Clinical practice--strategies for management of dyspepsia.

If every person, particularly the young with dyspepsia, were initially tested for Helicobacter pylori and treated if positive and re-assured if negative, a substantial proportion of endoscopies could be saved, and it is difficult to conceive how this would add to the expense of managing dyspepsia if most H. pylori positive dyspeptics are going to receive treatment after endoscopy in any event. An algorithm for the management of dyspepsia is proposed.