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Diagnosis Economics Harm/ aetiology Prognosis Therapy

Alcohol misuse clinical findings helped diagnose cirrhosis. Level of evidence 1b Expiry Date October 2003 Anaemia iron-deficiency: lack of symptoms did not exclude upper and lower GI disease in elderly patients - further investigations were required. Level of evidence 4 Expiry Date October 2003 Anaemia iron-deficiency: investigations in elderly patients helped management Level of evidence 4 Expiry Date October 2002 Anaemia and GI symptoms guaiac occult blood test and faecal alpha 1-antitrypsin were not helpful in GI bleed diagnosis. Level of evidence 3b Expiry Date June 2003 H. pylori stool immunoassay can help diagnose and exclude it Level of evidence 4 Expiry Date November 2002 H. pylori invasive and non-invasive test could diagnose it, but few could safely rule it out Level of evidence 4 Expiry Date November 2002 Peptic ulcer H. pylori: 14C urea breath tests, Giemsa or HPS stains helped diagnosis. Level of evidence 1b Expiry Date November 2002 Peptic ulcer disease epigastric tenderness did not help diagnose peptic ulcer disease. Level of evidence 4 Expiry Date January 2003 Upper GI bleed Gastroccult testing of NG aspirate may help exclude it. Level of evidence 4 Expiry Date July 2003 Upper GI bleed an elevated urea: creatinine ratio helped diagnosis. Level of evidence 1b Expiry Date July 2003 Upper GI bleed Patients with combination of haematemesis and melaena had 50 % chance of suffering from peptic ulcer. Level of evidence 4 Expiry Date November 2002