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Patients who prefer a more definite diagnosis should consent to a gastroduodenoscopy, primarily in the upper small intestine, to confirm the presence of the adult fluke.
Endoscopic facilities (gastroduodenoscopy, colonoscopy and ERCP) with ultrasonography and Doppler-electrocardiography.
The day after the permeability test, patients on NSAIDs underwent gastroduodenoscopy (Olympus XQ20) with biopsy.