Medical Hypotheses
Volume 61, Issue 5 , Pages 513-516, November 2003

Gastric mucosal fibrosis: a novel explanation for dyspepsia

  • V Khurana

      Affiliations

    • Corresponding Author InformationCorrespondence to: Vikas Khurana MD, Assistant Professor of Medicine, Louisiana State University, Overton Brooks Veterans Affairs Medical Center, 510 East Stoner Avenue (111G), Shreveport, Louisiana 71101-4295, USA. Phone: +1-318-429-5771; Fax: +1-318-424-6179
  • ,
  • T Singh

      Affiliations

    • Phone: +1-318-429-5771; fax: +1-318-424-6179.

Overton Brooks VA Medical Center, Louisiana, USA

Received 2 December 2002; accepted 15 April 2003.

Abstract 

The etiology of functional dyspepsia has not been discerned yet which has led to inadequate treatment of this disease. It remains a common disorder with expensive and yet often ineffective therapy. We propose that the pathogenesis of this disease lies in the histological and ultrastructural changes inflicted on the gastric mucosa in chronic gastritis and fibrosis. This hypothesis, if substantiated will provide for therapy which will be based on the pathogenesis of the disease and which will be cheaper and easily available to most. It will also add impetus to the early eradication of Helicobacter pylori, which would prevent chronic gastritis and hence gastric fibrosis.

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PII: S0306-9877(03)00203-2

doi:10.1016/S0306-9877(03)00203-2

Medical Hypotheses
Volume 61, Issue 5 , Pages 513-516, November 2003