Etiology of Dyspepsia: Four Hundred Unselected Consecutive Patients in General Practice

Abstract

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.

Helicobacter pylori treatment instead of maintenance therapy for peptic ulcer disease: the effectiveness of case‐finding in general practice

“…1,2 The cause of dyspepsia is diverse: based on studies in unselected general practice populations, 5±10% of dyspeptic patients suffer from peptic ulcer disease, 25% from gastro-oesophagal re¯ux disease (GERD), and 50±60% from functional dyspepsia. 3 Medication use among dyspeptic patients is high. The majority uses over-the-counter drugs before consulting their general practitioner (GP) 4 and 70±90% receives pharmacotherapy, 1, 2, 5 mainly acid-inhibiting drugs, during their ®rst consultation.…”

GPs' ability to diagnose dyspepsia based only on physical examination and patient history

“…The diagnostic index values were significantly lower when functional disorders were suspected by GPs. PV− was high for working diagnoses like gallstone disease and malignancy, because those diseases are known to be rare in general practice (12,15).…”

“…The patients included in this study had abdominal or retrosternal pain, discomfort, heartburn, nausea, vomiting or other symptoms considered to be referable to the proximal alimentary tract. A detailed description of the diagnostic criteria and the spectrum of the final diagnoses has been reported previously (12).…”

Diagnostic methods in dyspepsia: the usefulness of upper abdominal ultrasound and gastroscopy

“…Knowing the proportions of diseases causing dyspepsia (13,19), gastroscopy should be the most frequently performed investigation. Our data clearly show the superiority of endoscopy compared with ultrasound as a diagnostic method when investigating chronic upper abdominal complaints.…”