Functional Gastrointestinal Disorders, Overlap Syndromes
Conditions
Keywords
functional gastrointestinal disorder, overlap syndromes, functional dyspepsia, irritable bowel syndrome, non-erosive reflux disease, reflux hypersensitivity
Brief summary
1. To analyze the prevalence of overlap syndromes among NERD or RH, FD, and IBS patients, and to identify and to compare the differences in their characteristics and symptoms, and to determine their risk factors. 2. To identify the differences in clinical features according to sex and gender. 3. To analyze the effect of genetic polymorphisms on overlap FGIDs over long-term follow-up period.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
FGID group * No organic diseases in routine laboratory tests, abdominal imaging, esophagogastroscopy, and colonoscopy * NERD or reflux hypersensitivity (RH): typical heartburn occurring at least once a week without visible esophageal mucosal break detected by endoscopy * FD or IBS: based on the Rome III criteria Control group \- Subjects who underwent GI evaluations as part of health check-up or for other problems, such as mild abdominal discomfort or pain for a relatively short period of time, but had no organic problems during GI endoscopy
Exclusion criteria
* history of GI surgery except appendectomy * inflammatory bowel disease * any malignancy, or systemic diseases requiring chronic medication except for hypertension and diabetes mellitus * pregnant or lactating women * hepatic, biliary, or psychiatric disorders requiring medication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Symptom severity score (5 Likert scale, from 0 to 4) | per 16 years | FGID symptom severity score score by K-BDQ |
| Hospital anxiety and depression scale (HADS) | per 16 years | by HADS questionnaire |
| Genetic polymorphisms of SLC6A4 5-HTTLPR, GNB3, ADRA2, TNFA, IL10 gene | per 16 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Prevalence of overlap syndromes among FGIDs(NERD or RH, FD, and IBS) patients | per 16 years |