" /> Chronic primary epigastric pain syndrome - CISMeF





Preferred Label : Chronic primary epigastric pain syndrome;

ICD-11 definition : Chronic primary epigastric pain syndrome is chronic pain localized in the abdominal region that is associated with significant emotional distress or functional disability. The distinct anatomical location is compatible with typical referral pain patterns from specific internal organs. According to the ROME IV criteria it is a category of functional dyspepsia characterized by epigastric pain or burning that does not occur exclusively after meals, but can occur even during fasting, or be even improved after a meal. It may overlap with Postprandial Distress Syndrome (PDS), which is associated with meal-induced dyspeptic symptoms [1]. The symptoms are not better explained by a diagnosis of chronic secondary abdominal pain. Chronic primary epigastric pain syndrome is multifactorial: biological, psychological and social factors contribute to the pain syndrome. The diagnosis is appropriate independently of identified biological or psychological contributors unless another diagnosis would better account for the presenting symptoms.;

ICD-11 synonym : epigastric pain syndrome; EPS - [epigastric pain syndrome];

ICD-11 acronym : EPS;

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Chronic primary epigastric pain syndrome is chronic pain localized in the abdominal region that is associated with significant emotional distress or functional disability. The distinct anatomical location is compatible with typical referral pain patterns from specific internal organs. According to the ROME IV criteria it is a category of functional dyspepsia characterized by epigastric pain or burning that does not occur exclusively after meals, but can occur even during fasting, or be even improved after a meal. It may overlap with Postprandial Distress Syndrome (PDS), which is associated with meal-induced dyspeptic symptoms [1]. The symptoms are not better explained by a diagnosis of chronic secondary abdominal pain. Chronic primary epigastric pain syndrome is multifactorial: biological, psychological and social factors contribute to the pain syndrome. The diagnosis is appropriate independently of identified biological or psychological contributors unless another diagnosis would better account for the presenting symptoms.

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28/07/2025


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