Rochat L, Keta A
Service de medecine de premier recours, Département de médecine communautaire, de premier recours et des urgences, HUG, 1211 Genève 14.
Rev Med Suisse. 2012 Sep 26;8(355):1816-8, 1820.
Epigastric pains are currently one of the most frequent reasons of clinic visits in ambulatory medicine, generating high direct and indirect costs each year. Corresponding to pains in the epigastric area, they result from different underlying diseases such as gastro-esophageal reflux, dyspepsia and peptic ulcers. If the role of Helicobacter pylori is well defined in the pathogenesis of gastro-duodenal ulcers, its implication in dyspepsia is less clear. The Maastricht IV Consensus recommends to test and treat Helicobacter pylori among patients with dyspepsia and no alarm symptoms.
上腹部疼痛是目前门诊医学中最常见的就诊原因之一，每年产生高昂的直接和间接费用。与上腹部区域的疼痛相对应，它们由不同的潜在疾病引起，如胃食管反流、消化不良和消化性溃疡。虽然幽门螺杆菌在胃十二指肠溃疡发病机制中的作用已得到明确界定，但其在消化不良中的影响尚不清楚。马斯特里赫特IV共识建议对无报警症状的消化不良患者进行幽门螺杆菌检测和治疗。
