Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
ACG/CAG Updates Guidelines on Dyspepsia
Am J Gastroenterol; ePub 2017 Jun 20; Moayyedi, et al
Patients 60 years of age and older who complain of dyspepsia should have an upper GI endoscopy performed to rule out an organic cause for the symptoms, according to updated guidelines from the American College of Gastroenterology (ACG) and the Canadian Association of Gastroenterology (CAG). Additional details provided in the new guidelines include:
- ACG/CAG cautions that the above recommendation is conditional and should not apply to patients at higher risk of malignancy.
- Patients at higher risker because they spent their childhood in a country in which gastric cancer is common or who have a positive family history may require endoscopy at an earlier age.
- Patients with dyspepsia who are younger than 60 years of age should have a non-invasive test for Helicobacter pylori and be treated for it if results are positive.
Moayyedi PM, Lacy BE, Andrews CN, et al. ACG and CAG clinical guideline: management of dyspepsia. [Published online ahead of print June 20, 2017]. Am J Gastroenterol. doi:10.1038/ajg.2017.154.
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