Pittayanon Rapat, Leelakusolvong Somchai, Vilaichone Ratha-Korn, Rojborwonwitaya Jarin, Treeprasertsuk Sombat, Mairiang Pisaln, Chirnaksorn Supphamat, Chitapanarux Taned, Kaosombatwattana Uayporn, Sottisuporn Jaksin, Sansak Inchaya, Phisalprapa Pochamana, Bunchorntavakul Chalermrat, Chuenrattanakul Surapon, Chakkaphak Suriya, Boonsirichan Rattana, Wiwattanachang Olarn, Maneerattanaporn Monthira, Piyanirun Wanich, Mahachai Varocha
Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand.
National Gastric Cancer and Gastrointestinal Diseases Research Center, Pathumthani, Thailand.
J Neurogastroenterol Motil. 2019 Jan 31;25(1):15-26. doi: 10.5056/jnm18081.
The management of dyspepsia in limited-resource areas has not been established. In 2017, key opinion leaders throughout Thailand gathered to review and evaluate the current clinical evidence regarding dyspepsia and to develop consensus statements, rationales, levels of evidence, and grades of recommendation for dyspepsia management in daily clinical practice based on the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. This guideline is mainly focused on the following 4 topics: (1) evaluation of patients with dyspepsia, (2) management, (3) special issues (overlapping gastroesophageal reflux disease/irritable bowel syndrome and non-steroidal anti-inflammatory drug/aspirin use), and (4) long-term follow-up and management to provide guidance for physicians in Thailand and other limited-resource areas managing such patients.
资源有限地区消化不良的管理方法尚未确立。2017年，泰国各地的主要意见领袖齐聚一堂，回顾和评估有关消化不良的现有临床证据，并根据推荐分级、评估、制定与评价（GRADE）方法，就日常临床实践中消化不良的管理制定共识声明、基本原理、证据水平和推荐等级。本指南主要关注以下4个主题：（1）消化不良患者的评估；（2）管理；（3）特殊问题（重叠性胃食管反流病/肠易激综合征以及使用非甾体抗炎药/阿司匹林）；（4）长期随访与管理，为泰国及其他资源有限地区治疗此类患者的医生提供指导。
