PMID- 23714296
OWN - NLM
STAT- MEDLINE
DCOM- 20130812
LR  - 20181202
IS  - 1876-8784 (Electronic)
IS  - 0028-2162 (Linking)
VI  - 157
IP  - 22
DP  - 2013
TI  - [Summary of the Dutch College of General Practitioners' (NHG) practice guideline 
      'Gastric symptoms'].
PG  - A6101
AB  - The guideline 'Gastric symptoms' covers the diagnosis and management of adults 
      with dyspepsia in general practice, the prevention of unnecessary proton pump 
      inhibitor use, and gastric protection during treatment with non-steroidal 
      anti-inflammatory drugs (NSAIDs), including low-dose acetylsalicylic acid 
      derivatives. During an initial episode of dyspepsia no distinction is made 
      between reflux and ulcus symptoms because management is the same: start by 
      prescribing an antacid and, if these provide insufficient effect, progress to a 
      H(2)-receptor antagonist and subsequently to a proton pump inhibitor (PPI). Testing 
      for Helicobacter pylori should be performed in all patients with persistent or 
      recurrent symptoms, preferably by using the monoclonal stool test. Gastroscopy 
      should be performed with restraint in an H. pylori negative patient < 50 years 
      with persistent or recurrent symptoms but no acute symptoms as there is only a 
      very slight risk of malignancy. - Chronic PPI use is seen in 7% of the population 
      and is associated with infections and osteoporosis. Phasing out of PPI use 
      without good indication seems to be possible in 70% of patients.
FAU - de Jongh, Egbert
AU  - de Jongh E
AD  - Nederlands Huisartsen Genootschap, Utrecht. egbert.dejongh@nhg.org
FAU - Numans, Mattijs E
AU  - Numans ME
FAU - de Wit, Niek J
AU  - de Wit NJ
FAU - Heemstra-Borst, Corien G
AU  - Heemstra-Borst CG
FAU - Geijer, Roeland M M
AU  - Geijer RM
FAU - Burgers, Jako S
AU  - Burgers JS
LA  - dut
PT  - Journal Article
PT  - Review
TT  - Samenvatting van de NHG-standaard 'Maagklachten'.
PL  - Netherlands
TA  - Ned Tijdschr Geneeskd
JT  - Nederlands tijdschrift voor geneeskunde
JID - 0400770
RN  - 0 (Proton Pump Inhibitors)
SB  - IM
CIN - Ned Tijdschr Geneeskd. 2013;157(22):A6314. PMID: 23714299
MH  - Dyspepsia/*diagnosis
MH  - Gastroesophageal Reflux/complications/diagnosis/drug therapy
MH  - Gastroscopy
MH  - General Practice/*standards
MH  - General Practitioners/*standards
MH  - Helicobacter Infections/complications/diagnosis/drug therapy
MH  - Humans
MH  - Netherlands
MH  - *Practice Guidelines as Topic
MH  - *Practice Patterns, Physicians'
MH  - Proton Pump Inhibitors/adverse effects/therapeutic use
EDAT- 2013/05/30 06:00
MHDA- 2013/08/13 06:00
CRDT- 2013/05/30 06:00
PHST- 2013/05/30 06:00 [entrez]
PHST- 2013/05/30 06:00 [pubmed]
PHST- 2013/08/13 06:00 [medline]
PST - ppublish
SO  - Ned Tijdschr Geneeskd. 2013;157(22):A6101.