Clinical practice guideline on the management of patients with dyspepsia. Update 2012

Javier P. Gisbert, Xavier Calvet, Juan Ferrándiz, Juan Mascort, Pablo Alonso-Coello, Mercè Marzo

Research output: Contribution to journalArticleResearchpeer-review

12 Citations (Scopus)

Abstract

The aim of the Clinical Practice Guideline (CPG) on the Management of Patients with Dyspepsia is to generate recommendations on the optimal approach to dyspepsia in the primary care and specialized outpatient setting. The main objective of this CPG is to help to optimize the diagnostic process, identifying patients with a low risk of a serious organic disease (mainly tumoral), who could be safely managed without the need for invasive diagnostic tests and/or referral to a specialist. The importance of this aim lies in the need to accurately diagnose patients with esophagogastric cancer and correctly treat peptic ulcer while, at the same time, reduce negative endoscopies in order to appropriately use the available healthcare resources.This CPG reviews the initial strategies that can be used in patients with uninvestigated dyspepsia and evaluates the possible decision to begin empirical therapy or to investigate the existence of a lesion that could explain the symptoms. This CPG also discusses functional dyspepsia, which encompasses all patients with dyspepsia with no demonstrable cause on endoscopy. Recommendations for the diagnosis and treatment of peptic ulcer and Helicobacter pylori infection are also made.To classify the scientific evidence and strengthen the recommendations, the GRADE (Grading of Recommendations Assessment, Development and Evaluation Working Group) system has been used (http://www.gradeworkinggroup.org/). © 2012 Elsevier España, S.L. and AEEH y AEG.
Original languageEnglish
JournalGastroenterologia y Hepatologia
Volume35
DOIs
Publication statusPublished - 1 Dec 2012

Keywords

  • Clinical guideline
  • Dyspepsia
  • Helicobacter pylori

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