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Thailand Dyspepsia Guidelines: 2018

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Pittayanon Rapat, Leelakusolvong Somchai, Vilaichone Ratha-korn, Rojborwonwitaya Jarin, Treeprasertsuk Sombat, Mairiang Pisaln, Chirnaksorn Supphamat, Chitapanarux Taned, Kaosombatwattana Uayporn, Sottisuporn Jaksin, Sansak Inchaya, Phisalprapa Pochamana, Bunchorntavakul Chalermrat, Chuenrattanakul Surapon, Chakkaphak Suriya, Boonsirichan Rattana, Wiwattanachang Olarn, Maneerattanaporn Monthira, Piyanirun Wanich, Mahachai Varocha,
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 ( Pittayanon Rapat ) 
Chulalongkorn University King Chulalongkorn Memorial Hospital Department of Medicine

 ( Leelakusolvong Somchai ) 
Mahidol University Faculty of Medicine Siriraj Hospital Department of Medicine
 ( Vilaichone Ratha-korn ) 
Thammasat University Hospital Department of Medicine Gastroenterology Unit
 ( Rojborwonwitaya Jarin ) 
Thonburi Hospital
 ( Treeprasertsuk Sombat ) 
Chulalongkorn University King Chulalongkorn Memorial Hospital Department of Medicine
 ( Mairiang Pisaln ) 
Khon Kaen University Faculty of Medicine Department of Medicine
 ( Chirnaksorn Supphamat ) 
Mahidol University Ramathibodi Hospital Department of Medicine
 ( Chitapanarux Taned ) 
Chiang Mai University Faculty of Medicine Department of Medicine
 ( Kaosombatwattana Uayporn ) 
Mahidol University Faculty of Medicine Siriraj Hospital Department of Medicine
 ( Sottisuporn Jaksin ) 
Songklanagarind Hosptial NKC institute of Gastroenterology and Hepatology
 ( Sansak Inchaya ) 
Udonthani Hospital
 ( Phisalprapa Pochamana ) 
Mahidol University Faculty of Medicine Siriraj Hospital Department of Medicine
 ( Bunchorntavakul Chalermrat ) 
Rajavithi Hospital
 ( Chuenrattanakul Surapon ) 
Phramongkutklao Hospital
 ( Chakkaphak Suriya ) 
Bumrungrad Hospital
 ( Boonsirichan Rattana ) 
Vachira Hospital
 ( Wiwattanachang Olarn ) 
Udonthani Hospital
 ( Maneerattanaporn Monthira ) 
Mahidol University Faculty of Medicine Siriraj Hospital Department of Medicine
 ( Piyanirun Wanich ) 
Phramongkutklao Hospital
 ( Mahachai Varocha ) 
Chulalongkorn University King Chulalongkorn Memorial Hospital Department of Medicine

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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Dyspepsia; Guideline; Thailand

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