Document Detail


Pathophysiology and treatment of functional dyspepsia.
MedLine Citation:
PMID:  15798487     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Functional dyspepsia is a highly prevalent symptom complex and a heterogenous disorder. Recent studies showed potential associations between specific pathophysiologic disturbances and dyspeptic symptoms. Delayed gastric emptying reported in about 30% of patients with functional dyspepsia is associated with the symptoms of postprandial fullness, nausea, and vomiting. Impaired gastric accommodation present in 40% of functional dyspepsia patients is found to be associated with early satiety. Hypersensitivity to gastric distension is observed in 37% of functional dyspepsia patients and associated with the symptoms of postprandial pain, belching, and weight loss. Psychosocial factors and altered response to duodenal lipids or acid have also been identified as pathophysiologic mechanisms. Therapeutic options are still limited but targeted therapy directed at the underlying pathophysiology seems desirable. Thus, efforts to further elucidate underlying pathophysiologic mechanisms and identify the appropriate patient population using some type of pathophysiologic testing will be required.
Authors:
Jan Tack; K J Lee
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  39     ISSN:  0192-0790     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-03-30     Completed Date:  2005-08-11     Revised Date:  2008-07-10    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S211-6     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Division of Gastroenterology, University Hospital Gasthuisberg, University of Leuven, Leuven, Belgium. jan.tack@med.kuleuven.ac.be
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MeSH Terms
Descriptor/Qualifier:
Dyspepsia / physiopathology*,  therapy*
Enteric Nervous System / physiopathology*
Gastrointestinal Agents / therapeutic use*
Gastrointestinal Motility / drug effects,  physiology
Humans
Psychotherapy / methods*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Gastrointestinal Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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