{"id":11486,"date":"2023-08-09T14:23:27","date_gmt":"2023-08-09T14:23:27","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=11486"},"modified":"2023-09-21T09:36:57","modified_gmt":"2023-09-21T09:36:57","slug":"llr-arp-36-policy-for-endoscopy-for-dyspepsia","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-arp-36-policy-for-endoscopy-for-dyspepsia\/","title":{"rendered":"Polityka LLR dotycz\u0105ca endoskopii w leczeniu niestrawno\u015bci"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Kategoria<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kryteria progowe<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Endoskopia jest procedur\u0105 z wyboru w diagnostyce przewodu UGI ze wzgl\u0119du na jej \u0142atwo\u015b\u0107, niezawodno\u015b\u0107, wy\u017cszo\u015b\u0107 diagnostyczn\u0105 oraz mo\u017cliwo\u015b\u0107 wykonania biopsji i\/lub interwencji terapeutycznych, szczeg\u00f3lnie w przypadku pacjent\u00f3w z niestrawno\u015bci\u0105.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>LLR ICB sfinansuje t\u0119 procedur\u0119 wy\u0142\u0105cznie pacjentom z niestrawno\u015bci\u0105 i skierowanym na endoskopi\u0119, je\u015bli spe\u0142nione zostan\u0105 okre\u015blone kryteria kliniczne.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Celem kryteri\u00f3w skierowania jest wybranie do bada\u0144 endoskopowych wy\u0142\u0105cznie pacjent\u00f3w, u kt\u00f3rych mog\u0105 wyst\u0119powa\u0107 istotne patologie, oraz zapewnienie wszystkim pacjentom odpowiedniego badania i leczenia w ramach podstawowej opieki zdrowotnej.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Proces skierowania z powodu niestrawno\u015bci<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pacjenci z niestrawno\u015bci\u0105 mog\u0105 by\u0107 rutynowo kierowani na badanie endoskopowe jedynie po spe\u0142nieniu okre\u015blonych kryteri\u00f3w klinicznych. Celem kryteri\u00f3w skierowania jest wybranie do bada\u0144 endoskopowych wy\u0142\u0105cznie pacjent\u00f3w, u kt\u00f3rych mog\u0105 wyst\u0119powa\u0107 istotne patologie, oraz zapewnienie wszystkim pacjentom odpowiedniego badania i leczenia w ramach podstawowej opieki zdrowotnej.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1<\/strong>. Natychmiastowe (tego samego dnia) skierowania<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dowody znacznego ostrego krwawienia z przewodu pokarmowego.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2<\/strong>. Pilne (dwa tygodnie oczekiwania) Skierowania<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Pacjenci w ka\u017cdym wieku, u kt\u00f3rych wyst\u0119puje kt\u00f3rykolwiek z nast\u0119puj\u0105cych objaw\u00f3w alarmowych:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Przewlek\u0142e krwawienie z przewodu pokarmowego<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Post\u0119puj\u0105ca niezamierzona utrata masy cia\u0142a<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Post\u0119puj\u0105ce trudno\u015bci w po\u0142ykaniu<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Utrzymuj\u0105ce si\u0119 wymioty<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Udokumentowana niedokrwisto\u015b\u0107 z niedoboru \u017celaza<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Masa w nadbrzuszu<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Nieprawid\u0142owy posi\u0142ek barowy<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3<\/strong>. Pacjenci w wieku 55 lat i starsi z nowo rozpoznan\u0105 niestrawno\u015bci\u0105, czyli:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Niewyja\u015bnione, tj. nie postawiono diagnozy niestrawno\u015bci i\/lub<strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trwa\u0142e, tj. objawy przez 4-6 tygodni, ale mog\u0105 by\u0107 kr\u00f3tsze w zale\u017cno\u015bci od nasilenia<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u2022 Rutynowe polecenia<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pacjentom w wieku poni\u017cej 55 lat, u kt\u00f3rych nie wyst\u0119puj\u0105 objawy alarmowe, nie b\u0119dzie si\u0119 rutynowo proponowa\u0107 endoskopii, chyba \u017ce w ramach podstawowej opieki zdrowotnej zostan\u0105 podj\u0119te specjalne dzia\u0142ania w przypadku niewyja\u015bnionej niestrawno\u015bci.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Przed skierowaniem na endoskopi\u0119 nale\u017cy przeprowadzi\u0107 poni\u017csze interwencje w ramach podstawowej opieki zdrowotnej, a nast\u0119pnie udokumentowa\u0107 je w skierowaniu do lekarza rodzinnego. Skierowanie zostanie ocenione przez konsultanta gastroenterologa i je\u015bli pismo lekarza rodzinnego nie b\u0119dzie zawiera\u0142o tych informacji, zostanie zwr\u00f3cone przez UHL.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4.<\/strong> <strong>Interwencje w ramach podstawowej opieki zdrowotnej w przypadku niezbadanej niestrawno\u015bci:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Przegl\u0105d lek\u00f3w pod k\u0105tem mo\u017cliwych przyczyn niestrawno\u015bci, np. NLPZ. Zawieszenie leczenia i leczenie PPI w pe\u0142nej dawce przez co najmniej miesi\u0105c (np. Lansoprazol 30mg dziennie). Leczenie empiryczne obydwoma:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 IPP w pe\u0142nej dawce przez co najmniej jeden miesi\u0105c (np. Lansoprazol 30 mg dziennie) oraz badanie i leczenie w kierunku zaka\u017cenia H. Pylori 2 (patrz uwagi poni\u017cej).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Obecnie nie ma wystarczaj\u0105cych dowod\u00f3w na to, czy w pierwszej kolejno\u015bci nale\u017cy zastosowa\u0107 IPP w pe\u0142nej dawce przez jeden miesi\u0105c, czy te\u017c zastosowa\u0107 metod\u0119 \u201etest i leczenie\u201d w kierunku zaka\u017cenia H. Pylori. Mo\u017cna najpierw zastosowa\u0107 dowolne leczenie, a nast\u0119pnie zastosowa\u0107 drugie, je\u015bli objawy nie ust\u0105pi\u0105 lub powr\u00f3c\u0105. Je\u015bli najpierw zostanie podj\u0119ta pr\u00f3ba leczenia PPI, wymagany jest dwutygodniowy okres \u201ewyp\u0142ukania\u201d przed badaniem na obecno\u015b\u0107 H. Pylori.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Je\u015bli po leczeniu objawy nawr\u00f3c\u0105, nale\u017cy zastosowa\u0107 terapi\u0119 IPP w najmniejszej dawce wymaganej do opanowania objaw\u00f3w (w miar\u0119 potrzeb). Nawr\u00f3t objaw\u00f3w nie jest wskazaniem do skierowania na badanie endoskopowe.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Je\u017celi IPP s\u0105 nieskuteczne w kontrolowaniu objaw\u00f3w, nale\u017cy zastosowa\u0107 antagonist\u0119 receptora H2RA H2 (np. famotydyn\u0119) i zastosowa\u0107 najni\u017csz\u0105 dawk\u0119 niezb\u0119dn\u0105 do opanowania objaw\u00f3w (w miar\u0119 potrzeb).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Domperydon w dawce 10 mg trzy razy na dob\u0119 mo\u017cna zastosowa\u0107, gdy g\u0142\u00f3wnymi objawami s\u0105 wzd\u0119cia\/wczesne uczucie syto\u015bci lub nudno\u015bci.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>5<\/strong>. Wyj\u0105tkowe przypadki.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uznaje si\u0119, \u017ce mog\u0105 zaistnie\u0107 indywidualne okoliczno\u015bci kliniczne, kt\u00f3re mog\u0105 wymaga\u0107 wykonania endoskopii, ale nie mieszcz\u0105 si\u0119 w powy\u017cszych wytycznych. W takich przypadkach lekarz pierwszego kontaktu powinien przekaza\u0107 istotne dodatkowe informacje kliniczne w ramach skierowania do gastroenterologa, kt\u00f3ry nast\u0119pnie ustali, czy endoskopia jest klinicznie konieczna.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>ARP 36. Data przegl\u0105du: 2026<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Endoscopy is the procedure of choice for the diagnostic evaluation of the UGI tract because of its ease, reliability, diagnostic superiority, and the ability it gives to [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[57,1],"tags":[62],"class_list":["post-11486","post","type-post","status-publish","format-standard","hentry","category-policies","category-uncategorized","tag-gastroenterology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - 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