Santoyo-Valenzuela R

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FRAGMENTO

¿ES POSIBLE DIAGNOSTICAR LA DISPEPSIA FUNCIONAL EN FORMA POSITIVA O SE REQUIERE HACERLO POR EXCLUSIÓN DE CAUSAS ORGÁNICAS?

El diagnóstico de dispepsia funcional al igual que el de otros trastornos funcionales gastrointestinales se hacía en el pasado hasta que se lograban excluir causas orgánicas.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Drossman DA. Senior Editor. Rome-III. The functional gastrointestinal disorders. 3rd. Ed. Virginia, USA: Degnon Associates, Inc. Mc Lean; 2006, p. 887.

2. Moayyedi P, Talley NJ, Fennerty MB, Vakil N. Can the clinical history distinguish between organic and functional dyspepsia? JAMA 2006; 295: 1566-76.

3. Bowrey DJ, Griffin SM, Wayman J, Karat D, et al. Use of alarm symptoms to select dyspeptics for endoscopy causes patients with curable esophagogastric cancer to be overlooked. Sur Endosc 2006; 20: 1725-8.

4. Drossman DA. Senior Editor. Rome-III. The functional gastrointestinal disorders. 3rd. Ed. Virginia, USA: Degnon Associates, Inc. Mc Lean; 2006, p. 934-6.

5. Vakil N, Moayyedi P, Fennerty B, Talley N. Limited value of alarm features in diagnosis of Upper Gastrointestinal Malignancy: Systemic Review and Meta-Analysis. Gastroenterology 2006; 131: 392-401.

6. Cash BD, Chey WD. Current treatment of dyspepsia. In: Fass R (ed.). Hot topics GERD/dyspepsia. 1st. Ed Philadelphia: Hanley & Belfus; 2004, p. 369-37.

7. Moayyedi P, Delaney BC, Bakil N, Forman D, Talley NJ. The efficacy of proton pump inhibitors in non-ulcer dyspepsia: a systemic review and economic analysis. Gastroenterology 2004; 127: 1329-37.

8. Wang WH, Huang RQ, Zheng GF, et al. Effects of Proton-Pump Inhibitors on Functional placebo-Controlled trials. Clin Gastroenterol Hepatol 2007; 5: 178-85.

9. Hiyama T, Yoshihara M, Matsuo K, et al. Meta-analysis of the effects of prokinetic agents in patients with functional dyspepsia. J Gastroenterol Hepatol 2006; 22; 304-10.

10. Hu WHC, Lam SK, Lam CLK, et al. Comparison between empirical procinetics, Helicobacter test.and.treat and empirical endoscopy in primary patients presenting with dyspepsia: a one year study. Word J Gastroenterol 2006 21; 5010-16.

11. Spiegel BM, Vakil NB, Ofman JJ. Dyspepsia management in primary care: a decision analysis of competing strategies. Gastroenterology 2002; 122: 1270-85.

12. Chiba N, Van Zanten SJ, Sinclair P, et al. Treating Helicobacter pylori infection in primary care patients with uninvestigated dyspepsia: the Canadian adult dyspepsia empiric treatment-Helicobacter pylori positive (CADET-Hp) randomized controlled trial. BMJ 2002; 324: 1012-16.

13. Liberman D, Fennerty MB, Morris C et al. Endoscopic Evaluation of patients with dispepsia. Results From the National Endoscopic Data Repository. Gastroenterology 2004; 127: 1067-75.