Role of endoscopy in HIV with UGI Symptoms

What is the role of endoscopy in HIV-infected patients with upper gastrointestinal (GI) symptoms? 

  • Patients with AIDS (CD4 count < 200) are at risk for opportunistic infections and neoplasms, particularly when the CD4 lymphocyte count falls to less than 100.
  • Given the broad differential diagnosis of upper GI symptoms in these patients, generally upper endoscopy should be performed so all lesions can be biopsied for a definitive diagnosis.

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