martin-benson - Royal Marsden Hospital
martin-benson - Royal Marsden Hospital
martin-benson - Royal Marsden Hospital
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The <strong>Royal</strong> <strong>Marsden</strong>Dyspepsia.....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
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