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Nya riktlinjer för handläggning av dyspepsi, H pylori och magsår
Engelsk titel: New Swedish guidelines for the management of dyspepsia, H pylori, and duodenal and gastric ulcers Läs online Författare: Agréus, Lars ; Simrén, Magnus Språk: Swe Antal referenser: 37 Dokumenttyp: Artikel UI-nummer: 17030291

Tidskrift

Läkartidningen 2017;114(9-10)421-3 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

The management of dyspepsia in Sweden differs between national county councils, and is often not in line with international recommendations. The Swedish Society of Gastroenterology has together with the Swedish College of General Practice (SFAM) developed new national guidelines for the management of uninvestigated dyspepsia, functional dyspepsia, Helicobacter pylori, and uncomplicated duodenal and gastric ulcers. The new Swedish guidelines emphasize that patients under 50 years of age with new onset of uninvestigated dyspepsia without any alarm symptoms or signs can be managed with the »Test and treat« strategy. Moreover, patients with a known H pylori infection and bothersome symptoms of functional dyspepsia shall be offered eradication therapy. The recommendations for triple therapy for H pylori eradication take into account the estimated average national antibiotic resistance patterns, environmental factors and potential effects on gut microbiota.