New approaches to the diagnosis of functional upper gut disease

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Abstract Functional upper gut symptoms, such as nausea, vomiting and abdominal pain, are a continuing challenge in gastroenterological practice. This article considers the approaches applied in recent years to evaluate motor function in the upper gut including manometry and radio‐nuclide transit studies, and symptom‐provocation tests such as balloon distension and pharmacologic stimulation. An approach is proposed that is based on positive symptomatic diagnosis of the disturbed pathophysiologic state, followed by treatment of this disturbance of function after a minimum of confirmatory investigations.

Original languageEnglish (US)
Pages (from-to)273-279
Number of pages7
JournalJournal of Gastroenterology and Hepatology
Issue number4
StatePublished - Aug 1986


  • functional upper abdominal pain
  • non‐ulcer dyspepsia

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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