Korean J Med.
2010 Feb;78(2):163-169.
Diagnostic approach for dyspepsia: Exclusive diagnosis vs. Rome criteria
- Affiliations
-
- 1Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.
Abstract
-
Dyspepsia is a chronic recurrent pain or discomfort centered in the upper abdomens. Epidemiologic studies have shown that dyspepsia is a global problem with 10~40% of populations from Asia to North America and Europe. The four major etiologies include gastric and esophageal malignancy, peptic ulcer disease, gastroesophageal reflux disease and functional dyspepsia. The latter is frequently diagnosed with exclusion criteria, increasing health care burden. Many countries have developed evidence-based guidelines for the management of dyspepsia, however, there are limited data or guideline in Korea. This review was aimed to focus on the "con and pro" about exclusive diagnosis and Rome criteria for the diagnosis of functional dyspepsia, for adopting to Korea.