Dispepsia funcional. Utilidad de las drogas procinéticas en su tratamiento en el año 2008

In patients with functional dyspepsia, motor abnormalities can demonstrate in approximately 30 to 45% of cases. Patients with delayed gastric emptying, an abnormal electrogastrography (EGG) (gastric dysrhythmias), impaired fundic accommodation or antral distension can respond better to prokinetic agents than patients with normal emptying. In this paper we evaluated newer agents that target specific pathophysiological abnormalities specially promotility agents. Promotility agents evaluated included: anitdopaminergic D1-D2 agents, agonists 5Ht3, 5HT4 receptors, agonists 5HT1 receptors, motilin agonists and opioid agents.