Dyspepsia
Conditions
Keywords
barrier dysfunction, functional dyspepsia, Confocal Laser Endomicroscopic, therapeutic response
Brief summary
Functional dyspepsia might have impaired gastric mucosal dysfunction and Puyuanhewei may be helpful to improve the symptoms of FD.
Detailed description
This study aimed to investigate the gastric mucosal dysfunction in functional dyspepsia (FD) and verify the efficacy of Puyuanhewei for treating FD and assess the relationship between gastric microalterations and therapeutic response by endomicroscopy.
Interventions
All FD patients received pCLE examination.
FD patients willing to receive Puyuanhewei were given 4 pills three times a day regardless of PDS or EPS for 4 weeks after pCLE examination.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Consecutive outpatients aged 18 to 75 years old. 2. FD patients defined by the Rome III classification. 3. Willing to choose pCLE and no organic diseases.
Exclusion criteria
1. Severe liver, heart, or kidney diseases. 2. Current or past evidence of uncontrolled diabetes mellitus, psychosomatic disorders, such as depressive and anxiety disorders, and drug or alcohol abuse. 3. Pregnant or breastfeeding women. 4. Inability to give informed consent. 5. Use of nonsteroidal anti-inflammatory drugs, proton pump inhibitors, H2-receptor antagonists, antacids, prokinetics, or other injurious drugs (antibiotics, and steroids) in the prior two weeks.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pCLE score | within 1 hour after pCLE examination | Used to assess the gastric barrier dysfunction of FD patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Leeds dyspepsia questionaire | baseline and 4th week | Used to describe the change of severity of FD from baseline to the 4th week during the treatment |
| Main dyspepsia symptom score | baseline and 4th weeks | Used to describe the change of severity and frequency of despepsia symptoms from baseline to the 4th week during the treatment |
Countries
China