Prevalence of dyspeptic symptoms and heartburn of adults in Belo Horizonte, Brazil

Almeida, Alessandra Maciel; Martins, Luísa Alvarenga Guerra; Cunha, Patrícia Liz Terenzi; Brasil, Viviane Willig; Félix, Lucas Galuppo Fernandes; Passos, Maria do Carmo Friche

doi:10.1590/s0004-2803.2017v54n1-09

Cited by 14 publications

(14 citation statements)

References 48 publications

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“…Also, it was found that alcohol intake is related to dyspepsia, which is consistent with the findings in the article made by Almeida et al (1) . We consider that it is necessary to describe other risk factors for the development of dyspepsia, such as: NSAIDs consumption and Helicobacter pylori infection; since both are also important for the development of this pathology (3) , so we believe that it would be necessary to perform a Latin American study in collaboration with all the countries of the region to obtain accurate data of this important and prevalent pathology.…”

supporting

confidence: 91%

“…

The systematic review on global prevalence of dyspepsia by Ford et al 2014, shows a prevalence of 15%-19.9% for Brazil, which is not consistent with the results of Almeida et al This study also shows a 35% higher prevalence in Perú, and 37.7% for South America.

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confidence: 99%

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Comment on “Prevalence of Dyspeptic Symptoms and Heartburn of Adults in Belo Horizonte, Brazil”

Usnayo

Palacios

Piscoya

2017

Arq. Gastroenterol.

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We have read with interest the article entitled: "Prevalence of dyspeptic symptoms and heartburn of adults in Belo Horizonte, Brazil" (1) . We would like to emphasize the importance of this article due to the little number of articles written in Latin America compared to those existing in other parts of the world.The systematic review on global prevalence of dyspepsia by Ford et al. 2014, shows a prevalence of 15%-19.9% for Brazil, which is not consistent with the results of Almeida et al. This study also shows a 35% higher prevalence in Perú, and 37.7% for South America. Both are very high numbers and are maybe because the population of the studies considered are quite specific and not represent the general population (2) . Usnayo KM, Palacios P, Piscoya A. Comentário sobre "Prevalência de sintomas dispépticos e de pirose em uma população de adultos em Belo Horizonte, Brasil". Arq Gastroenterol. 2017;54(3):267. DESCRITORES -Dispepsia, diagnóstico. Azia. Consensus.On the other hand, in a Peruvian research conducted in medical students in 2015, the prevalence of dyspepsia was 16.3%, which results are much closer to the 10.6% found in the study made in Brazil (4) . Also, it was found that alcohol intake is related to dyspepsia, which is consistent with the findings in the article made by Almeida et al. (1) . We consider that it is necessary to describe other risk factors for the development of dyspepsia, such as: NSAIDs consumption and Helicobacter pylori infection; since both are also important for the development of this pathology (3) , so we believe that it would be necessary to perform a Latin American study in collaboration with all the countries of the region to obtain accurate data of this important and prevalent pathology.

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confidence: 91%

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confidence: 99%

Comment on “Prevalence of Dyspeptic Symptoms and Heartburn of Adults in Belo Horizonte, Brazil”

Usnayo

Palacios

Piscoya

2017

Arq. Gastroenterol.

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“…A study conducted in the southeast region of Brazil on patients with dyspepsia showed that epigastric pain was reported in 10%, post-prandial plenitude in 6.7%, and heartburn in 52.8% of patients. 18 In the United States, research involving patients with dyspepsia showed a prevalence of 51% for epigastric pain and 47% for post-prandial discomfort. The prevalence of heartburn was approximately 35.3% among the patients who had this symptom at least once a month, 19 which agrees with our study's data.…”

Section: Discussionmentioning

confidence: 99%

“…The higher frequency of digestive symptoms in women was also observed in other studies. 18 , 22 , 23 …”

Section: Discussionmentioning

confidence: 99%

Correlation between the symptoms of upper gastrointestinal disease and endoscopy findings: Implications for clinical practice

Serra

Medeiros

Torres

et al. 2021

Journal of Taibah University Medical Sciences

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Objective Digestive symptoms are the most common complaints among patients who seek primary healthcare services. This study aims to identify digestive symptoms and determine their association with upper gastrointestinal endoscopy findings in patients treated at a public endoscopy centre in Northeast Brazil. Methods We conducted a cross-sectional study using data from 751 patients with digestive symptoms who had an indication for upper gastrointestinal endoscopy. We identified the association between these variables through Fisher's exact test or Chi-square test and calculated the odds ratio. Results Epigastric pain occurred in 83%, post-prandial plenitude in 72.6%, and heartburn in 72.3% of the patients. Women were more likely to present with epigastric pain ( p = 0.001; odds ratio [OR] = 1.25; confidence interval [CI] = 1.07–1.47), post-prandial plenitude ( p = 0.001; OR = 1.21; CI = 1.06–1.37), retrosternal pain or burning ( p = 0.03; OR = 1.11; CI = 1.004–1.24), heartburn ( p = 0.04; OR = 1.10; CI = 0.98–1.24), unintentional weight loss ( p = 0.01; OR = 1.12; CI = 1.02–1.24), and dysphagia ( p = 0.01; OR = 1.14; CI = 1.03–1.25). There was no statistically significant association between digestive symptoms and endoscopic findings of the upper gastrointestinal tract. Additionally, there was no significant association between digestive symptoms and abnormalities detected by endoscopy. Conclusion Dyspeptic symptoms of epigastric pain, post-prandial fullness, and heartburn were the most common symptoms in patients referred for endoscopy. Dyspepsia, heartburn, and dysphagia were more common in women than in men. Digestive symptoms were not associated with positive endoscopy findings or abnormalities detected by endoscopy.

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“…21,23 In Brazil it may vary from 44% to 68,6%. 24 When addressed endoscopy? According to the American College of Gastroenterology guidelines, dyspeptic patients over 55 or with alarm factors: bleeding, anemia, unexplained weight loss (more than 10% of body mass), progressive dysphagia, odynophagia, persistent vomiting, family history gastrointestinal cancer, previous history of esophageal malignancy, peptic ulcer, lymphadenopathy or abdominal mass, should be promptly referred for upper gastrointestinal endoscopy to rule out the possibility of peptic ulcer disease, neoplasms and other rare gastrointestinal diseases.…”

Section: Introductionmentioning

confidence: 99%

Dyspepsia: when to endoscope?

Marin¹,

Micheletto²,

Massabk³

et al. 2020

GHOA

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Introduction: Dyspepsia refers to a set of gastro duodenal symptoms, four of which are major: postprandial fullness, early satiety, epigastric pain and burning. There are disadvantages in the requests for immediate endoscopies for all patients with dyspeptic symptoms. The high prevalence of dyspepsia in the population means that the request for endoscopy for all would reflect a high cost and would burden the services. The indiscriminate application of endoscopies does not promote benefit.Objective: To know if the endoscopy was well addressed in our Endoscopy Center _Santo André knowing the correlation between dyspeptic syndrome and endoscopic findings.Methods: Cross-sectional study was conducted at the Digestive Endoscopy Service of the ABC Medical School. In the waiting room of endoscopy service 102 patients already addressed to endoscopy exam, agreed to fulfill a questionnaire in which demographic data and symptoms with their main characteristics were collected. The researchers did not indicate the exam requests. Consecutive, selected participants aged 15 to 60 years who are diagnosed with dyspepsia and were indicated to perform upper digestive endoscopy were included and the endoscopy findings were computed. Results:The main complaint was heartburn (31.3%), related to food (56%). Among the alarm signals, the most observed was weight loss (35%), duration of symptoms greater than 6months (72.5%), high frequency during the week (38%). 59% of patients were taking proton pump inhibitor -Omeprazole and we verified that 60% of patients had no need for endoscopy and 84.8% had functional dyspepsia. Among the patients who tested for Helicobacter pylori, 38.15% had a positive result.Discussion: Most of the indications were not judicious, which implies considerable damage to the public coffers, especially in a country with scarce resources like Brazil. Conclusion:In our region, there are indiscriminate indications of endoscopies, which cause unnecessary expenses, requiring the approval of a new guideline for developing countries, in order to optimize spending and waiting line.

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Prevalence of dyspeptic symptoms and heartburn of adults in Belo Horizonte, Brazil

Cited by 14 publications

References 48 publications

Comment on “Prevalence of Dyspeptic Symptoms and Heartburn of Adults in Belo Horizonte, Brazil”

Comment on “Prevalence of Dyspeptic Symptoms and Heartburn of Adults in Belo Horizonte, Brazil”

Correlation between the symptoms of upper gastrointestinal disease and endoscopy findings: Implications for clinical practice

Dyspepsia: when to endoscope?

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