Upper gastrointestinal endoscopy may not be worth the cost for diagnosing children suspected of having Crohn’s disease. British researchers found that when it is used along with colonoscopy, upper endoscopy added diagnostic information in only 2% of patients whose colonoscopies did not reveal visual or histologic signs of Crohn’s.
“If a test is not adding much value to the diagnosis or treatment of the disease, as seems to be the case with upper GI endoscopy, we should not be