Kosin Med J.  2015 Jun;30(1):1-11. 10.7180/kmj.2015.30.1.1.

Medical treatment of functional dyspepsia

• Kim SE

• KMID: 2308532
• DOI: http://doi.org/10.7180/kmj.2015.30.1.1

Abstract

Functional dyspepsia (FD) is a condition in which upper abdominal symptoms, such as epigastralgia, postprandial discomfort, and bloating, occur in the absence of any organic or metabolic disease that could explain the symptoms. The prevalence of FD is increasing, presumably because of an increasingly stressful environment, as well as overlap with other motility disorders such as gastroesophageal reflux diseases and irritable bowel syndrome. Numerous studies have attempted to determine the pathophysiological mechanisms of FD and establish effective FD treatment, with little success. Several therapeutic options have been explored, including Helicobacter pylori eradication, proton pump inhibitors, prokinetic agents, anti-depressant and anxiolytic agents, and acotiamide, a recent emerging drug. Through the many trials evaluating the efficacy of drugs for FD treatment, we found that it is necessary to treat according to the symptoms of FD and to use a combination of therapeutic options. Additional well-designed, prospective studies are needed to confirm the management of FD.

Keyword

Acotiamide; Disease management; Functional dyspepsia

MeSH Terms

Anti-Anxiety Agents
Disease Management
Dyspepsia*
Gastroesophageal Reflux
Helicobacter pylori
Irritable Bowel Syndrome
Metabolic Diseases
Prevalence
Proton Pump Inhibitors
Anti-Anxiety Agents
Proton Pump Inhibitors

Reference

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