Dyspepsia classification: Difference between revisions
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[[Dyspepsia]] is broadly classified into two major types: | [[Dyspepsia]] is broadly classified into two major types: | ||
* | * Ulcer dyspepsia - accounts to 20-30 % of all dyspepsia cases and is caused by [[Peptic ulcer disease]], [[GERD]]. Structural disease of the gastrointestinal tract exists in ulcer dyspepsia and hence endoscopy is abnormal. | ||
* | * Non-ulcer dyspepsia - also called Functional dyspepsia. Functional dyspepsia (FD) is defined by the Rome III criteria as symptoms of epigastric pain or discomfort (prevalence in FD of 89-90%), postprandial fullness (75-88%), and early satiety (50-82%) within the last 3 months with symptom onset at least 6 months earlier. Patients cannot have any evidence of structural disease to explain symptoms and predominant symptoms of gastroesophageal reflux are exclusionary.<ref>{{cite journal |author=Lacy BE, Talley NJ, Locke GR, ''et al.'' |title=Review article: current treatment options and management of functional dyspepsia |journal=Aliment. Pharmacol. Ther. |volume=36 |issue=1 |pages=3–15 |year=2012 |month=July |pmid=22591037 |doi=10.1111/j.1365-2036.2012.05128.x |url=}}</ref> Causes of functional dyspepsia are not clear but researchers have focused on the following factors: | ||
**Gastric motor function | **Gastric motor function | ||
**Visceral sensitivity | **Visceral sensitivity | ||
Revision as of 18:33, 22 March 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Classification
Dyspepsia is broadly classified into two major types:
- Ulcer dyspepsia - accounts to 20-30 % of all dyspepsia cases and is caused by Peptic ulcer disease, GERD. Structural disease of the gastrointestinal tract exists in ulcer dyspepsia and hence endoscopy is abnormal.
- Non-ulcer dyspepsia - also called Functional dyspepsia. Functional dyspepsia (FD) is defined by the Rome III criteria as symptoms of epigastric pain or discomfort (prevalence in FD of 89-90%), postprandial fullness (75-88%), and early satiety (50-82%) within the last 3 months with symptom onset at least 6 months earlier. Patients cannot have any evidence of structural disease to explain symptoms and predominant symptoms of gastroesophageal reflux are exclusionary.[1] Causes of functional dyspepsia are not clear but researchers have focused on the following factors:
- Gastric motor function
- Visceral sensitivity
- Helicobacter pylori infection
- Psychosocial factors