Symptom criteria do not distinguish between functional and organic dyspepsia.
METHODS
Retrospective study.


METHODS
Teaching hospital, Sweden.


OBJECTIVE
To find out if various diagnostic criteria could distinguish organic from non-organic causes of dyspepsia.


METHODS
635 patients previously interviewed by computer questionnaire.


METHODS
Upper gastrointestinal endoscopy, laboratory tests, clinical examination.


METHODS
Differentiation between organic and functional dyspepsia.


RESULTS
106 patients had functional dyspepsia. Of these 83 had ulcer-like dyspepsia, 76 motility-like dyspepsia, and 50 reflux-like dyspepsia. Eight patients had unspecified dyspepsia.


CONCLUSIONS
There was a considerable overlap between different subgroups, and the criteria did not differentiate between organic and non-organic causes of dyspepsia though the symptom criteria in most cases showed an independent value in discriminating between different subgroups. The clinical usefulness of the criteria remains to be shown.
Karolinska Institutet, Department of Surgery, Huddinge University Hospital, Sweden.
P
P
Lundquist
R
R
Seensalu
B
B
Lindén
L H
LH
Nilsson
G
G
Lindberg
D000328:Adult; D003936:Diagnosis, Computer-Assisted; D003937:Diagnosis, Differential; D004415:Dyspepsia / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis; D005769:Gastrointestinal Motility; D006801:Humans; D008297:Male; D010437:Peptic Ulcer / Q000150:complications / Q000175:diagnosis; D012189:Retrospective Studies