de Boer Wink A
Ziekenhuis Bernhoven, afd. Maag-darm-leverziekten, Uden.
Ned Tijdschr Geneeskd. 2013;157(22):A6314.
Considerations in the revised Dutch College of General Practitioners' (NHG) practice guideline 'Gastric Symptoms': The NHG practice guideline 'Gastric symptoms' differs slightly from guidelines in other countries. In other parts of Europe and in Asia the guidelines advise performing a Helicobacter pylori test immediately on all patients with gastric symptoms. In the Netherlands, patients experiencing symptoms for the first time are initially prescribed antacids in accordance with a 'step-up' policy. This commentary describes the arguments for giving priority to an H. pylori test.
荷兰全科医生学院(NHG)修订后的《胃部症状》实践指南中的考量因素:NHG的《胃部症状》实践指南与其他国家的指南略有不同。在欧洲其他地区和亚洲,指南建议对所有有胃部症状的患者立即进行幽门螺杆菌检测。在荷兰,首次出现症状的患者最初会根据“逐步升级”政策开具抗酸剂。本评论阐述了优先进行幽门螺杆菌检测的理由。