1991 年 31 巻 3 号 p. 227-232
One handred and thirteen patients who were admitted to our department for organic and functional disorders of digestive system over the past four years were studied. A multidisciplinary approach was applied to them including the evaluation and treatment of the digestive diseases. Each patient was evaluated from the point of view of organic, functional and psychiatric disorders. A psychiatric assessment, related to the onset and clinical course of digestive disease, was established for each patient. The following factors should be taken into account for the treatment of degestive diseases, besed on our study : In many cases of digestive diseases, depression was considered to be strongly related to the onset, as well as, the clinical course of the diseases. Complaint of abdominal pain should be recognized and accepted. When diagnosis and treatment are difficult and confused, the possibility of a factitious disorder should be considered.