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[pH or Hp first? Considerations in the revised Dutch College of General Practitioners' (NHG) practice guideline
1Ziekenhuis Bernhoven, afd. Maag-darm-leverziekten, Uden. w.deboer@bernhoven.nl
Abstract:
Considerations in the revised Dutch College of General Practitioners' (NHG) practice guideline 'Gastric Symptoms': The NHG practice guideline 'Gastric symptoms' differs slightly from guidelines in other countries. In other parts of Europe and in Asia the guidelines advise performing a Helicobacter pylori test immediately on all patients with gastric symptoms. In the Netherlands, patients experiencing symptoms for the first time are initially prescribed antacids in accordance with a 'step-up' policy. This commentary describes the arguments for giving priority to an H. pylori test.
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