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  1. Management guidelines for uninvestigated and functional dyspepsia in the Asia-Pacific region : First Asian Pacific working party on functional dyspepsia.

    Article - En anglais

    Dyspepsia is most optimally defined as pain or discomfort centred in the upper abdomen.

    The symptom complex may be caused by peptic ulcer disease, gastro-oesophageal reflux, or gastric cancer but is most often due to functional (or non-ulcer) dyspepsia.

    While upper endoscopy is the method of choice to determine the underlying cause of dyspepsia, it is expensive.

    A more pragmatic approach is needed in the Asia-Pacific region where health services are limited.

    A detailed treatment algorithm is given for managing patients presenting with new-onset dyspepsia and documented functional dyspepsia after endoscopy, and evidence to support this approach is reviewed.

    Prompt endoscopy is recommended for patients with alarm fea-tures.

    In patients without alarm features, treatment for 2-4 weeks with an empirical anti-secretory or prokinetic agent, followed by investigation using non-invasive Helicobacter pylori testing and treatment for patients who do not respond or relapse, is recommended.

    Trials of management strategies are now needed to establish the efficacy and cost-effectiveness of the approaches recommended.

    Mots-clés Pascal : Dyspepsie, Stratégie, Etiopathogénie, Laparoscopie, Diagnostic, Traitement, Asie, Océan Pacifique, Homme, Article synthèse, Appareil digestif pathologie, Endoscopie

    Mots-clés Pascal anglais : Dyspepsia, Strategy, Etiopathogenesis, Laparoscopy, Diagnosis, Treatment, Asia, Pacific Ocean, Human, Review, Digestive diseases, Endoscopy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0280661

    Code Inist : 002B02H. Création : 27/11/1998.