Diagnostic approach for dyspepsia: Exclusive diagnosis vs. Rome criteria |
Hye-Kyung Jung |
1동아대학교 의과대학 내과학교실, 2부산의료원 신장내과 |
기능성 소화불량증의 진단: 배제진단 vs. 절대진단 |
정혜경 |
1Department of Internal Medicine, Dong-A University College of Medicine; 2Division of Nephrology, Busan Medical Center, Busan, Korea |
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Abstract |
Dyspepsia is a chronic recurrent pain or discomfort centered in the upper abdomens. Epidemiologic studies have shown that dyspepsia is a global problem with 10~40% of populations from Asia to North America and Europe. The four major etiologies include gastric and esophageal malignancy, peptic ulcer disease, gastroesophageal reflux disease and functional dyspepsia. The latter is frequently diagnosed with exclusion criteria, increasing health care burden. Many countries have developed evidence-based guidelines for the management of dyspepsia, however, there are limited data or guideline in Korea. This review was aimed to focus on the “con and pro” about exclusive diagnosis and Rome criteria for the diagnosis of functional dyspepsia, for adopting to Korea. (Korean J Med 78:163-169, 2010) |
Key Words:
Dyspepsia; Diagnosis |
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