Proposed Algorithm for the Diagnosis and Management of Functional Dyspepsia in India

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dc.contributor.authorZargar, SAen_US
dc.contributor.authorMohan, VGen_US
dc.contributor.authorShankar, RBen_US
dc.contributor.authorPratap, Nen_US
dc.contributor.authorRai, RRen_US
dc.contributor.authorGoyal, O.en_US
dc.date.accessioned2025-05-12T09:38:10Z
dc.date.available2025-05-12T09:38:10Z
dc.date.issued2024-12
dc.description.abstractDisorders of gut–brain interaction (DGBI), formerly known as functional bowel disorders, encompass a diverse array of conditions and symptoms that may manifest in different parts of the gastrointestinal tract. Some of the most prevalent DGBIs include functional dyspepsia, irritable bowel syndrome, functional constipation, functional diarrhea, and functional bloating and distension. Around 80% of patients with dyspepsia have no identifiable organic cause and are labeled as functional dyspepsia. Globally, functional dyspepsia prevalence ranges from 11 to 30%. In India, physicians encounter 20–40% of patients with functional dyspepsia, with variations attributed to diagnostic criteria and regions. However, Indian clinical guidelines for functional dyspepsia are currently lacking. Fifty gastroenterologists participated in focus group discussions to create an India-specific algorithm for the diagnosis and management of functional dyspepsia. After several national and regional discussions among groups of gastroenterologists across India, an algorithm was finalized for careful and thorough clinical evaluation of patients presenting with chronic dyspeptic symptoms. This guidance document highlights the role of endoscopic evaluation and Helicobacter pylori infection in the diagnosis of functional dyspepsia, along with the role of proton pump inhibitors (PPIs) and prokinetics in its treatment. The experts also reviewed the use of several prokinetics and provided their views on the choice of drugs for varied clinical presentations of functional dyspepsia. Among prokinetics, the experts believed that itopride was the preferred and relatively safer option for the treatment of functional dyspepsia.en_US
dc.identifier.affiliationsDepartment of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmiren_US
dc.identifier.affiliationsVGM Hospital, Coimbatore, Tamil Naduen_US
dc.identifier.affiliationsYashoda Hospitals, Secunderabad, Telanganaen_US
dc.identifier.affiliationsKIMS Hospital, Secunderabad, Telanganaen_US
dc.identifier.affiliationsRai Specialty Center, Jaipur, Rajasthanen_US
dc.identifier.affiliationsDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, Punjab, Indiaen_US
dc.identifier.citationZargar SA, Mohan VG, Shankar RB, Pratap N, Rai RR, Goyal O.. Proposed Algorithm for the Diagnosis and Management of Functional Dyspepsia in India. Journal of the Association of Physicians of India. 2024 Dec; 72(12): 34-39en_US
dc.identifier.issn0004-5772
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247352
dc.languageenen_US
dc.publisherJournal of Indian Medical Associationen_US
dc.relation.issuenumber12en_US
dc.relation.volume72en_US
dc.source.urihttps://doi.org/10.59556/japi.72.0771en_US
dc.titleProposed Algorithm for the Diagnosis and Management of Functional Dyspepsia in Indiaen_US
dc.typeJournal Articleen_US
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