Iantorno Guido, Corti Rodolfo, Fernández Luis María Bustos, Soifer Luis, Bilder Claudio, Soifer Graciela, De Los Santos Antonio Raúl, Gianoni Carlos, Bernstein Silvia, Secilio Oscar
Hospital de Gastroenterología Dr. Carlos Bonorino Udaondo Buenos Aires, Argentina.
Acta Gastroenterol Latinoam. 2007 Sep;37 Suppl 1:S25-8.
Dyspepsia is a word that means bad digestion. In the conviction of which it is a question of an entity that it includes different disciplines, we realize a meeting consensus to discuss and to resolve a diagnostic and therapeutic algorithm of national order.
To agree on a national algorithm applicable to the functional dyspepsia.
In June 2005 a multidisciplinary group met to design and to propose a diagnostic and therapeutic algorithm for the functional dyspepsia.
Priority gives to the medical-patient relationship and to the reinsurance. Then we divide the patients if they have signs of alarm. If they are present we studied them, if not we divide them, in accordance to the principal symptoms, in pain or epigastric discomfort. If they have pain we realized an endoscopy and a abdominal ultrasound scan. If they are positive, treatment of the disease. If the studies are negative or it has epigastric discomfort we propose a therapeutic test. Pain: H2 bloquers, wait 4 to 6 weeks, if it not response we propose a PPI, wait for 4 to 6 weeks, if there is no response psychiatric or psychological consultation. Discomfort: proquinetics, wait for 4 to 6 weeks if there are no answers, antidepressants in low doses, wait for 4 to 6 weeks if there are no answers, ca. bloquers, sumatriptan or trimebutina. In all cases we can add tranquillizers in anxious personality.
A multidisciplinary dignostic and therapeutic consensus of national order for the patients with functional dyspepsia was obtained.
消化不良是指消化功能不佳。鉴于它是一个涉及不同学科的实体问题，我们达成了一项共识会议，以讨论并制定一套全国性的诊断和治疗方案。
就适用于功能性消化不良的全国性方案达成一致。
2005年6月，一个多学科小组开会设计并提出功能性消化不良的诊断和治疗方案。
优先考虑医患关系和再保险。然后根据患者是否有警示症状进行分类。如果有警示症状，我们对其进行研究；如果没有，则根据主要症状将患者分为疼痛型或上腹部不适型。如果患者有疼痛症状，我们会进行内窥镜检查和腹部超声扫描。如果检查结果呈阳性，则对疾病进行治疗。如果检查结果为阴性或患者有上腹部不适，我们会进行治疗性试验。疼痛型：使用H2阻滞剂，等待4至6周，如果没有效果则改用质子泵抑制剂（PPI），再等待4至6周，如果仍无反应，则进行精神或心理咨询。不适型：使用促动力药，等待4至6周，如果没有效果则使用低剂量抗抑郁药，再等待4至6周，如果仍无反应，则使用钙通道阻滞剂、舒马曲坦或曲美布汀。在所有情况下，如果患者性格焦虑，我们可以加用镇静剂。
获得了针对功能性消化不良患者的全国性多学科诊断和治疗共识。
