lesions more strongly than specialty background alone and highlight the importance of standardized biopsy protocols and quality-focused endoscopy training.
Citation Küçükdemirci Ö, Cagaptay S, Bas B. Diagnostic yield and biopsy practice variability between gastroenterologists and general surgeons performing upper gastrointestinal endoscopy. World J Gastrointest Surg 2026; In press
Received
2026-05-15 06:14
Peer-Review Started
2026-05-15 06:14
First Decision by Editorial Office Director
2026-06-12 13:08
Return for Revision
2026-06-12 13:08
Revised
2026-06-17 20:25
Publication Fee Transferred
2026-06-22 15:17
Second Decision by Editor
2026-06-29 02:20
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-29 03:08
Articles in Press
2026-06-29 03:08
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1948-9366 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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