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Dyspepsia Challenge in Primary Care Gastroenterology.
Milivojevic, Vladimir; Rankovic, Ivan; Krstic, Miodrag N; Milosavljevic, Tomica.
Afiliação
  • Milivojevic V; Clinic for Gastroenterology and Hepatology, University Clinical Center of Serbia, Belgrade, Serbia.
  • Rankovic I; School of Medicine, Belgrade University, Belgrade, Serbia.
  • Krstic MN; Clinic for Gastroenterology and Hepatology, University Clinical Center of Serbia, Belgrade, Serbia.
  • Milosavljevic T; Clinic for Gastroenterology and Hepatology, University Clinical Center of Serbia, Belgrade, Serbia.
Dig Dis ; 40(3): 270-275, 2022.
Article em En | MEDLINE | ID: mdl-34126614
ABSTRACT

BACKGROUND:

The purpose of this review is to take a deep dive into general problems and challenges of diagnosis and treatment of patients with symptoms of dyspepsia in primary care practice.

SUMMARY:

Primary care physicians become acquainted with a broad range of clinical problems and therefore require a wide span of knowledge in taking care of patients from their first medical examination within the health care system. Dyspepsia and Helicobacter pylori infection are two of the most frequent reasons of digestive-related health care issues, despite that in primary care practice, current recommendations for diagnosis and differential therapy are often not implemented. The "test-and-treat" strategy is the initial management of the condition, reserving gastroscopy for patients refractory to symptomatic treatment and for patients presenting with any of the following alarm signs age of above 55, dysphagia, anemia, weight loss, frequent vomiting, family history of GI malignancy, or a physical examination with key pathological findings. KEY MESSAGES Examination and treatment of dyspepsia symptoms is the diagnostic and therapeutic challenge dictated by organizational and economic potentials of the health system, professional resources, and primary health care capabilities to accept and treat patients with dyspepsia and to properly refer those with alarm symptoms and findings indicative of organic disease to a gastroenterologist.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Helicobacter pylori / Infecções por Helicobacter / Dispepsia / Gastroenterologia Tipo de estudo: Guideline Limite: Humans Idioma: En Revista: Dig Dis Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Helicobacter pylori / Infecções por Helicobacter / Dispepsia / Gastroenterologia Tipo de estudo: Guideline Limite: Humans Idioma: En Revista: Dig Dis Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2022 Tipo de documento: Article