สาเหตุของการปวดแน่นท้องเรื้อรังของผู้ป่วยในโรงพยาบาลนครปฐม

บทคัดย่อ

          A study was performed to determine the causes of chronic dyspepsia in patients who suffered dyspepsia for at least 6 weeks and attended OPD of Nakhonpathom hospital from October 1993 to January 1995.

          One hundred and ninety cases were included in the study and performed gastroscopy. Organic dyspepsia was found in 45 cases (23.7%), and functional dyspepsia(NUD) was found in- 145 cases (76.3%). The most common causes of organic dyspepsia was PU (82.2%) in which DU was the most common, malignancy was found in 15.6% (CA stomach was the most common) and pyloric stenosis was found in 4.4%. Antral biopsy in all of the NUD cases found that 100% had endoscopic and histologic antral gastritis (95.9% had chronic gastritis) and 53.8% had H. pylori infection (52.9% - 66.7% depended on types of gastritis).