Do not prescribe proton pump inhibitors to patients with liver cirrhosis, outside of established indications
In patients with chronic liver disease and portal hypertension, even though acid secretion is markedly reduced, PPI therapy is often used even in the absence of an acid-related disease, in order to prevent bleeding from hypertensive gastropathy. This approach is not...
Do not perform food intolerance tests except for those scientifically validated
The only validated diagnostic test is lactose breath-test for lactose intolerance. Others test such as VEGA-test, Cytotoxic test, serum specific IgG4 determination, hair analysis, intestinal permeability, salivary IgA, “bioresonance” techniques, fecal microbial...
Do not request surveillance colonoscopy for asymptomatic colonic diverticular disease without changes in symptoms
The term merely identifies presence of diverticula in the colon, characterized by a favorable course and, generally, absence of symptoms. Colonoscopy is not indicated in patients with asymptomatic colonic diverticulosis and in patients with symptomatic uncomplicated...
Do not request surveillance investigations for patients with pancreatic cysts who are poor surgical candidates, irrespective of cysts nature and characteristics
Pancreatic cystic lesions are an increasingly common finding, usually incidentally detected at abdominal investigations requested for other indications, due to the increased quality of imaging modalities. Patients with asymptomatic pancreatic cysts who are medically...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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