What Indigestion Means to the Malays?
Journal of Neurogastroenterology and Motility
;
: 295-300, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-23374
ABSTRACT
Despite being a large ethnic group within the South-East Asia, there is a paucity of reported literatures on dyspepsia in the Malay population. Recent population-based studies indicate that uninvestigated dyspepsia, based on the Rome II criteria, is reported in 12.8% and 11.6% of Malays in the urban and rural communities respectively. Organic causes of dyspepsia including upper gastrointestinal tract cancers, its precancerous lesions, and erosive diseases are uncommon which is largely due to an exceptionally low prevalence of Helicobacter pylori infection in this population. On the other hand, functional dyspepsia and irritable bowel syndrome are relatively common in the Malays than expected. Within a primary care setting, functional dyspepsia, based on the Rome III criteria, is reported in 11.9% of Malays, of which epigastric pain syndrome is found to be more common. Married Malay females are more likely to have functional dyspepsia and psychosocial alarm symptoms. Also based on the Rome III criteria, irritable bowel syndrome, commonly overlapped with functional dyspepsia, is reported in 10.9% of Malays within a community-based setting. Rather than psychosocial symptoms, red flags are most likely to be reported among the Malays with irritable bowel syndrome despite having a low yield for organic diseases. Based upon the above observations, "proton pump inhibitor test" is probably preferable than the "test and treat H. pylori" strategy in the initial management of dyspepsia among the Malays.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Atención Primaria de Salud
/
Asia
/
Ciudad de Roma
/
Población Rural
/
Etnicidad
/
Prevalencia
/
Helicobacter pylori
/
Tracto Gastrointestinal Superior
/
Síndrome del Colon Irritable
/
Dispepsia
Tipo de estudio:
Estudio de prevalencia
Límite:
Femenino
/
Humanos
País/Región como asunto:
Asia
/
Europa
Idioma:
Inglés
Revista:
Journal of Neurogastroenterology and Motility
Año:
2013
Tipo del documento:
Artículo
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