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Canadian Journal of Gastroenterology
Volume 14, Suppl D, Pages 141D-144D

Epigastric Fullness

Georg Stacher

Psychophysiology Unit at the Department of Surgery, University of Vienna, Vienna, Austria

Received 14 April 1999; Accepted 3 May 1999

Copyright © 2000 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Epigastric fullness may be caused by a disordered gastric motor function, resulting in delayed gastric emptying, but may also be caused by rapid emptying, leading to a distention of the proximal small intestine. A rational diagnostic approach to a patient complaining of epigastric fullness is needed to reveal the underlying disorder or disease and to enable an adequate, targeted therapy. The clinical impression based on symptoms is unreliable and cannot distinguish function disorders and benign disease from severe conditions.