Abstract:
:Functional dyspepsia is a common clinical condition characterised by chronic or recurrent upper abdominal pain or discomfort commonly associated with a variety of associated gastrointestinal symptoms and a normal endoscopy. To standardise research-based approaches, an initial categorisation of into sub groups was agreed to, based on clusters of symptoms. However the early expectation that these subgroups would be associated with distinct pathophysiologies amenable to specific therapy has not been realised. A classification based on the most troublesome symptom has been suggested but the utility of this is also unclear. More recent data suggest that some of the pathophysiologic dysfunctions may be associated with specific symptoms and so provide a better tool for grouping patients. But this approach remains incomplete as current insights into the pathogenesis are still too limited for this to be satisfactory. In conclusion, no classification provides for an adequate treatment-based approach to the syndrome of functional dyspepsia. As a consequence treatment remains largely empiric.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Baker G,Fraser RJ,Young Gdoi
10.3748/wjg.v12.i17.2667subject
Has Abstractpub_date
2006-05-07 00:00:00pages
2667-71issue
17eissn
1007-9327issn
2219-2840journal_volume
12pub_type
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pub_type: 杂志文章,评审
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