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  • Predlog priporočil za obravnavo bolnikov z dispepsijo v Sloveniji = Proposal for Slovenian recommnedations for the treatment of patients with dyspepsia
    Tepeš, Bojan
    Dyspepsia is defined as chronic or recurrent pain or discomfort in the upper abdomen. Other possible symptoms are early satiety, upper abdominal fullness, bloathing belching or nausea. The prevalence ... of dyspepsia is between 15% and 25%. Every forth patient seeks medical consultation. After diagnostic examinations (consultation, upper gastrointestinal endoscopy) dyspeptic patients can be separated in a group of organic dyspepsia (duodenal or gastriculcer, gastroesophageal reflux disease, cancer), that represent 40% to 61% of patients, and in agroup offunctional dyspepsia. Dyspepsia accountsfor more than 40% of upper gastrointestinal endoscopies performed in a year in USA. Because of cost benefit reasons several management options for patients younger than 45 years without alarm features have been set up. When prevalenceof Helicobacter pylori is more than 12% test and treat is the preferred option. When Helicobacter pylori prevalence is less than 12% empiricantisecretary therapy is recommended. In this article proposal for recommendations for the treatment of dyspepsia based on evidence based medicine are described. Indications for prompt endoscopy are clarified. For patients younger than 45 years without features of alarm symptoms, test and treat Helicobacter pylori is the preferred option.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 75, št. 5, maj 2006, str. 297-302)
    Vrsta gradiva - članek, sestavni del
    Leto - 2006
    Jezik - slovenski
    COBISS.SI-ID - 21350873

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    Digitalna knjižnica Slovenije - dLib.si

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