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Ninety-three consecutive patients referred to a gastroenterology unit with unexplained dyspeptic symptoms were sent a postal questionnaire 6-12 months after endoscopy. It inquired into their current physical symptoms and subjective improvement since investigation, satisfaction with treatment, past history and current psychological well-being. A comparison group of 47 patients with peptic disease were similarly surveyed. Those with unexplained dyspepsia reported more current physical symptoms, more dissatisfaction with their treatment and less subjective improvement than those with peptic disease. The two groups were similar in terms of psychological distress but previous consultation for abdominal and other somatic complaints were more common in those with unexplained dyspepsia. The implications for management of dyspeptic patients are discussed.

Type

Journal article

Journal

J Psychosom Res

Publication Date

12/1992

Volume

36

Pages

751 - 757

Keywords

Adult, Aged, Dyspepsia, Endoscopy, Gastrointestinal, Female, Follow-Up Studies, Gastrointestinal Diseases, Humans, Male, Middle Aged, Personality Inventory, Sick Role, Somatoform Disorders