Management of dyspepsia at the beginning of the twenty-first century.
Dyspepsia remains a frequent intercurrent management problem for the non-gastroenterologist. However, the causes for dyspepsia have changed markedly in recent decades. In contrast to gastro-oesophageal reflux disease, both gastro-oesophageal malignancy and peptic ulcer disease have become uncommon causes for dyspepsia. Concurrent with these changes, management strategies for dyspepsia have changed. Once aware of these changes the non-gastroenterologist can effectively manage the majority of patients with dyspepsia. The present paper reviews these key changes in dyspepsia management.
Duggan
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Department of Gastroenterology, John Hunter Hospital, Hunter Region Mail Centre, New South Wales 2310, Australia. aduggan@hunter.health.nsw.gov.au
D000230:Adenocarcinoma / Q000150:complications; D001944:Breath Tests; D004415:Dyspepsia / Q000188:drug therapy* / Q000209:etiology; D016099:Endoscopy, Gastrointestinal; D004938:Esophageal Neoplasms / Q000150:complications; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016481:Helicobacter Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016480:Helicobacter pylori / Q000302:isolation & purification*; D006801:Humans; D054328:Proton Pump Inhibitors
D054328:Proton Pump Inhibitors