JNM : Review ; What Indigestion Means to the Malays?
분야
의약학 > 내과학
저자
( Yeong Yeh Lee ) , ( Andrew Seng Boon Chua )
발행기관
대한소화기기능성질환·운동학회(구 대한소화관운동학회)
간행물정보
Journal of Neurogastroenterology and Motility 2013년, 제19권 제3호, 295~305페이지(총11페이지)
파일형식
19202012.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Despite being a large ethnic group within the South-East Asia, there is a paucity of reported literatures on dyspepsia in the Malay population. Recent population-based studies indicate that uninvestigated dyspepsia, based on the Rome II criteria, is reported in 12.8% and 11.6% of Malays in the urban and rural communities respectively. Organic causes of dyspepsia including upper gastrointestinal tract cancers, its precancerous lesions, and erosive diseases are uncommon which is largely due to an exceptionally low prevalence of Helicobacter pylori infection in this population. On the other hand, functional dyspepsia and irritable bowel syndrome are relatively common in the Malays than expected. Within a primary care setting, functional dyspepsia, based on the Rome III criteria, is reported in 11.9% of Malays, of which epigastric pain syndrome is found to be more common. Married Malay females are more likely to have functional dyspepsia and psychosocial alarm symptoms. Also based on the Rome III criteria, irritable bowel syndrome, commonly overlapped with functional dyspepsia, is reported in 10.9% of Malays within a community-based setting. Rather than psychosocial symptoms, red flags are most likely to be reported among the Malays with irritable bowel syndrome despite having a low yield for organic diseases. Based upon the above observations, “proton pump inhibitor test” is probably preferable than the “test and treat H. pylori” strategy in the initial management of dyspepsia among the Malays. (J Neurogastroenterol Motil 2013; 19:295-300)
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