Variety of symptoms reported by patients with upper gastrointestinal diseases
Variety of symptoms reported by patients with upper gastrointestinal diseases
复制标题
上消化道疾病患者报告的各种症状
作者：
H. Nagami;Y. Kushiyama;E. Kakuta;Hirofumi Fujishiro;K. Furuta;Y. Komazawa;T. Hashimoto;K. Tsubouchi;N. Moriyama;K. Adachi;Y. Kinoshita
背景各种器质性和功能性上胃十二指肠疾病患者的症状特点尚未得到充分研究。方法采用问卷调查的方法，对反流性食管炎、非糜烂性反流病(NERD)、消化性溃疡和功能性消化不良(FD)患者的腹部症状进行调查。737名符合上述条件的患者接受问卷调查，询问可能存在的9种上腹部症状。结果报告的症状平均数量为3.2±11.7，器质性疾病患者的数量倾向于更多。大约60%的NERD患者主诉烧心，30%的患者至少有一种消化不良症状；超过50%的FD患者有消化不良症状，20%的患者主诉反流症状。我们发现NERD和FD患者的腹部症状有很大的重叠性，其中最麻烦的症状。应该始终考虑NERD和FD的可能重叠。
BackgroundThe characteristics of symptoms reported by patients with various organic and functional upper gastroduodenal diseases have not been fully studied.MethodsWe used a questionnaire-based survey to investigate abdominal symptoms of patients with reflux esophagitis, nonerosive reflux disease (NERD), peptic ulcers, and functional dyspepsia (FD). Seven hundred thirty-seven patients with those conditions responded to a questionnaire asking about the possible presence of nine kinds of upper abdominal symptoms.ResultsThe mean number of symptoms reported was 3.2 ± 1.7, and patients with organic diseases tended to have a larger number. Approximately 60% of patients with NERD complained of heartburn and 30% of at least one dyspeptic symptom; more than 50% of patients with FD noted dyspeptic symptoms and 20% complained of reflux symptoms. We found a large overlap in the abdominal symptoms of NERD and FD patients, including the most troublesome symptoms.ConclusionIn summary, our questionnaire-based study showed that symptom-based classification of NERD and FD is not easy because of symptom overlap. Possible overlap of NERD and FD should always be considered.
消化不良和消化不良亚组：一项基于人群的研究。
影响因子：
29.4
作者：
Talley,NJ;Zinsmeister,AR;Schleck,CD;Melton3rd,LJ
通讯作者：
Melton3rd,LJ