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Gastric endoscopic artistic assessment had a sensitivity and specificity of 20% and 87%. 24(10%) patients had therapy based on conclusions and, of the, 12 (50%) had aesthetically typical endoscopy.Endoscopic assessment of esophagus and stomach has reduced susceptibility and high specificity for pathologic abnormalities when indication for endoscopy is elevated TTG. When endoscopy is aesthetically normal clinical interventions based on biopsy are uncommon, and foregoing