Dispepsia funcional y gastroparesia: ¿dos entidades superpuestas? De la fisiopatología a la terapéutica
نویسندگان
چکیده
Functional dyspepsia and gastroparesis represent the most common sensory-motor disorders of upper gastrointestinal tract. Scientific advances in last decade have shown that there is significant overlap between them. This review aims to address current knowledge about their pathophysiology, diagnosis treatment. a medical condition characterized by one or more following symptoms: early satiety, postprandial fullness, epigastric pain burning. The pathophysiological mechanisms involved are: gastroduodenal motility sensory abnormalities, immune dysfunction, duodenal inflammation, infections, alterations microbiota dysfunction gut-brain axis. Rome IV criteria make possible establish presumptive functional patients, although it continues be exclusion requires performance an digestive video endoscopy confirm it. recommended therapeutic options eradication Helicobacter pylori, proton pump inhibitors, tricyclic antidepressants prokinetics. Gastroparesis chronic disorder delayed gastric emptying absence mechanical obstruction. pathophysiology caused neuromuscular abnormalities motor function. Gastric scan gold standard for diagnosis. mainstays treatment are restoration hydration nutrition, pharmacological with prokinetics antiemetics.
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ژورنال
عنوان ژورنال: Acta gastroenterologica Latinoamericana
سال: 2021
ISSN: ['0300-9033', '2469-1119']
DOI: https://doi.org/10.52787/bvbw1724