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British Medical Bulletin 54:217-228 (1998)
© 1998 The British Council

research-article

Clinical practice – strategies for management of dyspepsia

Sameer Zar and Michael A Mendall

Department of Gastroenterology, Mayday University Hospital Surrey, UK

Correspondence to: Dr Michael A Mendall, Department of Gastroenterology, Mayday University Hospital, Mayday Road, Thomton Heath, Surrey CR4 7YE, UK

Abstract

if every person, particularly the young with dyspepsia, were initially tested for Helicobacter pylori and treated if positive and re-assured if negative, a substantial proportion of endoscopies could be saved, and it is difficult to conceive how this would add to the expense of managing dyspepsia if most H. pylori positive dyspeptics are going to receive treatment after endoscopy in any event. An algorithm for the management of dyspepsia is proposed.


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R L. Jaakkimainen, E. Boyle, and F. Tudiver
Is Helicobacter pylori associated with non-ulcer dyspepsia and will eradication improve symptoms? A meta-analysis
BMJ, October 16, 1999; 319(7216): 1040 - 1044.
[Abstract] [Full Text]


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