title: [pH or Hp first? Considerations in the revised Dutch College of General Practitioners' (NHG) practice guideline 'Gastric Symptoms'].
abstract: Considerations in the revised Dutch College of General Practitioners' (NHG) practice guideline 'Gastric Symptoms': The NHG practice guideline 'Gastric symptoms' differs slightly from guidelines in other countries. In other parts of Europe and in Asia the guidelines advise performing a Helicobacter pylori test immediately on all patients with gastric symptoms. In the Netherlands, patients experiencing symptoms for the first time are initially prescribed antacids in accordance with a 'step-up' policy. This commentary describes the arguments for giving priority to an H. pylori test.
authors.affiliation: Ziekenhuis Bernhoven, afd. Maag-darm-leverziekten, Uden. w.deboer@bernhoven.nl
authors.forename: Wink A
authors.initials: WA
authors.lastname: de Boer
mesh_terms: D004415:Dyspepsia / Q000175:diagnosis*; D058006:General Practice / Q000592:standards*; D058005:General Practitioners / Q000592:standards*; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'