Valenkevich L N, Iakhontov O I
Eksp Klin Gastroenterol. 2004(3):72-4, 105.
The appropriateness of further wide prevalence of diagnostics of gastroesophageal reflux disease, functional non-ulcer dyspepsia and irritable bowel syndrome is discussed. All these diseases are believed to be found in 30-50% of adults. It is very difficult to find a healthy person taking into account such an approach to the problem. As a matter of fact, gastroesophageal disease was invented by merging two different diseases: esophagitis and reflux esophagitis plus such a prevalent symptom as heartburn. All this leads to the hyperdiagnosis of this disease. The irritable bowel syndrome also includes two conditions: that of the irritable large intestine and dyskinesia of the small one. They are very different. The application of the diagnosis of functional dyspepsia leads to the practical disappearance of the diagnosis of chronic gastritis. At that symptoms of the dyskinetic form of functional dyspepsia coincide with minor symptoms of gastric carcinoma, which can lead to late diagnostics of this oncological disease. In this connection, it is necessary to narrow the limits of these diseases because their actual prevalence is much lower than that found in medical literature.
讨论了进一步广泛普及胃食管反流病、功能性非溃疡性消化不良和肠易激综合征诊断的适宜性。据信，所有这些疾病在30%至50%的成年人中都有发现。考虑到这种看待问题的方式，很难找到一个健康的人。事实上，胃食管疾病是通过合并两种不同的疾病发明出来的：食管炎和反流性食管炎，再加上烧心这种常见症状。所有这些导致了这种疾病的过度诊断。肠易激综合征也包括两种情况：易激的大肠和小肠运动障碍。它们非常不同。功能性消化不良诊断的应用导致慢性胃炎诊断在实际中消失。而功能性消化不良运动障碍型的症状与胃癌的轻微症状相符，这可能导致这种肿瘤疾病的诊断延迟。因此，有必要缩小这些疾病的范围，因为它们的实际患病率远低于医学文献中所报道的。
