Peptic ulcer disease remains a common problem and it most frequently due to the presence of an Helicobacter pylori infection or use of non-steroidal anti-inflammatory drugs (NSAIDs). Dyspepsia is neither sensitive or specific for diagnosing peptic ulcer disease. The approach to patients with dyspepsia is to arrive at a definitive diagnosis without unnecessary exposure to invasive or costly diagnostic procedures. Non-invasive testing is preferred with endoscopy being reserved for those with alarm markers or above a specified age (e.g., 55 years in Western countries). Patients negative for H. pylori infection should receive an empiric trial of acid suppression for 4 to 8 weeks and if beneficial it can be continued.

Gastritis, dyspepsia and peptic ulcer disease / Dore, Maria Pina; Graham, D. Y.. - In: MINERVA MEDICA. - ISSN 0026-4806. - (2008).

Gastritis, dyspepsia and peptic ulcer disease.

DORE, Maria Pina;
2008

Abstract

Peptic ulcer disease remains a common problem and it most frequently due to the presence of an Helicobacter pylori infection or use of non-steroidal anti-inflammatory drugs (NSAIDs). Dyspepsia is neither sensitive or specific for diagnosing peptic ulcer disease. The approach to patients with dyspepsia is to arrive at a definitive diagnosis without unnecessary exposure to invasive or costly diagnostic procedures. Non-invasive testing is preferred with endoscopy being reserved for those with alarm markers or above a specified age (e.g., 55 years in Western countries). Patients negative for H. pylori infection should receive an empiric trial of acid suppression for 4 to 8 weeks and if beneficial it can be continued.
Gastritis, dyspepsia and peptic ulcer disease / Dore, Maria Pina; Graham, D. Y.. - In: MINERVA MEDICA. - ISSN 0026-4806. - (2008).
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/77671
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