The role of endoscopy in dyspepsia

Shaukat_headshotASGE Standards of Practice committee member, Aasma Shaukat, MD, MPH, FASGE, discusses this recent guideline from the ASGE, “The role of endoscopy in dyspepsia.”

The focus of this guideline was to review the prevalence, diagnosis, and medical and endoscopic management of dyspepsia.

Dyspepsia is one of the most common complaints for visits to gastroenterology practices. We wanted to provide a practical resource document for busy gastroenterologists to help with management of patients with dyspepsia.

The document reviews the latest evidence for using proton pump inhibitors, role of upper endoscopy, and when to consider testing and treating for H.Pylori infection. It provides a management algorithm to guide patient care.

Figure 1. Suggested algorithm for evaluation of dyspepsia. A 4- to 8-week trial of a proton pump inhibitor (PPI) after test and treat for Helicobacter pylori nonresponders has not been formally studied. *Depending on prevalence of H pylori. SSRI , selective serotonin reuptake inhibitor.

Read the full guideline here.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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