[The updated guideline 'Gastric complaints' o the Dutch College of General Practitioners; a reaction from a gastroenterologist].
This update has been well thought-out, and is a useful basis for further investigation in general practice. Further simplification may enhance its usefulness, however, e.g. by reducing the proposed three working diagnoses (aspecific gastric complaints, ulcer complaints, reflux complaints) to two: reflux complaints and gastric complaints. In addition, medication in the guideline might be restricted to acid inhibitory treatment and early serological determination of Helicobacter pylori infection might be included.
Lamers
C B
CB
Academisch Ziekenhuis, afd. Maag-, Darm-en Leverziekten, Leiden.
D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000628:therapy; D016481:Helicobacter Infections / Q000628:therapy*; D016480:Helicobacter pylori / Q000302:isolation & purification; D006801:Humans; D010437:Peptic Ulcer / Q000175:diagnosis* / Q000628:therapy; D017410:Practice Guidelines as Topic