Chapter 4 DYSPEPSIA AND FUNCTIONAL DYSPEPSIA
DEFINITIONS
The Rome III committee has redefined functional dyspepsia and limited the term to refer to the four following symptoms: bothersome post-prandial fullness, early satiation, epigastric pain, or epigastric burning. The remaining symptoms of discomfort listed above have been allocated clinical entities of their own, and together they comprise the functional gastroduodenal disorders (Table 4.1). In addition, as shown in Table 4.2, there are two new diagnostic categories within functional dyspepsia; namely postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS).
Diagnostic criteria*for postprandial distress syndrome |
Must include one or both of the following: |
Supportive criteria |
Diagnostic criteria*for epigastric pain syndrome |
Must include all of the following: |
Supportive criteria |
* Criteria fulfilled for the last 3 months with symptom onset at least 6 months before diagnosis