Upper gastrointestinal endoscopy is used for diagnosis, surveillance, and management of a range of gastroenterological conditions. A common indication for endoscopy is dyspepsia. This article summarises the National Institute for Health and Care Excellence guidelines on when to refer patients with dyspepsia for endoscopy, focusing on non-urgent presentations where patients do not have alarm symptoms.
Get full access to this article
View all access options for this article.
References
1.
BoghossianTARoshidFJThompsonWet al.(2017) Deprescribing versus continuation of chronic proton pump inhibitor use in adults. Cochrane Database of Systematic Reviews3. art. no.: CD011969. DOI: 10.1002/14651858.CD011969.pub2.
FitzergeraldRCdi PietroMRagunathKet al.(2014) British Society of Gastroenterology guidelines on the diagnosis and management of Barrett’s Oesophagus. Gut63: 7–42. DOI: 10.1136/gutjnl-2013-305372.
5.
FordACMoayyediP (2014) Whom should we “test and treat” for Helicobacter pylori?British Medical Journal348(g3320): DOI: 10.1136/bmj.g3320.
6.
KhalilHHuangESJacobsonBCet al.(2012) Use of proton pump inhibitors and risk of hip fracture in relation to dietary and lifestyle factors: A prospective cohort study. BMJ344: e372, DOI: 10.1136/bmj.e372.
7.
LeontiadisGIMoayyediP (2014) Proton pump inhibitors and risk of bone fractures. Current Treatment in Gastroenterology12(4): 414–423. DOI: 10.1007/s11938-014-0030-y.
8.
MoayyediPFormanDBraunholtzDet al.(2000) The proportion of upper gastrointestinal symptoms in the community associated with Helicobacter pylori, lifestyle factors, and nonsteroidal anti-inflammatory drugs. American Journal of Gastroenterology95: 1448–1455. DOI: 10.1111/j.1572-0241.2000.2126_1.x.
9.
NICE (2014) Gastro-oesophageal reflux disease and dyspepsia in adult: Investigation and management. Available at: www.nice.org.uk/guidance/cg184 (accessed 1 May 2018).
10.
NICE (2015) Suspected cancer: Recognition and referral. Available at: www.nice.org.uk/guidance/ng12 (accessed 1 May 2018).
