Digestive Health Center of Excellence, University of Virginia Medical Center, Box 800708, Charlottesville, VA 22908-0708.
Therap Adv Gastroenterol. 2010 Mar;3(2):87-98. doi: 10.1177/1756283X09356590.
Dyspepsia is a common clinical problem seen by both primary care physicians and gastroenterologists. Initial evaluation should focus on the identification and treatment of potential causes of symptoms such as gastroesophageal reflux disease (GERD), peptic ulcer disease, and medication side effects but also on recognizing those at risk for more serious conditions such as gastric cancer. This manuscript discusses the evaluation and management of dyspepsia including the role of proton-pump inhibitors, treatment of Helicobacter pylori, and endoscopy. Finally, treatment of refractory functional dyspepsia is addressed.
消化不良是基层医疗保健医生和胃肠病学家都常见的临床问题。初步评估应集中于识别和治疗症状的潜在原因，如胃食管反流病（GERD）、消化性溃疡病和药物副作用，同时还要识别那些有更严重疾病风险的患者，如胃癌。本文讨论了消化不良的评估和管理，包括质子泵抑制剂的作用、幽门螺杆菌的治疗和内镜检查。最后，还讨论了难治性功能性消化不良的治疗。
