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Gastroenterology: the first 40 years.

R H Salter, K M Holmes

The British Journal of Clinical Practice

|November 1, 1989

Summary

Functional gastrointestinal disorders are common in younger patients (under 40) referred to gastroenterology clinics. Peptic ulceration and reflux were the most frequent organic diagnoses, with malignancy being rare.

Area of Science:

Gastroenterology
Internal Medicine
Clinical Diagnostics

Background:

Functional gastrointestinal disorders (FGIDs) represent a significant patient load in gastroenterology.
Understanding the prevalence of FGIDs and organic disorders in younger demographics is crucial for appropriate healthcare resource allocation.

Purpose of the Study:

To determine the prevalence of functional gastrointestinal disorders in patients aged 40 and under referred to a district general hospital gastroenterology clinic.
To identify the common organic gastrointestinal disorders within this specific age group.

Main Methods:

Retrospective analysis of patient referrals to a combined gastroenterology clinic.
Diagnosis based on established clinical criteria for functional and organic gastrointestinal disorders.

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Main Results:

Over 50% of patients aged 40 and under were diagnosed with functional gastrointestinal disorders.
Peptic ulceration, gastro-oesophageal reflux, biliary tract disease, and inflammatory bowel disease constituted nearly 70% of organic diagnoses.
Malignant diseases were infrequently encountered in this cohort.

Conclusions:

Functional gastrointestinal disorders are highly prevalent in younger adult patients presenting to gastroenterology services.
Diagnostic strategies should consider the high likelihood of FGIDs and common organic conditions like peptic ulceration and reflux in this demographic.
The low incidence of malignancy suggests a need for judicious use of invasive investigations in younger patients presenting with gastrointestinal symptoms.