Chronic gastritis and functional dyspepsia: is there an exit out of the dead spot? (reflections, blown together by Rome criteria III)
Abstract
The aim of publication. To demonstrate contradictory issues of interrelation of «chronic gastritis» (CG) and «functional dyspepsia» (FD) concepts.
Original positions. Notwithstanding what at the majority of FD patients have the signs of concomitant CG, foreign doctors do not use this diagnosis in clinical practice. On the contrary, in such cases the Russian doctors prefer to diagnose CG. Combination of specified diagnoses is most justified, which allows to estimate severity of morphological changes of mucosa of the stomach, to establish basic pathophysiological mechanisms of development of dyspeptic complaints, to determine optimal management approach.
Conclusion. The problem of mutual relations between FD and CG has debatable character and deserves wide discussion.
References
1. Картавенко И.М., Лапина Т.Л., Коньков М.Ю. и др. Морфофункциональная оценка двенадцатиперстной кишки у больных с функциональной диспепсией // Рос. журн. гастроэнтерол. гепатол. колопроктол. – 2008. – Т. 18, № 5. – С. 23–32.
2. Международная статистическая классификация болезней и проблем, связанных со здоровьем. Десятый пересмотр (МКБ-10). – М., 1995. – Т. 1. – С. 579–580.
3. Пюрвеева К.В., Лапина Т.Л., Ивашкин В.Л. и др. Значение сывороточных показателей пепсиногена I, пепсиногена II и гастрина-17 в диагностике атрофического гастрита // Рос. журн. гастроэнтерол. гепатол. колопроктол. – 2005. – Т. 15, № 3. – С. 48–51.
4. Циммерман Я.С. Актуальные проблемы клинической гастроэнтерологии. Клинические очерки. – Пермь, 2008. – С. 78–95.
5. Энциклопедический словарь медицинских терминов / Под ред. Б.В. Петровского. – 1982. – Т. 1. – С. 358.
6. Classen M. Endoskopie des oberen Verdauungstraktes // Perspektiven der Gastroenterologie / Fakten, Entwicklungen, Erwartungen. – Mьnchen–Wien–Baltimore. – 1994, S. 9–14.
7. McQuaid K. Dyspepsia // Sleisenger and Fordtran’s gastrointestinal and liver disease / Eds. M. Feldman et al. – 6th ed. – Philadelphia–London–Toronto–Montreal–Sydney–Tokyo, 1998. – P. 105–117.
8. . Tack J., Talley N.J., Camilleri M. et al. Functional gastroduodenal disorders // Gastroenterology. – 2006. – Vol. 130. – P. 1466–1479.
9. Talley N.J. and the working team for functional gastroduodenal disorders. Functional gastroduodenal disorders // The Functional gastrointestinal disorders. – Boston–New York–Toronto–London, 1994. – P. 71–113.
10. Talley N.J., Janssens L., Lauritsen K. et al. Eradication of Helicobacter pylori in functional dyspepsia: randomised double blind placebo controlled trial with 12 month follow up // BMJ. – 1999. – Vol. 318. – P. 833–837.
11. Talley N.J., Stanghellini V., Heading R.C. et al. Functional gastroduodenal disorders – Rome II: A multinational consensus Document on functional gastrointestinal disorders // Gut. – 1999. – Vol. 45 (suppl. 11). – P. 1137–1142.
Review
For citations:
Sheptulin A.A. Chronic gastritis and functional dyspepsia: is there an exit out of the dead spot? (reflections, blown together by Rome criteria III). Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2010;20(2):84-88. (In Russ.)
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