Evaluation of the diagnostic and therapeutic manipulation of the upper gastrointestinal system in Primary Health Care

Hippokratia 2000, 4(4):170-178

ED. Zogas, X. Tsiolis, V. Zoga, N. Eleftheriou


The purpose of this work was the registration and the evaluation of the diagnostic and therapeutic manipulations which are applied to treat the diseases and symptoms of the upper digestive system at the first level health system.Population study and Methods: 164 adults were investigated, 62 men and 102 women by means of a specific questionnaire, and personal interview. These subjects presented a disease or a symptom of the upper digestive system for which they received with or without a doctor’s consultation, systematically antiulcerative treatment.Results: (a) 42,68% of chronic antiulcerative treatment aimed at the reduction of symptoms of the upper digestive system.(b) The diagnosis of 34,42% of the sufferers was based on X-rav examination, the 14,28% on endoscopic on defection of Helicobacter pylori (Hp) tests 51,30% on clinical examination. (c) 10,30% was subjected to treatment for the removal of Hp. (d) One in two men and three in four women were informed about the duration of the treatment they had to follow. (e) Only the 20,78% had been reexamined during the treatment period. Conclusions: The applied diagnostic and therapeutic management the diseases of the upper digestive system at the first level health system is thought as inadequate since in its totality do not follow the modern therapeutic trends and as a result the patients overconsume antiulcerative medication.Thus it is required by doctors of Primary Health Care to be continuously informed and be in a position to confront efficiently the requirement of our time.