Quina M G
University Clinic of Internal Medicine and Gastroenterology, Hospital De Pulido Valente, Universidade Nova de Lisboa, Portugal.
Ital J Gastroenterol Hepatol. 1998 Oct;30 Suppl 3:S286-8.
Dyspepsia is defined as a persistent or recurrent pain or discomfort, localised in the upper abdomen, which may or may not be related to meals. Its prevalence in the general population is extraordinarily high (20-40%). Several pathological conditions can provoke dyspepsia, although non ulcer dyspepsia is the main cause. The relationships between Helicobacter pylori and non ulcer dyspepsia are discussed, namely the prevalence of Helicobacter pylori infection and the efficacy of its eradication in non ulcer dyspepsia. The management of dyspeptic patients in the community is analysed according to the Maastricht Consensus of 1996. Our opinion is that, in Helicobacter pylori-positive dyspeptic patients, after a careful investigation with exclusion of other organic diseases, the bacterium should be eradicated.
消化不良被定义为持续或反复出现的疼痛或不适，局限于上腹部，可能与进餐有关，也可能无关。其在普通人群中的患病率极高（20%-40%）。尽管非溃疡性消化不良是主要原因，但多种病理状况均可引发消化不良。本文讨论了幽门螺杆菌与非溃疡性消化不良之间的关系，即幽门螺杆菌感染的患病率及其根除治疗在非溃疡性消化不良中的疗效。依据1996年马斯特里赫特共识分析了社区中消化不良患者的管理。我们认为，对于幽门螺杆菌阳性的消化不良患者，在仔细排查排除其他器质性疾病后，应根除该细菌。
