Thomas S, Rosmalen C F, van der Laan J R
Nederlands Huisartsen Genootschap, afd. Standaardenontwikkeling, Utrecht.
Ned Tijdschr Geneeskd. 1997 May 17;141(20):989-92.
The Dutch College of General Practitioners recently updated its guideline 'Gastric complaints'. The main change concerns Helicobacter pylori infection diagnosis and treatment. In cases of functional dyspepsia with Helicobacter infection antibiotic eradication treatment is not advised. In patients with gastric complaints, three working diagnoses are presented: aspecific gastric complaints, ulcer complaints, reflux complaints. Endoscopy is given a more prominent role than in the previous version of the guideline. Criteria are given for discontinuation of unmotivated long-term use of antacid medication.
荷兰全科医生学院最近更新了其“胃部不适”指南。主要变化涉及幽门螺杆菌感染的诊断和治疗。对于伴有幽门螺杆菌感染的功能性消化不良病例，不建议进行抗生素根除治疗。对于有胃部不适的患者，列出了三种主要诊断：非特异性胃部不适、溃疡型不适、反流型不适。与上一版指南相比，内镜检查的作用更加突出。给出了停止无指征长期使用抗酸药物的标准。
