medigraphic.com
Revista Médica Sinergia

2021, Number 09

<< Back Next >>

Revista Médica Sinergia 2021; 6 (09)

Approach to the adult with dyspepsia

Chacón SMA, Rojas SDM, González BJI

Language: Spanish
References: 15
Page:
PDF size: 165.61 Kb.


ABSTRACT

Dyspepsia corresponds to a syndrome and not to an isolated diagnosis or symptom as such. It involves a heterogeneous group of symptoms located in the upper abdomen. Depending on the etiology, it may be an organic dyspepsia or a functional dyspepsia. Any patient presenting for the first time with these symptoms is classified as uninvestigated dyspepsia. In these cases, 3 possible strategies can be followed, including: upper endoscopy, examining and treating for Helicobacter pylori or a proton pump inhibitor trial; the approach chosen will depend on the factors of each patient. In the case of functional dyspepsia, treatment includes general measures such as changes in diet and medications such as proton pump inhibitors. Like any functional disorder of the digestive system, the probability of recurrence of symptoms is high when treatment is suspended, even so the prognosis of the disease is completely benign.


REFERENCES

  1. Tack J. Dyspepsia. En: Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt. Sleisenger and Fordtran. Gastrointestinal and liver disease. 10th ed. Philadelphia: Elsevier; 2016. p. 194-206.

  2. Carmona R, Gómez O, Zavala M, Bielsa M, Coss E, Hernández A et al. Consenso Méxicano sobre la dispepsia. Revista de Gastroenterología de México [internet]. 2017 [citado 12 marzo 2021]; 82(4): 309-327. http://dx.doi.org/10.1016/j.rgmx.2017.01.001

  3. Longstreth G, Lacy B. Approach to the adult with dyspepsia. Uptodate. Wolters Kluwer [internet]. 9 diciembre 2019 [citado 12 marzo 2021]; [aprox. 18p]. Disponible en: https://www.uptodate.com/contents/approach-to-the-adult-with-dyspepsia

  4. Sebastián J. Los nuevos criterios de Roma (IV) de los trastornos funcionales digestivos en la práctica clínica. Med Clin (Barc) [internet]. 2017 [citado 12 marzo 2021]; [aprox. 5p]. http://dx.doi.org/10.1016/j.medcli.2016.12.020

  5. Moayyedi P, Lacy B, Andrews C, Enns R, Howden C, Vakil N. ACG and CAG clinical guideline: Management of dyspepsia. Am J Gastroenterol [internet]. 2017 [citado 12 marzo del 2021]; 112: 988-1013. http://doi:10.1038/ajg.2017.154

  6. Longstreth G, Lacy B. Functional dyspepsia in adults. Uptodate. Wolters Kluwer [internet]. 16 diciembre 2019 [citado 12 marzo 2021]; [aprox. 24p]. Disponible en: https://www.uptodate.com/contents/functional-dyspepsia-in-adults

  7. Madisch A, Andresen V, Enck P, Labenz J, Frieling T, Schemann M. The diagnosis and treatment of functional dyspepsia. Dtsch Arztebl Int. 2018; 115: 222–32. https://doi.org/10.3238/arztebl.2018.02

  8. Talley N. Functional dyspepsia: new insights into pathogenesis and therapy. Korean J Intern Med [internet]. 2016 [citado 12 marzo 2021]; 31: 444-456. http://dx.doi.org/10.3904/kjim.2016.091

  9. Mounsey A, Barzin A, Rietz A. Functional dyspepsia: Evaluation and management. Am Fam Physician [Internet]. 2020 [citado 12 marzo 2021]; 101(2): 84-88. Disponible en: www.aafp.org/afp

  10. Hwan Oh J, Goo Kwon J. Functional Dyspepsia. Korean J Gastroenterol [internet]. 2019 [citado 12 marzo 2021]; 73(2):77-83. https://doi.org/10.4166/kjg.2019.73.2.77

  11. National institute for health and care excellence. Gastro-esophageal reflux disease and dyspepsia in adults: investigation and management. 2019 [citado 12 marzo 2021]; [aprox. 27p]. Corregido y republicado de: National institute for health and care excellence. 2014. Disponible en: www.nice.org.uk/guidance/cg184

  12. Pinto M, Yuan Y, Hassan A, Bercik P, Moayyedi P. Proton pump inhibitors for functional dyspepsia. Cochrane Database of Systematic Reviews. 2017; 11. Art. No.: CD011194. https://doi.org/10.1002/14651858.CD011194.pub3

  13. Jones R, Pearson J, Ward C. Functional dyspepsia. N Engl J Med [internet]. 2016 [citado 12 marzo 2021]; 374;9: 895-896. https://doi.org/10.1056/NEJMc1515497

  14. Pesce M, Cargiolli M, Cassarano S, Polece B, De Conno B, Aurino L et al. Diet and functional dyspepsia: Clinical correlates and therapeutic perspectives. World J Gastroenterol [internet]. 2020 [citado 12 marzo 2021]; 26(5): 456-465. https://doi.org/10.3748/wjg.v26.i5.456

  15. Crowe S. Helicobacter pylori infection. N Engl J Med [internet]. 2019 [citado 12 marzo 2021]; 380; 12: 1158-1165. https://doi.org/10.1056/NEJMcp1710945




2020     |     www.medigraphic.com