?????? functional gastrointestinal disorder

1
??????functional gastrointestinal disorder
???--??????

• ??????????
• ? ?

2
???????functional dyspepsia, FD
???--??????

• ??????????
• ???????
• ????

3
???????
???--??????

• ????(dyskinesis)
• ??????(visceral hyperesthesia )
• ???????????(receptive relaxation)????

4
???????
???--??????

• ????(mind factor)
• ?????(helicobacter pylori)
• ????(chronic gastritis)

5
???? (clinical features)
???--??????

• ????(epigastric discomfort)
• ???(epigastric pain)
• ??(satiety)
• ????(psychiatric symptom)

6
????
???--??????

• ??????(epigastric pain syndrome, EPS)
• ???????(postprandial distress syndrome, PDS)

7
??(diagnosis)
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• ????
• ???????
• ?????????

8
??(diagnosis)
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• ????(alarm symptom)
• 45???
• ????????????????????????
• ???????????

9
????(differential diagnosis)
???--??????

• ?????????
• ?????
• ?????
• ???????
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10
??(therapeutics)
???--??????

• ????(symptomatic treatment)
• ????(combined modality therapy)
• ?????(individualized treatment)

11
????(general treatment)
???--??????

• ????(living habit)
• ????(regular diet)
• ????(psychological treatment)
• ??(appeasement)

12
????(pharmacotherapy)
???--??????

• ???
• ???
• ???????
• ????

13
??????irritable bowel syndrome, IBS
???--??????

• ????
• ??????

14
???????
???--??????

• ???????
• ??????
• ????
• ??
• ??

15
????
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• ??
• ??
• ??
• ???????
• ????
• ??

16
??
???--??????

• ???(purging type)
• ???(constipation type)
• ???????(alternating diarrhea and constipation)

17
??
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• ????????3??????????????,?????????
• ????????
• ????????????
• ????????????

18
??
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• ????
• ??????
• ????????
• ???
• ??
• ???????

19
????
???--??????

• ??(abdominal pain)
• ??(diarrhea)
• ??(constipation)

20
??
???--??????

• ????(removal motivation)
• ????(symptomatic treatment)
• ????(combined modality therapy)
• ?????(individualized treatment)

21
????(general treatment)
???--??????

• ????(living habit)
• ????(regular diet)
• ??(appeasement)

22
????(pharmacotherapy)
???--??????

• ?????????
• ??????
• ??????,???
• ????
• ??

23
???????
???--??????

• ????(psychotherapy)
• ????(behavior therapy)
• ????(hypnotherapy)
• ??????(biofeedback therapy)