$re = '/start\s(?:(test\d+)(?:\s?(?:[,&]|and)\s?)?)+/';
$str = 'bla bla start test1, test2, test3 and test4 & test12 but not test5, test6 or test33, and start test100.';
preg_match_all($re, $str, $matches, PREG_SET_ORDER, 0);
// Print the entire match result
var_dump($matches);
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php