Do Young Patients With Dyspepsia Need Investigation?

Williams, Bryan; Ellingham, J.H.M.; Luckas, Murray; Daín, Alejandro; Wicks, A. C. B.

doi:10.1016/s0140-6736(88)90879-3

Cited by 160 publications

(75 citation statements)

References 15 publications

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“…Strategies have therefore been proposed that will adequately determine which patients should receive what therapy, while reducing unnecessary endoscopy workload. 8,9 These include:…”

Section: The Uninvestigated Dyspeptic Patient In Primary Carementioning

confidence: 99%

“…The result will be normal in over 50% of patients 8 and, in the presence of a normal ultrasound scan, these patients will be classified as having NUD. 62 The pathophysiology of this condition is, unfortunately, poorly understood and its treatment uncertain.…”

Section: Established Nudmentioning

confidence: 99%

“…8,12,113,149,[263][264][265][266][267][268][269][270][271][272][273][274][275][276][277] As the yield from endoscopy varied widely with case-mix in these studies, a range only was used for comparison. As later studies have shown lower rates of PUD and cancer, the aim for these was at the lower end of this range, and at the upper end of the range for oesophagitis.…”

Section: Validationmentioning

confidence: 99%

“…This can reveal PUD or oesophagitis and these conditions usually respond well to treatment. 45 Investigation is normal in over 50% of cases 8 and, although some patients will be reassured by this knowledge, many will request further therapy to cure their symptoms. These patients are labelled as having NUD and the treatment of this group is more problematic.…”

Section: Introductionmentioning

confidence: 99%

“…Strategies have therefore been proposed that will adequately determine which patients should receive what therapy, while reducing unnecessary endoscopy workload. 8,9 These include:• empirical anti-secretory therapy/ treat-and-endoscope • early endoscopy • dyspepsia questionnaires • screening for H. pylori • empirical H. pylori eradication therapy for all dyspetic patients. …”

mentioning

confidence: 99%

See 4 more Smart Citations

The management of dyspepsia: a systematic review.

Delaney

Moayyedi²,

Deeks³

et al. 2000

Health Technology Assessment

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“…Strategies have therefore been proposed that will adequately determine which patients should receive what therapy, while reducing unnecessary endoscopy workload. 8,9 These include:…”

Section: The Uninvestigated Dyspeptic Patient In Primary Carementioning

confidence: 99%

Section: Established Nudmentioning

confidence: 99%