Git j club dyspepsia.
Upcoming SlideShare
Loading in...5

Like this? Share it with your network


Git j club dyspepsia.



Dyspepsia guidelines & management.

Dyspepsia guidelines & management.



Total Views
Views on SlideShare
Embed Views



0 Embeds 0

No embeds


Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
Post Comment
Edit your comment

Git j club dyspepsia. Presentation Transcript

  • 1. Dyspepsia Dr. Mohamed Shekhani Assistant Professor Consultant Physician & gastroenterologist
  • 2. Rome III Committee: One or more of the following 3 symptoms: 1. Postprandial fullness 2. Early satiety 3. Epigastric pain or burning. The point prevalence is 25%. Patients presenting with predominant or frequent (> 1 week) heartburn or acid regurgitation should be considered to have (GERD) until proven otherwise.
  • 3. ASGE Guidelines
  • 4. ACG Guidelines
  • 5. The effect of H. pylori eradication on gastric cancer prevention in younger people is excellent, but it declines along with advancing age. The test-and-treat strategy is being reinforced by the accumulating data that support the increasingly accepted idea that ‘‘the only good H. pylori is a dead H. pylori ’’.
  • 6. Advantage of early endoscopy: Possibility of establishing a specific diagnosis, as PUD or erosive GERD or GC. Many patients with early stage malignancy do not have alarm symptoms. The reduction in anxiety. increase in patient satisfaction.
  • 7. Disadvantages of early endoscopy: Little evidence to suggest significant improvement in outcomes by the initial endoscopy approach. Increased cost with the initial endoscopic approach compared with the test-and-treat method. The risk of malignancy is quite low in young patients without alarm features. Some causes of dyspepsia can not be diagnosed by endoscopy. Minimally-invasive with complications although rare.
  • 8. Choose a layout… …then click the placeholders to add your own pictures and captions.
  • 9. The more you go from West-East: more H Pylori & more GC. So the guidelines may differ in: Age threshold for endoscopy: 40 years or less or more open access endoscopy. Use other screening tests for GC in asymptomatics: PG level ,etc. ? The need for local national dyspepsia guidelines.
  • 10. Dyspepsia-no alarm features & Endoscopy –ve : Functional dyspepsia& overlapping functional GIT disorders. Dyspepsia- alarm features & Endoscopy –ve: consider other causes: Pancreatobiliary causes by Imagings Gastropariesis by gatric emptying studies.