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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Titolo: | Gastritis, dyspepsia and peptic ulcer disease. | |
Autori: | ||
Data di pubblicazione: | 2008 | |
Rivista: | ||
Citazione: | Gastritis, dyspepsia and peptic ulcer disease / Dore, Maria Pina; Graham, D. Y.. - In: MINERVA MEDICA. - ISSN 0026-4806. - (2008). | |
Handle: | http://hdl.handle.net/11388/77671 | |
Appare nelle tipologie: | 1.1 Articolo in rivista |