Epidemiology of Uninvestigated and Functional Dyspepsia in Asia: Facts and Fiction.
- Author:
Uday C GHOSHAL
1
;
Rajan SINGH
;
Full Young CHANG
;
Xiaohua HOU
;
Benjamin Chun Yu WONG
;
Udom KACHINTORN
Author Information
1. Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. udayghoshal@gmail.com
- Publication Type:Review
- Keywords:
Dyspepsia;
Gastroparesis;
Gastrointestinal disease;
Helicobacter pylori;
Quality of life
- MeSH:
Asia;
Asian Continental Ancestry Group;
Burns;
Dyspepsia;
Endoscopy, Gastrointestinal;
Eructation;
Gastroesophageal Reflux;
Gastrointestinal Diseases;
Gastroparesis;
Helicobacter pylori;
Humans;
Irritable Bowel Syndrome;
Nausea;
Peptic Ulcer;
Population Characteristics;
Quality of Life;
Stomach Neoplasms;
Vomiting
- From:Journal of Neurogastroenterology and Motility
2011;17(3):235-244
- CountryRepublic of Korea
- Language:English
-
Abstract:
Dyspepsia is a syndrome consisting of epigastric pain, burning, fullness, discomfort, early satiety, nausea, vomiting and belching. Functional dyspepsia (FD) is diagnosed if upper gastrointestinal endoscopy does not show structural abnormality explaining these symptoms. 8%-30% and 8%-23% of Asian people suffer from of uninvestigated dyspepsia and FD, respectively. Most patients with uninvestigated dyspepsia are found to have FD. Patients with FD are usually young and there is no predilection to any gender. Overlap of FD with other functional bowel diseases such as irritable bowel syndrome and gastroesophageal reflux disease is common in Asia. Cultural difference in reporting of symptoms of dyspepsia is well-known. Moreover, dietary factors, socio-cultural and psychological issues, gastrointestinal infection including that caused by Helicobacter pylori, frequency of organic diseases such as peptic ulcer and gastric cancer responsible for dyspeptic symptoms in the study population may also influence epidemiology of dyspepsia. There is considerable heterogeneity in the above issues among different Asian countries. More studies on epidemiology of FD are needed in Asia.