Comparison of Functional Dyspepsia and Early Chronic Pancreatitis
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- Futagami Seiji
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Yamawaki Hiroshi
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Agawa Shuhei
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Ikeda Go
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Noda Hiroto
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Kirita Kumiko
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Higuchi Kazutoshi
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Gudis Katya
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Murakami Makoto
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Kodaka Yasuhiro
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Ueki Nobue
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
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- Iwakiri Katsuhiko
- Department of Internal Medicine, Division of Gastroenterology, Nippon Medical School
抄録
<p>Functional dyspepsia (FD) is a common disease that can markedly impair quality of life. In the 2016 Rome IV criteria, a diagnosis of FD requires the presence of bothersome FD symptoms. In 2009, a new diagnosis, early chronic pancreatitis (ECP), was proposed as a means to facilitate early treatment of chronic pancreatitis and prevent progression to chronic pancreatitis. Although chronic pancreatitis was reported to be a cause of dyspepsia, data on the relation between ECP and FD patients are limited. We therefore investigated differences between ECP patients and FD patients in the percentages of those with severe epigastric pain, early satiety, and postprandial abdominal fullness. Several studies reported an association between the cause of chronic pancreatitis and endosonographic features. In addition, endosonography was useful for distinguishing ECP patients from FD patients with pancreatic enzyme abnormalities. Thus, we compared endosonographic characteristics in these patient groups. Future studies should attempt to determine why selected FD patients with pancreatic enzyme abnormalities develop ECP.</p>
収録刊行物
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- 日医大誌
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日医大誌 87 (1), 2-6, 2020-02-15
日本医科大学医学会