FAVOURABLE SYPTOMATIC TREATMENT OF DYSPEPSIA WITHOUT ENDOSCOPY AND TESTING HELICOBACTER PYLORI INFECTION

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FAKHRIEH ASL S.; MASARAT S.

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Journal: Journal of Medical Council of Iran Year:2002 | Volume:20 | Issue:2 Page(s): 118-126

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Title

FAVOURABLE SYPTOMATIC TREATMENT OF DYSPEPSIA WITHOUT ENDOSCOPY AND TESTING HELICOBACTER PYLORI INFECTION

Author(s)

FAKHRIEH ASL S. | MASARAT S. | Issue Writer Certificate

Keywords

DYSPEPSIAQ3

TREATMENT WITHOUT ENDOSCOPYQ4

HELICOBACTER PYLORIQ3

Abstract

The aim of this study is to compare the symptomatic versus endoscopy – based treatment of dyspeptic patients without testing serology of H.pylori infecion Iranian patients.Tow hundred sixty six patients with symptoms of DYSPEPSIA (DYS) (7 items at least 1month duration and no alarming symptoms were randomly divide, two groups( Gr A and Gr B ).Pt of Gr A (n=135) underwent endoscopy were treated for presence of ulcer and + HP histology with classic triple them (CTT), for NUD symptomatically with acid suppressive drugs (AS Metoclopramide (MET) or both.Pt of Gr B (n=132)were treated for ulcer - DYS with CTT and for dysmotility- like or reflux - like DYS with ASD, MET both for at least 1 month. The severity of symptoms were scored. In G endoscopy was performed only, when no response to therapy occurred. All patitent were followed up to 4,8 weeks, 4,8 and 12 response to therapy occurred. Patients were followed up to 4,8 weeks,4,8 and 12 month later. Patients older t?? 40 yrs with empiric treatment underwent endoscopy after 1 year.The data of patients were mostly comparable in both groups .In Gr A, l4 with DU disease and one with gastric cancer were found. Eradication therapy performed in 12 DU pt.of Gr B and IN 14 pt. of Gr A with ulcer - like D Thirteen pt. in Gr B did not respond to therapy and underwent endoscopy whit diagnosis of GU in 2 and GU in 4 and gastric cancer in one pt. Total symptoms score decreased markedly and comparably in both groups at 4 weeks. To symptom score was not different between two goup at 2.8 and 12 months. Patient of group B older than 40 years had cancer lesion at 1 year endoscopy examination.Symptomatic therapy of dyspeptic patients without any diagnostic procedure by lack of alarming signs is a successful and economic strategy, which can recommendes to all physicians, provided that a careful control examination of each patient is performed.

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APA: Copy

FAKHRIEH ASL, S., & MASARAT, S.. (2002). FAVOURABLE SYPTOMATIC TREATMENT OF DYSPEPSIA WITHOUT ENDOSCOPY AND TESTING HELICOBACTER PYLORI INFECTION. JOURNAL OF MEDICAL COUNCIL OF I.R.I., 20(2), 118-126. SID. https://sid.ir/paper/41206/en

Vancouver: Copy

FAKHRIEH ASL S., MASARAT S.. FAVOURABLE SYPTOMATIC TREATMENT OF DYSPEPSIA WITHOUT ENDOSCOPY AND TESTING HELICOBACTER PYLORI INFECTION. JOURNAL OF MEDICAL COUNCIL OF I.R.I.[Internet]. 2002;20(2):118-126. Available from: https://sid.ir/paper/41206/en

IEEE: Copy

S. FAKHRIEH ASL, and S. MASARAT, “FAVOURABLE SYPTOMATIC TREATMENT OF DYSPEPSIA WITHOUT ENDOSCOPY AND TESTING HELICOBACTER PYLORI INFECTION,” JOURNAL OF MEDICAL COUNCIL OF I.R.I., vol. 20, no. 2, pp. 118–126, 2002, [Online]. Available: https://sid.ir/paper/41206/en

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