Diagnosis and treatment of the functional dyspepsia: clinical guidelines of the Russian Gastroenterological Association
| Autor: | V. T. Ivashkin, I. V. Mayev, A. A. Sheptulin, T. L. Lapina, A. S. Trukhmanov, I. M. Kartavenko, V. A. Kiprianis, O. Z. Okhlobystina |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Stomach функциональная диспепсия RC799-869 Disease эрадикация Diseases of the digestive system. Gastroenterology инфекция helicobacter pylori Gastroenterology Management algorithm Pathogenesis medicine.anatomical_structure хронический гастрит Internal medicine Duodenum medicine Etiology Genetic predisposition General Earth and Planetary Sciences диспепсия business Psychosocial органическая диспепсия General Environmental Science |
| Zdroj: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии, Vol 27, Iss 1, Pp 50-61 (2018) |
| ISSN: | 1382-4376 |
| DOI: | 10.22416/1382-4376-2017-27-1-50-61 |
| Popis: | The aim of publication. To present the modern concept on etiology and pathogenesis of functional dyspepsia (FD) to general practitioners, as well as with the accepted approach to diagnostics and treatment of this disease. Summary. FD is the most common digestive disease. It’s etiology includes genetic predisposition, bad habits, previous intestinal infections, psychosocial factors. The basic pathogenic factors may include HCl hypersecretion, stomach and duodenal dysmotility and visceral hypersensitivity. FD diagnosis should be established after ruling out of the organic diseases that may manifest by dyspepsia. Treatment is based on the stepwise approach, that includes general procedures, application of the drugs reducing hydrochloric acid secretion and normalizing motility and visceral sensitivity of the stomach and duodenum, in difficult to treat cases - psychopharmacological drugs and psychotherapeutic methods. Conclusion. Following of the functional dyspepsia management algorithm allows to increase the accuracy of FD diagnosis and improve treatment results. |
| Databáze: | OpenAIRE |
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