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The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
Published on: June 29, 2019
Symptom criteria do not distinguish between functional and organic dyspepsia
P Lundquist1, R Seensalu, B Lindén
1Karolinska Institutet, Department of Surgery, Huddinge University Hospital, Sweden.
Design:
Retrospective study.
Setting:
Teaching hospital, Sweden.
Objective:
To find out if various diagnostic criteria could distinguish organic from non-organic causes of dyspepsia.
Subjects:
635 patients previously interviewed by computer questionnaire.
Interventions:
Upper gastrointestinal endoscopy, laboratory tests, clinical examination.
Main Outcome Measure:
Differentiation between organic and functional dyspepsia.
Results:
106 patients had functional dyspepsia. Of these 83 had ulcer-like dyspepsia, 76 motility-like dyspepsia, and 50 reflux-like dyspepsia. Eight patients had unspecified dyspepsia.
Conclusions:
There was a considerable overlap between different subgroups, and the criteria did not differentiate between organic and non-organic causes of dyspepsia though the symptom criteria in most cases showed an independent value in discriminating between different subgroups. The clinical usefulness of the criteria remains to be shown.
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