Neulkusna dispepsija i Helicobacter pylori infekcija (CROSBI ID 88345)
Prilog u časopisu | stručni rad
Podaci o odgovornosti
Buljevac, Mladen ; Banić, Marko ; Kujundžić, Milan ; Dominis, Mara ; Čolić-Cvrlje, Vesna ; Kardum, Duško ; Katičić, Miroslava ;
hrvatski
Neulkusna dispepsija i Helicobacter pylori infekcija
SAŽETAK: U preglednom članku analizirana su iskustva u pristupu i postupku s dispepsijom, uz poseban osvrt na neulkusnu dispepsiju i Helicobacter pylori infekciju. Dispepsija čini oko 50% gastroenterološke kazuistike. U 20% slučajeva je uzrokovana peptičkom ulkusnom bolešću, a u preko 50% slučajeva neulkusnom dispepsijom. Pri tome je oko 50% neulkusne dispepsije praćeno koegzistentnim Helicobacter pylori pozitivnim gastritisom. U dijagnostičkoj obradi bolesnika s dispepsijom starijih od 55 godina, ili u onih s prisutnim alarmantnim simptomima, kao i u osoba koje koriste nesteroidne protuupalne lijekove, indicirana je endoskopska pretraga, gastroskopija. U drugih se bolesnika (mlađih, bez alarmantnih simptoma, preporuča neinvazivno testiranje na Helicobacter pylori infekciju, potom provođenje eradikacijske terapije u pozitivnih, a empirijsko liječenje antisekretornim lijekom ili prokineticima u Helicobacter pylori negativnih bolesnika. Tek pri neuspjehu terapije preporuča se gastroskopski pregled. Potpun prestanak simptoma neulkusne dispepsije može se očekivati tek u oko 20% bolesnika s uspješno izliječenom Helicobacter pylori infekcijom. SUMMARY: In this article we revived experiences in approach and procedure with dyspepsia, with special accent on non-ulcer dyspepsia and Helicobacter pylori infection. Dyspepsia makes around 50% of gastroenterology causes. In 20% of cases it is caused by peptic ulcer disease and in 50% of cases non-ulcer dyspepsia. Around 50% of non-ulcer dyspepsia is followed by coexistent Helicobacter pylori positive gastritis. Dyspepsia followed by alarming symptoms in patients who are over 55 years old or in patients who are using NSAID indicated urgent endoscopic procedure - gastroscopy. In other patients non-invasive testing on Helicobacter pylori infection is recommended where eradicating therapy should be applied in Helicobacter pylori positive and empirical cure by antisecreting drugs or prokinetics in Helicobacter pylori negative patients. Final gastroscopic evaluation is indicated after unsuccessful therapy. Ceasing of non-ulcer dyspeptic symptoms could be predicted in 20% of patients with cured Helicobacter pylori infection.
Dispepsija; Helicobacter pylori; neulkusna dispepsija; dijagnostika; terapija
nije evidentirano
engleski
Non-ulcer dyspepsia and Helicobacter pylori infection
nije evidentirano
Dyspepsia; Helicobacter pylori; non-ulcer dyspepsia; diagnosis; therapy
nije evidentirano
Podaci o izdanju
124 (suppl 1)
2002.
61-63-x
objavljeno
0024-3477