Revista Colombiana de Gastroenterologia
versão impressa ISSN 0120-9957
RODRIGUEZ MARIA, Roberto; MEDINA P, Juan Fernando e OLIVARES A, Carlos Roberto. Persistent organic dyspepsia of infrequent cause: Case presentation. Rev Col Gastroenterol [online]. 2008, vol.23, n.4, pp. 378-386. ISSN 0120-9957.
For the Rome III consensus criteria, the dyspepsia is defined as any pain or "discomfort" located in the central part of the superior abdomen and that it can be associated to a sensation of fullness, satiety precocious distension, burps, nauseas and vomits that can improve or to worsen with the foods, begun in the last 6 months and with present symptoms once a week in the 3 previous months. The dyspepsia this incorporated one for two big groups: the organic one and the functional one and it can be secondary to local or systemic alterations. Considered that between the 60 and 70% of the dyspeptic they are functional and that a 30 to 40% are of organic origin. The gastritis, ulcerates peptic either gastric or duodenal, the cancer and some medications, they are the frequently implied organic factors. The incidence of the dyspepsia for systemic alterations is not very well-known and its appearance is variable. We present a case that was derived to the gastroenterology service to present a dyspepsia related with Helycobacter pylori that persisted after the eradication of the infection, evidencing after the clinical study and paraclinic a symptomatic hypercalcemia secondary to primary hyperparathyroidism (HPTP) like cause of their gastrointestinal square; and next the revision of the pathology will be made in mention and of its gastrointestinal component.
Palavras-chave : Dyspepsia; HPTP (Primary hyperparathyroidism); Hypercalcemia.