Abstract
I desire to compare gastroscopic study with other diagnostic procedures in the evaluation of gastric disease. The discussion is based on the study of 200 cases and in many of these two, three or more gastroscopic examinations were made. In one the gastroscope was used fourteen times. A careful summary of the history, physical examination, laboratory studies and roentgen and gastroscopic observations has been made in every case. The cases were not especially selected but represent a good cross section of those studied in the gastrointestinal clinic of the Johns Hopkins Hospital and the medical service of the Maryland General Hospital. Some of the patients examined were not thought after study by other methods to have an organic lesion of the stomach; in other instances an organic lesion of the stomach was thought to be doubtful, and in still others a diagnosis of an organic lesion had been made by