{"title":"胃食管反流病与功能性消化不良","authors":"Yoshimasa Hoshikawa, Katsuhiko Iwakiri","doi":"10.11477/mf.1436205044","DOIUrl":null,"url":null,"abstract":"<p><p>Gastroesophageal reflux disease(GERD)and functional dyspepsia are common gastrointestinal disorders. GERD primarily manifests as heartburn and regurgitation, whereas functional dyspepsia is diagnosed in the absence of a discernible organic disease, despite persistent epigastric discomfort. Both GERD and functional dyspepsia can substantially worsen the patient's quality of life, although they do not typically influence prognosis. It is crucial to consider organic diseases, such as malignancies, particularly in patients who present with high-risk factors, including advanced age and weight loss. Patients with stable general health who are amenable to regular follow-ups and invasive procedures, such as endoscopy, should be advised to seek care at specialized facilities. This is particularly relevant if the initial treatment regimen fails to alleviate symptoms. This approach ensures optimal patient care and effective symptom management.</p>","PeriodicalId":35984,"journal":{"name":"Neurological Surgery","volume":"52 6","pages":"1271-1276"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Gastroesophageal Reflux Disease and Functional Dyspepsia].\",\"authors\":\"Yoshimasa Hoshikawa, Katsuhiko Iwakiri\",\"doi\":\"10.11477/mf.1436205044\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Gastroesophageal reflux disease(GERD)and functional dyspepsia are common gastrointestinal disorders. GERD primarily manifests as heartburn and regurgitation, whereas functional dyspepsia is diagnosed in the absence of a discernible organic disease, despite persistent epigastric discomfort. Both GERD and functional dyspepsia can substantially worsen the patient's quality of life, although they do not typically influence prognosis. It is crucial to consider organic diseases, such as malignancies, particularly in patients who present with high-risk factors, including advanced age and weight loss. Patients with stable general health who are amenable to regular follow-ups and invasive procedures, such as endoscopy, should be advised to seek care at specialized facilities. This is particularly relevant if the initial treatment regimen fails to alleviate symptoms. This approach ensures optimal patient care and effective symptom management.</p>\",\"PeriodicalId\":35984,\"journal\":{\"name\":\"Neurological Surgery\",\"volume\":\"52 6\",\"pages\":\"1271-1276\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurological Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11477/mf.1436205044\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurological Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11477/mf.1436205044","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Gastroesophageal Reflux Disease and Functional Dyspepsia].
Gastroesophageal reflux disease(GERD)and functional dyspepsia are common gastrointestinal disorders. GERD primarily manifests as heartburn and regurgitation, whereas functional dyspepsia is diagnosed in the absence of a discernible organic disease, despite persistent epigastric discomfort. Both GERD and functional dyspepsia can substantially worsen the patient's quality of life, although they do not typically influence prognosis. It is crucial to consider organic diseases, such as malignancies, particularly in patients who present with high-risk factors, including advanced age and weight loss. Patients with stable general health who are amenable to regular follow-ups and invasive procedures, such as endoscopy, should be advised to seek care at specialized facilities. This is particularly relevant if the initial treatment regimen fails to alleviate symptoms. This approach ensures optimal patient care and effective symptom management.