Guía de práctica clínica sobre el manejo del paciente con dispepsia. Actualización 2012

Gisbert, Javier P.; Ferrándiz, Juan; Mascort, Juanjo; Alonso‐Coello, Pablo; Marzo, Mercè

doi:10.1016/j.aprim.2012.05.003

Cited by 9 publications

(3 citation statements)

References 247 publications

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“…The typical method for treating patients with suspected FD considers a test-and-try approach to reduce symptoms as a potential starting strategy. The first possibilities in such a strategy are PPIs and/or prokinetics [41,42]. Motivated FD sufferers may take into account herbal remedies as alternatives.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Ginger Supplementation on the Improvement of Dyspeptic Symptoms in Patients With Functional Dyspepsia

Aregawi,

Shokrolahi,

Gebremeskel

et al. 2023

Cureus

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BackgroundFunctional dyspepsia (FD) is a common gastrointestinal disorder with a higher occurrence in the Western world. Conventional medications are not effective for FD with patients turning to alternative herbal medicines such as ginger. This study aimed to evaluate the effect of ginger supplementation on the improvement of FD symptoms. MethodologyA before-and-after clinical study was conducted at the University of Debrecen, Internal Medicine outpatient department over a period of four weeks. Two Swanson ginger supplements each at a dose of 540 mg/day before lunch and dinner were given to 51 FD patients. Wilcoxon signed-rank test was used to estimate the differences in FD symptoms after ginger supplementation and at the baseline. The p-value was determined to test the association between variables, with p-values <0.05 considered the cutoff for statistically significant association. ResultsIn this study, after four weeks of ginger supplementation, we observed a significant change in most dyspepsia symptoms as follows: postprandial fullness (p = 0.033, 95% CI = 0.01-0.26), early satiety (p = 0.001, 95% CI = 0.10-0.37), epigastric pain (p = 0.000, 95% CI = 0.16-0.42), epigastric burning (p = 0.003, 95% CI = 0.10-0.45), and heartburn (p = 0.209, 95% CI = -0.04-0.20). ConclusionsBased on our findings ginger can be considered as a promising alternative supplementary medicine for FD.

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Section: Discussionmentioning

confidence: 99%

The Effect of Ginger Supplementation on the Improvement of Dyspeptic Symptoms in Patients With Functional Dyspepsia

Aregawi,

Shokrolahi,

Gebremeskel

et al. 2023

Cureus

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“…Since March 16, 2020, and during the lockdown announce in Spain, a restructure of activity was performed in our Gastrointestinal and Hepatology Department including the daily number of hospital and outpatient gastrointestinal endoscopy procedures in planned agenda. The procedures were scheduled according to the priority of clinical indication after a case-by-case assessment by physicians from the Endoscopy Unit of our hospital, checking clinical indication and medical record, and according to National Institute for Health and Care Excellence (NICE) criteria [ 17 ] for lower gastrointestinal (GI) endoscopy and Asociación Española de Gastroenterologia (AEG) guidelines [ 20 ] for upper GI endoscopy. In addition, several protective measures were adopted ( S1 Table ) according to scientific society guidelines and position statements [ 11 – 14 ].…”

Section: Methodsmentioning

confidence: 99%

Appropriateness of high-priority criteria and safety of endoscopy procedures during the COVID-19 lockdown

et al. 2022

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Background During the coronavirus-19 disease (COVID-19) pandemic, gastroenterology guidelines recommended the suspension or reduction of non-urgent endoscopy. We aimed to assess the appropriateness and safety of endoscopic activity during the pandemic first wave lockdown using European Society of Gastrointestinal Endoscopy (ESGE) recommendations. Methods We identified scheduled patients from the onset of the lockdown in Spain since March 16, 2020) to April 14, 2020. Daily hospital COVID-19-related burden was also registered. A similar cohort from a period immediately before the lockdown was studied (pre-lockdown cohort) to compare appropriateness. Results 454 endoscopy procedures were performed during the studied period, comprising a 49.7% reduction compared to the pre-lockdown cohort (n = 913). There was a significant increase in ESGE high-priority indications (62.1% vs. 45.6%, p<0.001) associated with an increase in relevant endoscopic findings (p = 0.006), advanced neoplasia/cancer (p = 0.004) and cancer detection rate (p = 0.010). There were no differences in the rate of admissions or infection among scheduled patients in the lockdown cohort. None of the staff members tested positive for COVID-19 in the 7 days after the adoption of protective measures. Conclusion A prioritized endoscopic activity is not associated with higher contagion after adopting protective measures. In addition, a triage of procedures that follow the ESGE criteria increases the rate of relevant endoscopic findings. These considerations may reduce the impact of the delays of diagnosis after the pandemic.

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“…Según las III y IV Conferencia Española de Consenso sobre la infección por Helicobacter pylori esta indicado el tratamiento errradicador de Hp en pacientes con 1,2 : porcentaje de estos pacientes son diagnosticados de dispepsia funcional 3 . La erradicación del Hp en la dispepsia no investigada en menores de 55 años sin síntomas o signos de alarma (pérdida de peso significativa no intencionada, vómitos intensos y recurrentes, disfagia, odinofagia, signos de sangrado digestivo (anemia, hematemesis, melenas), masa abdominal palpable, ictericia, linfadenopatías ) 1,2 .…”

Section: Indicaciones Del Diagnósticounclassified

Management of Helicobacter pylori infection in Primary Care

Ricote-Belinchon¹

2023

RAPDOnline

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Resumen El objetivo de esta revisión es que el médico de Atención Primaria (AP) pueda reconocer aquellas indicaciones de tratamiento de Helicobacter pylori más frecuentes en las consultas de Atención Primaria. Adaptar el tratamiento más efectivo a las características de cada paciente, con el fin de lograr la erradicación en el primer intento. Y derivar después de un segundo intento de erradicación fallido.

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Guía de práctica clínica sobre el manejo del paciente con dispepsia. Actualización 2012

Cited by 9 publications

References 247 publications

The Effect of Ginger Supplementation on the Improvement of Dyspeptic Symptoms in Patients With Functional Dyspepsia

The Effect of Ginger Supplementation on the Improvement of Dyspeptic Symptoms in Patients With Functional Dyspepsia

Appropriateness of high-priority criteria and safety of endoscopy procedures during the COVID-19 lockdown

Management of Helicobacter pylori infection in Primary Care

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