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ACG and CAG Clinical Guideline: Management of …

Clinical guidelines 1. ACG and CAG Clinical Guideline: Management of Dyspepsia Paul M. Moayyedi, MB, ChB, PhD, MPH, FACG1, Brian E. Lacy, MD, PhD, FACG2, Christopher N. Andrews, MD3, Robert A. Enns, MD4, Colin W. Howden, MD, FACG5 and Nimish Vakil, MD, FACG6. We have updated both the american College of Gastroenterology (ACG) and the Canadian Association of Gastroenterology (CAG) guidelines on dyspepsia in a joint ACG/CAG dyspepsia guideline. We suggest that patients 60 years of age presenting with dyspepsia are investigated with upper gastrointestinal endoscopy to exclude organic pathology. This is a conditional recommendation and patients at higher risk of malignancy (such as spending their childhood in a high risk gastric cancer country or having a positive family history) could be offered an endoscopy at a younger age.

Moayyedi et al. The American Journal of GASTROENTEROLOGY VOLUME XXX | XXX 2017 www.nature.com/ajg 2 lasting at least 1 month. Th is can be associated with any other upper gastroin testinal symptom su ch as epigastric fullness, nausea,

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