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Journal of Nippon Medical School

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-Review-

Pathophysiology of Functional Dyspepsia

Seiji Futagami1, Mayumi Shimpuku1, Yan Yin2, Tomotaka Shindo1, Yasuhiro Kodaka1, Hiroyuki Nagoya1, Shoko Nakazawa1, Mayumi Fujimoto1, Nikki Izumi1, Noriko Ohishi1, Tetsuro Kawagoe1, Akane Horie1, Katsuhiko Iwakiri1 and Choitsu Sakamoto1

1Division of Gastroenterology, Department of Internal Medicine, Nippon Medical School
2Division of Gastroenterology, Department of Internal Medicine, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China


Functional dyspepsia is a highly prevalent and heterogeneous disorder. Functional dyspepsia involves many pathogenic factors, such as gastric motility disorders, visceral hypersensitivity, psychological factors, Helicobacter pylori infection, and excessive gastric acid secretion. The present article provides an overview of pathogenetic factors and pathophysiologic mechanisms.

J Nippon Med Sch 2011; 78: 280-285

Keywords
functional dyspepsia, gastric emptying, ghrelin, post-infectious functional dyspepsia

Correspondence to
Seiji Futagami, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
seiji.futagami@gmail.com

Received, July 21, 2011
Accepted, August 25, 2011