J Neurogastroenterol Motil.
2019 Jan;25(1):15-26. 10.5056/jnm18081.
Thailand Dyspepsia Guidelines: 2018
- Affiliations
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- 1Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand. vmahachai88@gmail.com
- 2National Gastric Cancer and Gastrointestinal Diseases Research Center, Pathumthani, Thailand.
- 3Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. somchai.lee@mahidol.ac.th
- 4Department of Medicine, Thammasat University Hospital, Pathum Thani, Thailand.
- 5Thonburi Hospital, Bangkok, Thailand.
- 6Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
- 7Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
- 8Department of Medicine, Faculty of Medicine, Chiang Mai University, Thailand.
- 9NKC institute of Gastroenterology and Hepatology, Songklanagarind Hosptial, Hat Yai, Songkhla, Thailand.
- 10Udonthani Hospital, Udon Thani, Thailand.
- 11Rajavithi Hospital, Bangkok, Thailand.
- 12Phramongkutklao Hospital, Bangkok, Thailand.
- 13Bumrungrad Hospital, Bangkok, Thailand.
- 14Vachira Hospital, Bangkok, Thailand.
- KMID: 2433494
- DOI: http://doi.org/10.5056/jnm18081
Abstract
- The management of dyspepsia in limited-resource areas has not been established. In 2017, key opinion leaders throughout Thailand gathered to review and evaluate the current clinical evidence regarding dyspepsia and to develop consensus statements, rationales, levels of evidence, and grades of recommendation for dyspepsia management in daily clinical practice based on the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. This guideline is mainly focused on the following 4 topics: (1) evaluation of patients with dyspepsia, (2) management, (3) special issues (overlapping gastroesophageal reflux disease/irritable bowel syndrome and non-steroidal anti-inflammatory drug/aspirin use), and (4) long-term follow-up and management to provide guidance for physicians in Thailand and other limited-resource areas managing such patients.
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