Current status of functional dyspepsia in Korea
- 주제(키워드) bacterial clearance , Bowel Disease Questionnaire , cost effectiveness analysis , differential diagnosis , disease classification , distress syndrome , dyspepsia , epigastric pain syndrome , Functional Dyspepsia Related Quality of Life scale , gastroesophageal reflux , Helicobacter infection , human , intestine endoscopy , irritable colon , Korea , named inventories , questionnaires and rating scales , pain , postprandial distress syndrome , prevalence , review , risk benefit analysis , Rome III questionnaire
- 등재 SCIE, KCI등재, SCOPUS
- 발행기관 The Korean Association of Internal Medicine
- 발행년도 2014
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000097216
- 본문언어 영어
- Published As http://dx.doi.org/10.3904/kjim.2014.29.2.156
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Dyspepsia refers to group of commonly occurring upper gastrointestinal symptoms. The majority of patients with dyspepsia suffer from functional (nonulcer) dyspepsia. Although there is a lack of epidemiological data from population-based or patient cohort studies in Korea, the current understanding of this condition has been updated using data from various recent research studies, which have facilitated the development of clinical guidelines for functional dyspepsia. According to a survey using the Rome III criteria, more than 40% of respondents who visited primary clinics and tertiary hospitals were defined as having functional dyspepsia, most of who were within a subgroup of patients with postprandial distress syndrome. In addition, a population-based cross-sectional survey revealed considerable overlap between functional dyspepsia and other functional gastrointestinal disorders, including gastroesophageal reflux disease (especially nonerosive reflux disease) and irritable bowel syndrome. In contrast to the results of Western trials, there is insufficient evidence to recommend a Helicobacter pylori test-and-treat strategy as an initial management approach to functional dyspepsia in Korea, suggesting the need for early endoscopic evaluation. Additional studies are necessary to adjust the cutoff age for implementation of immediate endoscopic evaluation of patients without alarm symptoms. Considering the prevalence of H. pylori infection and the limited efficacy of symptomatic relief after its eradication, further well-qualified studies in Korea are warranted.
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