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ABS TRACT Objective: Be ca u se the eti o logy and pat hoph ysi o logy of the func ti o nal dyspep si a re ma ins unc le ar, the op ti mal ma na ge ment is still con tro ver si al. This study was ai med to de ter mi ne the ac tu al gas tric wall thick nes ses in the sub gro ups of func ti o nal dyspep si a pa ti ents, and to in ves ti ga te whether the re was any cor re la ti on with the symptoms. Material and Met hods: Func ti o nal dyspepsi a pa ti ents (n= 136) we re di vi ded in to six gro ups in re gard to the pre do mi nant symptom; as gro up 2: epi gas tric dis com fort; gro up 3: epi gas tric pa in; gro up 4: na u se a; gro up 5: vo mi ting; gro up 6: blo a ting and gro up 7: early sa ti ety. Con trol gro up was se lec ted from the pa ti ents who un der went ul traso nog rap hic exa mi na ti on for gyne co lo gic or uri nary re a sons and had no gas tro in tes ti nal symptoms (gro up 1). The pa ti ents we re in ves ti ga ted by hydrogastric sonography fol lo wing con ven ti o nal tran sab do mi nal so nog raphy. Sa me in de pen dent ra di o lo gist blind to the symptoms, me a su red the thicknes ses of an te ri or and pos te ri or gas tric walls in fun dus, cor pus and an trum. Re sults: An te ri or and pos te ri or fun dus walls we re de tec ted as sig ni fi cantly thic ke ned in gro ups 2 and 7 (p< 0.05). Both the an te ri or and the pos te ri or walls of the cor pus and an trum we re fo und sig ni fi cantly thic ker than the ot her gro ups in the gro up 3 (p< 0.05). Conc lu si on: This study do cu men ted sig ni fi cant gas tric wall thick ness dif fe ren ces bet we en the sub gro ups of the func ti o nal dyspep si a pa ti ents.

Comparison of Gastric Wall Thicknesses with Hydrogastric Sonography in Functional Dyspepsia Patients