Management of dyspepsia at the beginning of the twenty-first century

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Dyspepsia remains a frequent intercurrent management problem for the non-gastroenterologist. However, the causes for dyspepsia have changed markedly in recent decades. In contrast to gastro-oesophageal reflux ­disease, both gastro-oesophageal malignancy and peptic ulcer disease have become uncommon causes for ­dyspepsia. Concurrent with these changes, management strategies for dyspepsia have changed. Once aware of these changes the non-gastroenterologist can effectively manage the majority of patients with dyspepsia. The present paper reviews these key changes in dyspepsia management. (Intern Med J 2003; 33: 604−609)

Keywords: Helicobacter pylori; acid-suppression therapy; dyspepsia; gastro-oesophageal malignancy; gastro-oesophageal ­reflux

Document Type: Research Article


Affiliations: Department of Gastroenterology, John Hunter Hospital, New South Wales, Australia

Publication date: December 1, 2003

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