Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
How should Helicobacter pylori negative patients be managed?
Autore:
Stanghellini, V; Tosetti, C; De Giorgio, R; Barbara, G; Salvioli, B; Corinaldesi, R;
Indirizzi:
Univ Bologna, Policlin S Orsola Malpighi, Dept Internal Med & Gastroenterol, I-40138 Bologna, Italy Univ Bologna Bologna Italy I-40138 Gastroenterol, I-40138 Bologna, Italy
Titolo Testata:
GUT
, volume: 45, anno: 1999, supplemento:, 1
pagine: I32 - I35
SICI:
0017-5749(199907)45:<I32:HSHPNP>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC IDIOPATHIC DYSPEPSIA; NONULCER DYSPEPSIA; FUNCTIONAL DYSPEPSIA; GASTROINTESTINAL MOTILITY; GASTRIC FUNCTION; DUODENAL-ULCER; INFECTION; SUBGROUPS; ERADICATION; SYMPTOMS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
46
Recensione:
Indirizzi per estratti:
Indirizzo: Stanghellini, V Univ Bologna, Policlin S Orsola Malpighi, Dept Internal Med & Gastroenterol, Via Massarenti 9, I-40138 Bologna, Italy Univ Bologna Via Massarenti 9 Bologna Italy I-40138 Italy
Citazione:
V. Stanghellini et al., "How should Helicobacter pylori negative patients be managed?", GUT, 45, 1999, pp. I32-I35

Abstract

Dyspepsia is a digestive syndrome distinct from (although frequently overlapping with) gastrooesophageal reflux disease (GORD) and irritable bowel syndrome (IBS), which is characterised by various combinations of painful andnon-painful symptoms arising from the epigastrium. Dyspepsia can be secondary to a variety of diseases, but in most instances it is idiopathic. Helicobacter pylori infection is responsible for the majority of peptic ulcers and of other diseases potentially associated with dyspepsia. Nevertheless, acausal role for H pylori infection in symptom occurrence has not been established. Experimental data indicate that H pylori eradication does not improve symptoms in the majority of dyspeptic patients. It has been proposed recently that H pylori negative patients should be managed according to theirclinical presentation. Some reports suggest that taking into considerationthe most relevant or "predominant" symptom may help to identify distinct subgroups among dyspeptic patients with different underlying pathophysiological abnormalities and different responses to treatment. Well designed and conducted prospective studies are needed to verify whether treatment of H pylori negative dyspeptic patients based on the predominant symptom actually is a cost effective approach.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 13:19:16