Sendensky Alexander, Tutuian Radu
Universitätsklinik für Viszerale Medizin und Chirurgie UVCM Inselspital Bern.
Ther Umsch. 2011 Aug;68(8):463-7. doi: 10.1024/0040-5930/a000195.
Functional abdominal pain is an inhomogeneous group of disorders concerning aetiology and clinical presentation. Support for classification is provided by the ROME-Foundation with its criteria catalogue, ROME-III being the most recent one. However, basic approach consists of exclusion of somatic or psychiatric as well as psychosomatic disorders that are sharply defined and readily diagnosable. This article outlines a pragmatic gastroenterological approach by exemplary means of dyspepsia and irritable bowel syndrome. Dyspepsia includes a broad complex of mainly epigastric located symptoms, whereas irritable bowel syndrome is symptomatic with altered bowel habits and mid-abdominal pain in the majority. Gastreoenterologic therapy modalities are mainly based on empirical and symptomatic grounds, more than on precisely explaining pathophysioligic understanding.
功能性腹痛是一组病因和临床表现各异的疾病。罗马基金会通过其标准目录为分类提供了支持，最新的是罗马Ⅲ标准。然而，基本方法是排除明确界定且易于诊断的躯体性、精神性以及心身性疾病。本文通过消化不良和肠易激综合征的示例概述一种实用的胃肠病学方法。消化不良包括主要位于上腹部的一系列广泛症状，而肠易激综合征的症状主要是排便习惯改变和大多数情况下的中腹部疼痛。胃肠病治疗方式主要基于经验和症状，而非精确解释病理生理理解。
