1 Nomenclature of dyspepsia, dyspepsia subgroups and functional dyspepsia: Clarifying the concepts
Identifieur interne : 001656 ( Istex/Checkpoint ); précédent : 001655; suivant : 0016571 Nomenclature of dyspepsia, dyspepsia subgroups and functional dyspepsia: Clarifying the concepts
Auteurs : Gerald Holtmann [Allemagne] ; Vincenzo Stanghellini [Italie] ; Nicholas J. Talley [Australie]Source :
- Bailliere's Clinical Gastroenterology [ 0950-3528 ] ; 1998.
Abstract
There is international agreement that dyspepsia refers to pain or discomfort centred in the upper abdomen. However, the term ‘discomfort’ has been variably defined. While other symptoms may often be simultaneously present, gastro-oesophageal reflux disease can usually be clearly distinguished by the presence of predominant heartburn. Dyspepsia is a frequent reason for consultation in primary care and in gastrointestinal practice. With the widespread availability and utilization of endoscopy, it has become evident that a structural (or organic) explanation is found in only a minority of patients presenting with dyspepsia. Operationally, functional dyspepsia is defined as persistent or recurrent dyspepsia for 3 or more months in the absence of a clinically identifiable structural disease causing the symptoms. It has been proposed, based on symptoms, that functional dyspepsia be subdivided into symptom subgroups to promote patient homogeneity. The initially proposed ‘clustering’ of symptoms into ulcer-like and dysmotility-like functional dyspepsia has proved a dismal failure because of the considerable overlap observed, the lack of stability over time and the failure to identify robust pathophysiological abnormalities or responses to therapy. A subcategorization based upon the most bothersome symptom is theoretically more attractive but needs to be prospectively and rigorously tested.
Url:
DOI: 10.1016/S0950-3528(98)90015-X
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
ISTEX:D42D1B2065D529210567B4899A56BEB0730306FELe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>1 Nomenclature of dyspepsia, dyspepsia subgroups and functional dyspepsia: Clarifying the concepts</title>
<author><name sortKey="Holtmann, Gerald" sort="Holtmann, Gerald" uniqKey="Holtmann G" first="Gerald" last="Holtmann">Gerald Holtmann</name>
</author>
<author><name sortKey="Stanghellini, Vincenzo" sort="Stanghellini, Vincenzo" uniqKey="Stanghellini V" first="Vincenzo" last="Stanghellini">Vincenzo Stanghellini</name>
</author>
<author><name sortKey="Talley, Nicholas J" sort="Talley, Nicholas J" uniqKey="Talley N" first="Nicholas J." last="Talley">Nicholas J. Talley</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:D42D1B2065D529210567B4899A56BEB0730306FE</idno>
<date when="1998" year="1998">1998</date>
<idno type="doi">10.1016/S0950-3528(98)90015-X</idno>
<idno type="url">https://api.istex.fr/document/D42D1B2065D529210567B4899A56BEB0730306FE/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">001788</idno>
<idno type="wicri:Area/Istex/Curation">001703</idno>
<idno type="wicri:Area/Istex/Checkpoint">001656</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a">1 Nomenclature of dyspepsia, dyspepsia subgroups and functional dyspepsia: Clarifying the concepts</title>
<author><name sortKey="Holtmann, Gerald" sort="Holtmann, Gerald" uniqKey="Holtmann G" first="Gerald" last="Holtmann">Gerald Holtmann</name>
<affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Internal Medicine, Department of Gastroenterology, University of Essen, 45122 Essen</wicri:regionArea>
<wicri:noRegion>45122 Essen</wicri:noRegion>
<wicri:noRegion>45122 Essen</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Stanghellini, Vincenzo" sort="Stanghellini, Vincenzo" uniqKey="Stanghellini V" first="Vincenzo" last="Stanghellini">Vincenzo Stanghellini</name>
<affiliation wicri:level="1"><country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Internal Medicine and Gastroenterology, Policlinico S Orsola</wicri:regionArea>
<wicri:noRegion>Policlinico S Orsola</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Talley, Nicholas J" sort="Talley, Nicholas J" uniqKey="Talley N" first="Nicholas J." last="Talley">Nicholas J. Talley</name>
<affiliation wicri:level="1"><country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, University of Sydney, Clinical Sciences Building, Nepean Hospital, PO Box 63, Penrith, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Bailliere's Clinical Gastroenterology</title>
<title level="j" type="abbrev">BACG</title>
<idno type="ISSN">0950-3528</idno>
<imprint><publisher>ELSEVIER</publisher>
<date type="published" when="1998">1998</date>
<biblScope unit="volume">12</biblScope>
<biblScope unit="issue">3</biblScope>
<biblScope unit="page" from="417">417</biblScope>
<biblScope unit="page" to="433">433</biblScope>
</imprint>
<idno type="ISSN">0950-3528</idno>
</series>
<idno type="istex">D42D1B2065D529210567B4899A56BEB0730306FE</idno>
<idno type="DOI">10.1016/S0950-3528(98)90015-X</idno>
<idno type="PII">S0950-3528(98)90015-X</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0950-3528</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass></textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">There is international agreement that dyspepsia refers to pain or discomfort centred in the upper abdomen. However, the term ‘discomfort’ has been variably defined. While other symptoms may often be simultaneously present, gastro-oesophageal reflux disease can usually be clearly distinguished by the presence of predominant heartburn. Dyspepsia is a frequent reason for consultation in primary care and in gastrointestinal practice. With the widespread availability and utilization of endoscopy, it has become evident that a structural (or organic) explanation is found in only a minority of patients presenting with dyspepsia. Operationally, functional dyspepsia is defined as persistent or recurrent dyspepsia for 3 or more months in the absence of a clinically identifiable structural disease causing the symptoms. It has been proposed, based on symptoms, that functional dyspepsia be subdivided into symptom subgroups to promote patient homogeneity. The initially proposed ‘clustering’ of symptoms into ulcer-like and dysmotility-like functional dyspepsia has proved a dismal failure because of the considerable overlap observed, the lack of stability over time and the failure to identify robust pathophysiological abnormalities or responses to therapy. A subcategorization based upon the most bothersome symptom is theoretically more attractive but needs to be prospectively and rigorously tested.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Italie</li>
</country>
</list>
<tree><country name="Allemagne"><noRegion><name sortKey="Holtmann, Gerald" sort="Holtmann, Gerald" uniqKey="Holtmann G" first="Gerald" last="Holtmann">Gerald Holtmann</name>
</noRegion>
</country>
<country name="Italie"><noRegion><name sortKey="Stanghellini, Vincenzo" sort="Stanghellini, Vincenzo" uniqKey="Stanghellini V" first="Vincenzo" last="Stanghellini">Vincenzo Stanghellini</name>
</noRegion>
</country>
<country name="Australie"><noRegion><name sortKey="Talley, Nicholas J" sort="Talley, Nicholas J" uniqKey="Talley N" first="Nicholas J." last="Talley">Nicholas J. Talley</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Belgique/explor/OpenAccessBelV2/Data/Istex/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001656 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Checkpoint/biblio.hfd -nk 001656 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Belgique |area= OpenAccessBelV2 |flux= Istex |étape= Checkpoint |type= RBID |clé= ISTEX:D42D1B2065D529210567B4899A56BEB0730306FE |texte= 1 Nomenclature of dyspepsia, dyspepsia subgroups and functional dyspepsia: Clarifying the concepts }}
![]() | This area was generated with Dilib version V0.6.25. | ![]() |