Gastroenterology
Volume 129, Issue 5 , Pages 1753-1755 , November 2005

American Gastroenterological Association Medical Position Statement: Evaluation of Dyspepsia

References 

  1. Talley NJ , Silverstein MD , Agréus L , Nyrén O , Sonnenberg A , Holtmann G . AGA technical review (evaluation of dyspepsia) . Gastroenterology . 1998;114:582–595
  2. Talley NJ . Dyspepsia . Gastroenterology . 2003;125:1219–1226
  3. Talley NJ , Vakil NB , Moayyedi P . American Gastroenterological Association technical review (evaluation of dyspepsia) . Gastroenterology . 2005;129:1756–1780
  4. Moayyedi P , Axon AT . The usefulness of the likelihood ratio in the diagnosis of dyspepsia and gastroesophageal reflux disease . Am J Gastroenterol . 1999;94:3122–3125
  5. Thomson A, Barkun A, Armstrong D, Chiba N, White R, Daniel S, et al. The prevalence of clinically significant endoscopic findings in primary care patients with uninvestigated dyspepsia (the Canadian Adult Dyspepsia Empiric treatment-prompt endoscopy (CADET-PE) study) . Aliment Pharmacol Ther . 2003;17:1481–1491
  6. Shaib Y , El-Serag HB . The prevalence and risk factors of functional dyspepsia in a multiethnic population in the United States . Am J Gastroenterol . 2004;99:2210–2216
  7. Moayyedi P , Deeks J , Talley NJ , Delaney B , Forman D . An update of the Cochrane systematic review of Helicobacter pylori eradication therapy in nonulcer dyspepsia (resolving the discrepancy between systematic reviews) . Am J Gastroenterol . 2003;98:2621–2626
  8. Delaney BC , Moayyedi P , Forman D . Initial management strategies for dyspepsia . Cochrane Database Syst Rev . 2003;2:CD001961
  9. Lucock MP , Morley S , White C , Peake MD . Responses of consecutive patients to reassurance after gastroscopy (results of self administered questionnaire survey) . BMJ . 1997;315:572–575
  10. Sreedharan A, Clough M, Hemingbrough E, Gatta L, Chalmers DM, Axon ATR, et al. Cost effectiveness and long-term impact of Helicobacter pylori ’test and treat’ service in reducing open access endoscopy referrals . Eur J Gastroenterol Hepatol . 2004;16:981–986
  11. Sonnenberg A , Delco F , Inadomi JM . Cost-effectiveness of colonoscopy in screening for colorectal cancer . Ann Intern Med . 2000;133:573–584
  12. Hammer J , Eslick G , Howell S , Altiparmak E , Talley NJ . Diagnostic yield of alarm features in irritable bowel syndrome and functional dyspepsia . Gut . 2004;53:666–672
  13. Moayyedi P , Delaney B , Vakil N , Forman D , Talley N . The efficacy of proton pump inhibitors in non-ulcer dyspepsia (a systematic review and economic analysis) . Gastroenterology . 2004;127:1329–1337
  14. Moayyedi P, Soo S, Deeks J, Forman D, Harris A, Innes M, et al. Systematic review (antacids H2-receptor antagonists, prokinetics, bismuth and sucralfate therapy for non-ulcer dyspepsia) . Aliment Pharmacol Ther . 2003;17:1215–1227
  15. Soo S , Forman D , Delaney B , Moayyedi P . A systematic review of psychological therapies for nonulcer dyspepsia . Am J Gastroenterol . 2004;99:1817–1822
  16. Camilleri M , Talley NJ . Pathophysiology as a basis for understanding symptom complexes and therapeutic targets . Neurogastroenterol Motil . 2004;16:135–142

 Address requests for reprints to: Chair, Clinical Practice and Economics Committee, AGA National Office, c/o Membership Department, 4930 Del Ray Avenue, Bethesda, Maryland 20814. Fax: (301) 654-5920The Medical Position Statements (MPS), developed under the aegis of the American Gastroenterological Association (AGA) and its Clinical Practice and Economics Committee (CPEC), were approved by the AGA Governing Board. The data used to formulate these recommendations are derived from the data available at the time of their creation and may be supplemented and updated as new information is assimilated. These recommendations are intended for adult patients, with the intent of suggesting preferred approaches to specific medical issues or problems. They are based upon the interpretation and assimilation of scientifically valid research, derived from a comprehensive review of published literature. Ideally, the intent is to provide evidence based upon prospective, randomized placebo-controlled trials; however, when this is not possible the use of experts’ consensus may occur. The recommendations are intended to apply to healthcare providers of all specialties. It is important to stress that these recommendations should not be construed as a standard of care. The AGA stresses that the final decision regarding the care of the patient should be made by the physician with a focus on all aspects of the patient’s current medical situation.

PII: S0016-5085(05)01817-2

doi: 10.1053/j.gastro.2005.09.019

Gastroenterology
Volume 129, Issue 5 , Pages 1753-1755 , November 2005

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