Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 11: A 59-Year-Old Professor Had Dyspepsia And Subjective Weight Loss. He Was Treated Previously For H Pylori Infection. Egd And Biopsies Showed Chronic Inflammation With Intestinal Metaplasia And One Focal Area Of Low-Grade Dysplasia. What Do I Do? (continued)

Chun-Ying Wu, MD, PhD, MPH, LL.M., LL.B.; Francis K. L. Chan, MD, FACG

Dyspepsia is a nonspecific complaint that may be related to a number of underlying gastrointestinal problems. It consists of a variety of upper abdominal symptoms, including fullness and dull aching in the epigastrium and early satiety. Some patients also notice abdominal bloating associated with frequent belching, whereas others complain of heartburn symptoms. In rare cases, patients may have nausea and vomiting. It is estimated that 20% to 25% of the general population has dyspepsia, which could be related to either functional or organic causes. Functional dyspepsia (FD)…