Un estudio que englobó 565 pacientes consultando por dispepsia en atención primaria se abocó a desarrollar un sistema de score de fácil aplicación para el diagnóstico de ulcus gastroduodenal y evaluar si la determinación de H. Pylori agrega elementos de sospecha a la historia clínica.
El ensayo concluye que tres preguntas simples permiten identificar los pacientes con alto riesgo de ulcus: la historia de ulcus previo, el dolor epigástrico lejos de las comidas y el hábito de fumar.
La determinación de H. pylori es de utilidad entonces en los pacientes de alto riesgo, para diagnóstico y tratamiento.
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Publicado el 26 de agosto de 2001
Importancia de la historia clínica
Helicobacter pylori y dispepsia
El testeo de Helicobacter pylori en pacientes con dispepsia no agrega elementos a una adecuada historia clínica para la sospecha diagnóstica de úlcera péptica.
Fuente: BMJ 2001;323:71-75
Un estudio que englobó 565 pacientes consultando por dispepsia en atención primaria se abocó a desarrollar un sistema de score de fácil aplicación para el diagnóstico de ulcus gastroduodenal y evaluar si la determinación de H. Pylori agrega elementos de sospecha a la historia clínica.
El ensayo concluye que tres preguntas simples permiten identificar los pacientes con alto riesgo de ulcus: la historia de ulcus previo, el dolor epigástrico lejos de las comidas y el hábito de fumar.
La determinación de H. pylori es de utilidad entonces en los pacientes de alto riesgo, para diagnóstico y tratamiento.