Dyspepsia

Question 1

Suggest EGD if > 60 w/ dyspepsia to exclude neoplasia

Answer 1

conditional, very low evidence

Question 2

Don’t suggest EGD to investigate alarm features for dyspepsia if < 60 yo

Answer 2

conditional, moderate evidence

Question 3

Recommend non-invasive H. pylori test for patients < 60 w/ dyspepsia

Answer 3

strong, high evidence

Question 4

Empirical PPI therapy if < 60 and H pylori negative or remain symptomatic after H pylori eradication

Answer 4

strong, high evidence

Question 5

Suggest offering pro kinetic therapy w/ dyspepsia under the age of 60 not responding to PPI or H pylori eradication

Answer 5

conditional, very low evidence

Question 6

Suggest dyspepsia patients under 60 not responding to PPI or H pylori eradication should be offered TCA

Answer 6

conditional, low evidence

Question 7

Recommend FD patients that are H pylori positive be given therapy for the infection

Answer 7

strong, high evidence

Question 8

Recommend FD patients who are H pylori-negative or who remain symptomatic despite eradication be treated w/ PPI

Answer 8

strong, moderate evidence

Question 9

Recommend FD patients not respiring to PPI or H pylori eradication be offered TCA

Answer 9

conditional, moderate evidence

Question 10

Suggest FD patients not responding to PPI, H pylori eradication or TCA be offered pro kinetic therapy

Answer 10

conditional, very low evidence

Question 11

Suggest FD not responding to drug therapy be offered psychological therapies

Answer 11

conditional, very low evidence

Question 12

Recommend against routine motility studies for patients with FD

Answer 12

conditional, very low

Question 13

Suggest motility studies for selected patients w/ FD where gastroparesis is strongly suspected

Answer 13

conditional, very low evidence