Gastroduodenal Disorders

被引:1043
作者
Stanghellini, Vincenzo [1 ,2 ]
Chan, Francis K. L. [3 ]
Hasler, William L. [4 ]
Malagelada, Juan R. [5 ]
Suzuki, Hidekazu [6 ]
Tack, Jan [7 ]
Talley, Nicholas J. [8 ]
机构
[1] Univ Hosp S Orsola Malpighi, Dept Digest Syst, Bologna, Italy
[2] Univ Bologna, Dept Med & Surg Sci, I-40138 Bologna, Italy
[3] Chinese Univ Hong Kong, Inst Digest Dis, Hong Kong, Hong Kong, Peoples R China
[4] Univ Michigan Hlth Syst, Div Gastroenterol, Ann Arbor, MI USA
[5] Univ Autonoma Barcelona, Dept Med, Univ Hosp Vall dHebron, Digest Syst Res Unit, E-08193 Barcelona, Spain
[6] Keio Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Tokyo, Japan
[7] Univ Hosp Leuven, Dept Gastroenterol, Translat Res Ctr Gastrointestinal Disorders TARGI, Leuven, Belgium
[8] Univ Newcastle, New Lambton, Australia
关键词
Dyspepsia; Nausea; Vomiting; Belching; Rumination; CYCLIC VOMITING SYNDROME; IRRITABLE-BOWEL-SYNDROME; ESOPHAGEAL SPHINCTER RELAXATIONS; HELICOBACTER-PYLORI GASTRITIS; HIGH-RESOLUTION MANOMETRY; FUNCTIONAL DYSPEPSIA; RUMINATION SYNDROME; SALMONELLA GASTROENTERITIS; GENERAL-POPULATION; SYMPTOMS;
D O I
10.1053/j.gastro.2016.02.011
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Symptoms that can be attributed to the gastroduodenal region represent one of the main subgroups among functional gastrointestinal disorders. A slightly modified classification into the following 4 categories is proposed: (1) functional dyspepsia, characterized by 1 or more of the following: postprandial fullness, early satiation, epigastric pain, and epigastric burning, which are unexplained after a routine clinical evaluation; and includes 2 subcategories: postprandial distress syndrome that is characterized by meal-induced dyspeptic symptoms and epigastric pain syndrome that does not occur exclusively postprandially; the 2 subgroups can overlap; (2) belching disorders, defined as audible escapes of air from the esophagus or the stomach, are classified into 2 subcategories, depending on the origin of the refluxed gas as detected by intraluminal impedance measurement belching: gastric and supragastric belch; (3) nausea and vomiting disorders, which include 3 subcategories: chronic nausea and vomiting syndrome; cyclic vomiting syndrome; and cannabinoid hyperemesis syndrome; and (4) rumination syndrome.
引用
收藏
页码:1380 / 1392
页数:13
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