2003
DOI: 10.1136/bmj.326.7399.1147-d
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Investigating and managing chronic dysphagia: Dysphagia should prompt urgent gastroenterological referral

Abstract: Guidelines are less clinical excellence than hindranceEditor-We have two comments on the paper by Bloor et al on the impact of NICE guidance on laparoscopic surgery for inguinal hernias. 1 Firstly, the authors say that guidance from the National Institute for Clinical Excellence (NICE) on laparoscopic hernia repair had no impact on practice and that the rate of laparoscopic repair has not changed much. Although the rate of laparoscopic repair has not changed, NICE guidance has an impact on practice as it stopp… Show more

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Cited by 3 publications
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“…Dysphagia is a sensation of difficulty of swallowing due to presence of an organic abnormality in the passage of fluids or solids or both from the oral cavity to the stomach. It is an important alarm symptom and needs urgent investigation to establish a diagnosis and to initiate appropriate therapy 1,2 . Although the true prevalence of dysphagia is unknown, it is reported to be between 16 and 22% in those over the age of 50 years 3,4 .…”
Section: Introductionmentioning
confidence: 99%
“…Dysphagia is a sensation of difficulty of swallowing due to presence of an organic abnormality in the passage of fluids or solids or both from the oral cavity to the stomach. It is an important alarm symptom and needs urgent investigation to establish a diagnosis and to initiate appropriate therapy 1,2 . Although the true prevalence of dysphagia is unknown, it is reported to be between 16 and 22% in those over the age of 50 years 3,4 .…”
Section: Introductionmentioning
confidence: 99%