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去年美国胃肠病协会(AGA)宣布重新修订消化不良的诊断和治疗指南。新指南中指出,质子泵抑制剂药物疗法仍旧是主要的治疗方法,但是AGA收回了其早期提出的对中青年患者进行内镜检查的建议。新指南的主要修订者、Mayo临床医学院的内科教授Nicholas Talley说,新指南主要的变化就是内镜检查的起始年龄,先前我们建议对于药物治疗不敏感的患者,年龄在45岁以上的就要进行内镜检查。但最新的证据表明胃腺癌的发病率在50～60岁年龄段的中后半段才有大幅度的增加,基于此,我们建议年龄
Last year, the American Gastroenterological Association (AGA) announced a revision of guidelines for the diagnosis and treatment of dyspepsia. The new guidelines state that proton pump inhibitor drug therapy is still the primary treatment, but AGA has withdrawn its earlier proposal for endoscopy in young and middle-aged patients. Nicholas Talley, a professor of internal medicine at the Mayo Clinic, said that the major change in the new guidelines is the starting age of endoscopy. Previously, we suggested that patients over 45 years of age who were not drug-sensitive To carry out endoscopic examination. However, the latest evidence shows that the incidence of gastric adenocarcinoma in the 50 to 60 age group in the second half only a substantial increase, based on this, we suggest that age