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#188 GERD and Dyspepsia with Dr. Amy Oxentenko MD

The Curbsiders Internal Medicine Podcast

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The Importance of Endoscopy in Diagnosing Functional Dyspepsia

In order to label something as functional dyspepsia, endoscopy is sort of a requisite part of that definition. So I think for the uninvestigated dyspeptic patient, such as this patient who's less than age 60, you actually don't need an E.G.D. The American College of Gastroenterology guideline changed kind of the age at which you should consider an E. G.D. Now they've increased the age from 55 to 60. But again, we just have to reassure ourselves that the yield of someone under age 60 with the single alarm feature is probably going to be very low.

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