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Dyspepsia guidelines

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https://www.readbyqxmd.com/read/27784575/the-appropriate-use-of-proton-pump-inhibitors-ppis-need-for-a-reappraisal
#1
REVIEW
Vincenzo Savarino, Pietro Dulbecco, Nicola de Bortoli, Andrea Ottonello, Edoardo Savarino
The advent of powerful acid-suppressive drugs, such as proton pump inhibitors (PPIs), has revolutionized the management of acid-related diseases and has minimized the role of surgery. The major and universally recognized indications for their use are represented by treatment of gastro-esophageal reflux disease, eradication of Helicobacter pylori infection in combination with antibiotics, therapy of H. pylori-negative peptic ulcers, healing and prophylaxis of non-steroidal anti-inflammatory drug-associated gastric ulcers and control of several acid hypersecretory conditions...
October 23, 2016: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/27531536/helicobacter-pylori-and-non-malignant-upper-gastrointestinal-diseases
#2
Riccardo Vasapolli, Peter Malfertheiner, Arne Kandulski
Peptic ulcer disease (PUD) has been further decreased over the last decades along with decreasing prevalence of Helicobacter pylori-associated PUD. A delayed H. pylori eradication has been associated with an increased risk of rehospitalization for complicated recurrent peptic ulcer and reemphasized the importance of eradication especially in patients with peptic ulcer bleeding (PUB). PUB associated with NSAID/aspirin intake and H. pylori revealed an additive interaction in gastric pathophysiology which favors the "test-and-treat" strategy for H...
September 2016: Helicobacter
https://www.readbyqxmd.com/read/27403308/symptom-burden-and-consulting-behavior-in-patients-with-overlapping-functional-disorders-in-the-us-population
#3
Nimish Vakil, Margie Stelwagon, Elizabeth P Shea, Steve Miller
BACKGROUND: Regulatory and treatment guidelines focus on individual conditions, yet clinicians often see patients with overlapping conditions. OBJECTIVE: This cross-sectional survey study assesses the impact of overlapping functional dyspepsia (FD), gastroesophageal reflux disease (GERD), irritable bowel syndrome with constipation (IBS-C), and chronic idiopathic constipation (CIC) on symptom burden and consulting behavior. METHODS: Survey participants met Rome III criteria for FD, IBS-C, and/or CIC, and/or reported GERD; participants answered questions about symptom frequency and bothersomeness, work and productivity, and consulting behavior...
June 2016: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/27264423/clinical-management-of-functional-dyspepsia-is-the-management-changed-after-publication-of-japanese-fd-guideline
#4
Hiroto Miwa
No abstract text is available yet for this article.
2016: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/26846116/the-initial-management-and-endoscopic-outcomes-of-dyspepsia-in-a-low-risk-patient-population
#5
Jeffrey P Fiorenza, Alex M Tinianow, Walter W Chan
BACKGROUND AND AIMS: Dyspepsia is frequently encountered by primary care providers (PCP) and gastroenterologists (GI). While esophagogastroduodenoscopy (EGD) may be useful, current guidelines suggest a proton pump inhibitor (PPI) trial and H. pylori (HP) test-and-treat before EGD for low-risk patients. This study aimed to evaluate pre-EGD management and endoscopic outcomes in this population. METHODS: This was a retrospective cohort study of low-risk dyspepsia patients (age ≤55, no alarm features) undergoing EGD at an ambulatory endoscopy center from January 2011 to March 2012...
October 2016: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/26693189/changing-patterns-of-the-prevalence-of-helicobacter-pylori-among-patients-at-a-corporate-hospital-in-ghana
#6
R Darko, A E Yawson, V Osei, J Owusu-Ansah, S Aluze-Ele
INTRODUCTION: Helicobacter pylori (H. pylori) discovered in 1982, has strongly been associated with multiple clinical disorders of the gastrointestinal tract. This study described the prevalence of H. pylori among large numbers of patients over two different time periods in Accra, Ghana. METHODS: It was a retrospective records review on patients attending a quasi-government hospital in Accra, Ghana, during two time periods, 1999 and 2012. A total of 2401 records were reviewed, 1128 in first period and 1273 in second period...
September 2015: Ghana Medical Journal
https://www.readbyqxmd.com/read/26690730/translation-and-validation-of-enhanced-asian-rome-iii-questionnaires-in-bengali-language-for-diagnosis-of-functional-gastrointestinal-disorders
#7
M Masudur Rahman, Uday C Ghoshal, A H M Rowshon, Faruque Ahmed, Md Golam Kibria, Mahmud Hasan, Kok-Ann Gwee, William E Whitehead
BACKGROUND/AIMS: Functional gastrointestinal disorders (FGIDs), diagnosed by symptom-based criteria due to lack of biomarkers, need translatedvalidated questionnaires in different languages. As Bengali, the mother tongue of Bangladesh and eastern India, is the seventh most spoken language in the world, we translated and validated the Enhanced Asian Rome III questionnaire (EAR3Q) in this language. METHODS: The EAR3Q was translated in Bengali as per guideline from the Rome Foundation...
April 30, 2016: Journal of Neurogastroenterology and Motility
https://www.readbyqxmd.com/read/26347458/value-of-the-test-treat-strategy-for-uninvestigated-dyspepsia-at-low-prevalence-rates-of-helicobacter-pylori-in-the-population
#8
Lars Agréus, Nicholas J Talley, Michael Jones
BACKGROUND AND AIM: In populations with a low prevalence rate of Helicobacter pylori (H. pylori) infection from Western countries, guidelines for the management of uninvestigated dyspepsia generally recommend that the "test and treat" strategy should be avoided in favor of empiric proton-pump inhibitor therapy in younger patients (on average < 50 years of age) without alarm symptoms and signs. The prevalence of H. pylori infection has fallen from about 30% to about 10% in Sweden and other countries...
June 2016: Helicobacter
https://www.readbyqxmd.com/read/26328530/usefulness-of-upper-gastrointestinal-symptoms-as-a-driver-to-prescribe-gastroscopy-in-obese-patients-candidate-to-bariatric-surgery-a-prospective-study
#9
Marilia Carabotti, Marcello Avallone, Fabrizio Cereatti, Alessandro Paganini, Francesco Greco, Annunziata Scirocco, Carola Severi, Gianfranco Silecchia
BACKGROUND: Before bariatric surgery, the necessity of routine upper gastrointestinal endoscopy is controversial, and guidelines recommend endoscopy in symptomatic cases. However, impaired visceral sensation occurring in obese patients may be misleading. The purpose of the study is to evaluate prospectively the prevalence of gastrointestinal symptoms, endoscopic findings, and the relation between symptoms and endoscopic findings in obese patients before surgery. MATERIALS AND METHODS: One hundred forty-two consecutive patients candidate to primary bariatric surgery filled out the validated Rome III symptomatic questionnaire and performed endoscopy...
May 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26320707/american-gastroenterological-association-institute-guideline-on-the-role-of-upper-gastrointestinal-biopsy-to-evaluate-dyspepsia-in-the-adult-patient-in-the-absence-of-visible-mucosal-lesions-clinical-decision-support-tool
#10
https://www.readbyqxmd.com/read/26283143/american-gastroenterological-association-institute-guideline-on%C3%A2-the-role-of-upper-gastrointestinal-biopsy-to-evaluate-dyspepsia-in-the-adult-patient-in-the-absence-of-visible-mucosal-lesions
#11
REVIEW
Yu-Xiao Yang, Joel Brill, Prashant Krishnan, Grigorios Leontiadis
No abstract text is available yet for this article.
October 2015: Gastroenterology
https://www.readbyqxmd.com/read/26272769/safety-and-efficacy-of-rolapitant-for-prevention-of-chemotherapy-induced-nausea-and-vomiting-after-administration-of-cisplatin-based-highly-emetogenic-chemotherapy-in-patients-with-cancer-two-randomised-active-controlled-double-blind-phase-3-trials
#12
RANDOMIZED CONTROLLED TRIAL
Bernardo L Rapoport, Martin R Chasen, Cesare Gridelli, Laszlo Urban, Manuel R Modiano, Ian D Schnadig, Allen Poma, Sujata Arora, Vikram Kansra, Lee S Schwartzberg, Rudolph M Navari
BACKGROUND: Highly emetogenic chemotherapy induces emesis in almost all patients in the absence of prophylaxis. Guidelines recommend use of a neurokinin-1 (NK-1) receptor antagonist in conjunction with a 5-HT3 receptor antagonist and corticosteroid in patients receiving highly emetogenic chemotherapy. We aimed to assess rolapitant, an NK-1 receptor antagonist, for prevention of chemotherapy-induced nausea and vomiting in patients with cancer after administration of cisplatin-based highly emetogenic chemotherapy...
September 2015: Lancet Oncology
https://www.readbyqxmd.com/read/26253555/guidelines-for-the-management-of-helicobacter-pylori-infection-in-italy-the-iii-working-group-consensus-report-2015
#13
Rocco Maurizio Zagari, Marco Romano, Veronica Ojetti, Reinhold Stockbrugger, Sergio Gullini, Bruno Annibale, Fabio Farinati, Enzo Ierardi, Giovanni Maconi, Massimo Rugge, Carlo Calabrese, Francesco Di Mario, Francesco Luzza, Stefano Pretolani, Antonella Savio, Giovanni Gasbarrini, Michele Caselli
Knowledge on the role of Helicobacter pylori (HP) infection is continually evolving, and treatment is becoming more challenging due to increasing bacterial resistance. Since the management of HP infection is changing, an update of the national Italian guidelines delivered in 2007 was needed. In the III Working Group Consensus Report 2015, a panel of 17 experts from several Italian regions reviewed current evidence on different topics relating to HP infection. Four working groups examined the following topics: (1) "open questions" on HP diagnosis and treatment (focusing on dyspepsia, gastro-oesophageal reflux disease, non-steroidal anti-inflammatory drugs or aspirin use and extra-gastric diseases); (2) non-invasive and invasive diagnostic tests; (3) treatment of HP infection; (4) role of HP in the prevention of gastric cancer...
November 2015: Digestive and Liver Disease
https://www.readbyqxmd.com/read/26231401/symptom-clusters-on-primary-care-medical-service-trips-in-five-regions-in-latin-america
#14
Christopher Dainton, Charlene Chu
Short-term primary care medical service trips organized by the North American non-governmental organizations (NGOs) serve many communities in Latin America that are poorly served by the national health system. This descriptive study contributes to the understanding of the epidemiology of patients seen on such low-resource trips. An analysis was conducted on epidemiologic data collected from anonymized electronic medical records on patients seen during 34 short-term medical service trips in five regions in Ecuador, Guatemala, and the Dominican Republic between April 2013 and April 2014...
September 2015: Journal of Epidemiology and Global Health
https://www.readbyqxmd.com/read/26165081/-role-of-acid-in-functional-dyspepsia
#15
Toshihiko Tomita, Tadayuki Oshima, Hirokazu Fukui, Jiro Watari, Hiroto Miwa
Recently, the Japanese Society of Gastroenterology (JSGE) developed an evidence-based clinical guideline for functional dyspepsia (FD). Multiple factors (including disturbance of gastric motility and hypersensitivity) may be associated with the pathophysiology of FD. Among these, acid plays a crucial role in the pathogenesis of FD. The presence of gastric acid affects gastric motility and sensitivity. Additionally, duodenal acidification induces proximal gastric relaxation and hypersensitivity to gastric distension...
July 2015: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/26094936/the-diagnosis-and-treatment-of-helicobacter-pylori-infection-in-arctic-regions-with-a-high-prevalence-of-infection-expert-commentary
#16
REVIEW
B J McMahon, M G Bruce, A Koch, K J Goodman, V Tsukanov, G Mulvad, M L Borresen, F Sacco, D Barrett, S Westby, A J Parkinson
Helicobacter pylori infection is a major cause of peptic ulcer and is also associated with chronic gastritis, mucosa-associated lymphoid tissue (MALT) lymphoma, and adenocarcinoma of the stomach. Guidelines have been developed in the United States and Europe (areas with low prevalence) for the diagnosis and management of this infection, including the recommendation to 'test and treat' those with dyspepsia. A group of international experts performed a targeted literature review and formulated an expert opinion for evidenced-based benefits and harms for screening and treatment of H...
January 2016: Epidemiology and Infection
https://www.readbyqxmd.com/read/26005267/a-new-approach-to-the-management-of-uninvestigated-dyspepsia-in-primary-care
#17
Nizama Salihefendic, Muharem Zildzic, Emir Cabric
INTRODUCTION: The prevalence of dyspepsia in the general population worldwide is very high (20-40%). Upper abdominal complaints are one of the most common cause of patients' visits to primary care settings. Making an accurate etiological diagnosis of dyspepsia is difficult, but is an important challenge and goal for every doctor in primary care practice. Clinical guidelines have standards for gastroesophageal reflux disease, management of Helicobacter infection and indications for the use of endoscopy (empiric treatment, prompt endoscopy, "test and treat")...
April 2015: Medical Archives
https://www.readbyqxmd.com/read/25987301/evidence-against-routine-testing-of-patients-with-functional-gastrointestinal-disorders-for-celiac-disease-a-population-based-study
#18
Rok Seon Choung, Alberto Rubio-Tapia, Brian D Lahr, Robert A Kyle, Michael J Camilleri, G Richard Locke, Nicholas J Talley, Joseph A Murray
BACKGROUND & AIMS: Celiac disease has been linked to irritable bowel syndrome (IBS)-like symptoms in outpatient clinics. Guidelines recommend that all patients with IBS-like symptoms undergo serologic testing for celiac disease, but there is controversy over whether celiac disease is more prevalent in populations with IBS-like symptoms. We aimed to determine whether positive results from serologic tests for celiac disease are associated with IBS and other functional gastrointestinal disorders (FGIDs) in a large U...
November 2015: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/25954308/repeat-upper-gastrointestinal-endoscopy-in-patients-with-functional-dyspepsia-yield-findings-and-predictors-of-positive-findings
#19
Supot Pongprasobchai, Natta Asanaleykha, Pongchirat Tantayakom
Background. No guideline on repeat esophagogastroduodenoscopy (EGD) in functional dyspepsia (FD) exists. This study aimed to define yield, findings, and predictors of positive findings on repeat EGD in FD. Methods. FD patients who underwent at least 2 EGDs during October 2005 to November 2011 were enrolled and reviewed. Yield and findings were analyzed and univariate and multivariate analyses were performed to identify predictors of positive repeat EGD. Results. The median time to repeat EGD was 34 months. Among 146 patients, 115 patients (79%) had negative and 31 (21%) had positive repeat EGD, including erosive gastritis (13...
2015: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/25713267/use-of-aprepitant-as-an-antiemetic-in-cystic-fibrosis-patients
#20
A Jamali, M Harrison, D Bilton, N Simmonds, J Ross
INTRODUCTION: Aprepitant is a NK1 receptor antagonist licensed for treatment of nausea and vomiting (n&v) associated with emetogenic chemotherapy. There are case reports of use for n&v post-operatively or secondary to diabetic gastroparesis. There is no published evidence in patients with cystic fibrosis (CF). Tigecycline is used in treatment of Non-Tuberulosis Mycobacteria in CF. However uncontrolled n&v can result in dose reduction, interruption or discontinuation, and treatment failure...
March 2015: BMJ Supportive & Palliative Care
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