Lamers C B
Academisch Ziekenhuis, afd. Maag-, Darm-en Leverziekten, Leiden.
Ned Tijdschr Geneeskd. 1997 May 17;141(20):982-3.
This update has been well thought-out, and is a useful basis for further investigation in general practice. Further simplification may enhance its usefulness, however, e.g. by reducing the proposed three working diagnoses (aspecific gastric complaints, ulcer complaints, reflux complaints) to two: reflux complaints and gastric complaints. In addition, medication in the guideline might be restricted to acid inhibitory treatment and early serological determination of Helicobacter pylori infection might be included.
此次更新经过了深思熟虑，是在全科医疗中进行进一步研究的有用基础。然而，进一步简化可能会提高其效用，例如，将提议的三种主要诊断（非特异性胃部不适、溃疡不适、反流不适）减少为两种：反流不适和胃部不适。此外，指南中的药物治疗可能仅限于抑酸治疗，并且可能会纳入幽门螺杆菌感染的早期血清学检测。
