We read with great interest the Kamran study on the findings of clinical practice with upper gastrointestinal endoscopy (GIE) in a rural hospital in Pakistan.1 Worldwide, there have been few data specific to rural practice in relation to GIE; thus, the findings from such studies provide valuable information to consider in the clinical picture of gastrointestinal pathologies among rural populations and the provision of rural healthcare systems. To consider this, an understanding of comparative situations across many countries is useful. We would like to describe additional comments on the Kamran study in comparison to the Japanese situation, as we recognized a clear difference in rural practice in relation to GIE between the respective countries

Kazuhiko Kotani. (2021) Comparison of rural practice in relation to upper gastrointestinal endoscopy, Pakistan Journal of Medical Sciences, Volume-37, Issue-4.
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