+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Etiology of Dyspepsia: Four hundred unselected consecutive patients in general practice



Etiology of Dyspepsia: Four hundred unselected consecutive patients in general practice



Scandinavian Journal of Gastroenterology 30(6): 519-523



Background: Four hundred consecutive unselected patients with dyspepsia in health care centers were investigated. The aim of this study was to assess the frequency of various causes of dyspepsia in primary care and to evaluate the usefulness of the latest definition of functional dyspepsia. Methods: Upper gastrointestinal endoscopy, upper abdominal ultrasound, a test for lactose intolerance, and basic laboratory screening were performed in every patient. Results: Esophagitis was the cause of symptoms in 15%, symptomatic gastroesophageal reflux without esophagitis in 12%, duodenal ulcer in 9%, gastric ulcer in 4%, erosive duodenitis in 2%, lactose intolerance in 9%, gallstone disease in 2%, and malignancy in 2%. Other more infrequent causes of dyspepsia were giardiasis, celiac disease, erosive gastritis, and chronic pancreatitis. One hundred and thirty-five patients had functional dyspepsia with subgroups of ulcer-like (22%), dysmotility-like (28%), and nonspecific (50%). Irritable bowel syndrome was diagnosed in 37 patients (9%). Conclusions: The cause of dyspepsia was organic in 45%. Functional disorders, when symptomatic gastroesophageal reflux was included, were diagnosed in 55%. The latest classification of functional dyspepsia is not in accordance with the symptom complex.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 008629298

Download citation: RISBibTeXText

PMID: 7569757

DOI: 10.3109/00365529509089783


Related references

Classification of dyspepsia: Identification of independent symptom components in 7270 consecutive, unselected dyspepsia patients from general practice. Scandinavian Journal of Gastroenterology 33(12): 1262-1272, 1998

Identification of symptom clusters in 7,270 consecutive, unselected dyspepsia patients from general practice. Gastroenterology 110(4 SUPPL ): A28, 1996

Dyspepsia classification pocket chart based on symptoms in 7270 dyspepsia patients from general practice Evidence for two types of esophageal dyspepsia. Gastroenterology 116(4 PART 2): A80, 1999

Carotid sinus syndrome in an unselected population of eight hundred consecutive patients with syncope. Prevalence and clinical profile. Revista Portuguesa de Cardiologia 23(6): 835-840, 2004

Prognosis of dyspepsia among patients in general practice Dyspepsia subgroups and patient characteristics. Gastroenterology 110(4 SUPPL ): A29, 1996

Association between dyspepsia and weather An analysis of 7266 dyspepsia patients from general practice. Gastroenterology 118(4 Suppl 2 Part 2): AGA A1090, 2000

Fluctuation in dyspepsia subgroups over time. A three-year follow-up of patients consulting general practice for dyspepsia. Digestive & Liver Disease 34(5): 332-338, 2002

One hundred unselected consecutive obstetric cases 1962-64. Journal of the Royal College of General Practitioners 15(6): 456-461, 1968

Medico-legal experience: review of one hundred consecutive forensic cases in a general psychiatric practice. Canadian Psychiatric Association Journal 18(4): 279-282, 1973

Three Hundred Consecutive Emergent Celiotomies in General Surgery Patients. Annals of Surgery 235(5): 681-689, 2002

Routine laboratory determinations in "organic" versus "functional" disease; study of two hundred and eleven unselected office patients in an internist's practice. Journal of the Florida Medical Association. Florida Medical Association 38(10): 715-721, 1952

A German Drug-Monitoring Study in General Practice Patients Receiving Cisapride for Functional Dyspepsia: General Discussion. Scandinavian Journal of Gastroenterology 28(S195): 54-59, 1993

LDL goal achievement in 766 consecutive, unselected coronary heart disease patients, a comparison between usual care and a structured follow-up program in out of hospital cardiology practice. European Heart Journal 34(Suppl 1): P687-P687, 2013

Three hundred consecutive emergent celiotomies in general surgery patients: influence of advanced diagnostic imaging techniques and procedures on diagnosis. Annals of Surgery 235(5): 681-8; Discussion 688-9, 2002

Dyspepsia workload in urban general practice and implications of the British Society of Gastroenterology Dyspepsia guidelines (1996). Alimentary Pharmacology and Therapeutics 14(4): 413-420, 2000