The value of endoscopy and biopsy in the diagnosis of gastric carcinoma has been examined. Out of a total of 550 patients, gastric carcinoma was suspected in 101. Endoscopy and biopsy provided a firm diagnosis in 43 of the 44 cases of gastric carcinoma present, and effectively excluded gastric carcinoma in 48 cases. We recommend endoscopy and biopsy as valuable diagnostic procedures in the investigation of patients suspected of having gastric carcinoma. Used together they can eliminate the necessity for diagnostic laparotomy.
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