Search PubMed⌕ Search

PubMed · 7760972

Functional dyspepsia.

Abstract

Functional dyspepsia is defined as persistent or recurrent upper abdominal pain or discomfort not explained by structural or biochemical abnormalities. In about half of the patients who present to their practitioner with chronic dyspepsia, no underlying disease is established after clinical investigation. Many clinical trials have been performed to demonstrate a certain relationship between functional dyspepsia and several pathogenic mechanisms like dysmotility, Helicobacter pylori infection, acid output and hypersensitivity to distension. Unfortunately, the conclusions of those studies are conflicting. Short-term follow-up, lack of consensus about diagnostic criteria for functional dyspepsia and unvalidated symptom measures make it difficult to interpret their results.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

E M Witteman, G N Tytgat. 1995. Functional dyspepsia.. https://doi.org/10.1016/0300-2977(95)00099-9

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

From pain to self-awareness--a qualitative analysis of the significance of group participation for persons with chronic musculoskeletal pain.

The experiences of persons with chronic musculoskeletal pain who participated in a twelve-session process and experience-oriented learning programme were analysed with qualitative methods. The programme was based on a phenomenological frame of understanding where the individual's experience of her/his situation was essential. The educational approach was inspired by personal construct theory that calls attention to the human being's capacity to redefine and reconstruct the meanings of any situation and symptom. Certain qualities and values were embedded in the group programme: A context that emphasised an understanding of the body 'as a talking subject' rather than focusing on pain and diagnoses; the wholeness of participants' situation rather than viewing chronic muscular pain as either physical or psychological: activity, participation and operating within the participants' everyday language and ways of expressing themselves; respecting, seeing, listening and trusting the group participants; focusing on each participant's and the whole group's resources, potentials and possibilities; challenging the participants to evoke their inner authority and internal validation instead of surrendering authority on their pain to the health personnel. Self-reports shortly after, and a year after, participation indicated that participants in the groups had reconstructed some patterns in their lives, both in relation to self and others. They had an increased awareness of self, less pain and more constructive ways of handling pain and life situation.

Chronic Disease↗

Investigation of chronic venous insufficiency: A consensus statement (France, March 5-9, 1997).

This consensus document provides an up-to-date account of the various methods available for the investigation of chronic venous insufficiency of the lower limbs (CVI), with an outline of their history, usefulness, and limitations. CVI is characterized by symptoms or signs produced by venous hypertension as a result of structural or functional abnormalities of veins. The most frequent causes of CVI are primary abnormalities of the venous wall and the valves and secondary changes due to previous venous thrombosis that can lead to reflux, obstruction, or both. Because the history and clinical examination will not always indicate the nature and extent of the underlying abnormality (anatomic extent, pathology, and cause), a number of diagnostic investigations have been developed that can elucidate whether there is calf muscle pump dysfunction and determine the anatomic extent and severity of obstruction or reflux. The difficulty in deciding which investigations to use and how to interpret the results has stimulated the development of this consensus document. The aim of this document was to provide an account of these tests, with an outline of their usefulness and limitations and indications of which patients should be subjected to the tests and when and of what clinical decisions can be made. This document was written primarily for the clinician who would like to learn the latest approaches to the investigation of patients with CVI and the new applications that have emerged from recent research, as well as for the novice who is embarking on venous research. Care has been taken to indicate which methods have entered the clinical arena and which are mainly used for research. The foundation for this consensus document was laid by the faculty at a meeting held under the auspices of the American Venous Forum, the Cardiovascular Disease Educational and Research Trust, the European Society of Vascular Surgery, the International Angiology Scientific Activity Congress Organization, the International Union of Angiology, and the Union Internationale de Phlebologie at the Abbaye des Vaux de Cernay, France, on March 5 to 9, 1997. Subsequent input by co-opted faculty members and revisions in 1998 and 1999 have ensured a document that provides an up-to-date account of the various methods available for the investigation of CVI.

Chronic Disease↗