martin-benson - Royal Marsden Hospital

More documents

Recommendations

Info

The Royal MarsdenDyspepsia.....NICE guidelines Rx strategy –‘uninvestigated’ dyspepsiaDyspepsia notneeding referralReview medicationLifestyle adviceNo response / relapseFull dose PPI 1/12No response / relapseRelapseTest & treatResponseResponseResponseLow dose prn RxResponseNo responseH2RA/prokinetic 1/12No responseReviewReturn to self-care
The Royal MarsdenDyspepsia.....NICE guidelines Rx strategy –‘uninvestigated’ dyspepsia• 15-25% patients with oesophago- gastric cancer free of alarmsymptoms• Less advanced disease with better 5 year survivalFransen et al Aliment Pharmacol Ther 2004; Bowrey et al Surg Endosc 2006• Use of alarm symptoms as referral criteria• Early cancers not detected• Symptoms overlooked until features of more advanceddisease have occurred
Page 3 and 4: The Royal MarsdenOesophago-gastric
Page 5 and 6: The Royal MarsdenOesophageal cancer
Page 7 and 8: The Royal MarsdenOesophageal cancer
Page 9 and 10: The Royal MarsdenGastric cancer - s
Page 11 and 12: The Royal MarsdenStaging - laparosc
Page 13 and 14: The Royal MarsdenStaging - endoscop
Page 15 and 16: The Royal MarsdenFDG-PETCompared to
Page 17 and 18: The Royal MarsdenOesophago-gastric
Page 19 and 20: The Royal MarsdenDyspepsia - Endosc
Page 21 and 22: The Royal MarsdenDyspepsia - New
Page 23 and 24: The Royal MarsdenDyspepsia.....Rx s
Page 25 and 26: The Royal MarsdenOpen gastroscopy -
Page 27: The Royal MarsdenEffect of anti-sec

martin-benson - Royal Marsden Hospital

Create successful ePaper yourself

Delete template?

Save as template?