The clinical overlap between functional dyspepsia and irritable bowel syndrome based on Rome III criteria
2008

Overlap Between Functional Dyspepsia and Irritable Bowel Syndrome

Sample size: 3014 publication 10 minutes Evidence: moderate

Author Information

Author(s): WANG AnJiang, LIAO XianHua, XIONG LiShou, PENG Sui, XIAO YingLian, LIU SiChun, HU PinJin, CHEN MinHu

Primary Institution: Department of Gastroenterology, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, PR China

Hypothesis

What is the prevalence and risk factors for the overlap of functional dyspepsia and irritable bowel syndrome based on Rome III criteria?

Conclusion

Clinical overlap of functional dyspepsia and irritable bowel syndrome is very common, with the presence of postprandial fullness being a significant risk factor.

Supporting Evidence

  • 5.0% of patients had FD-IBS overlap.
  • 15.2% were classified as FD alone.
  • 10.9% were classified as IBS alone.
  • The odds ratio of having FD among IBS patients was 2.09.
  • Patients with FD-IBS overlap had higher severity scores for postprandial fullness.
  • Postprandial fullness was the only independent risk factor for FD-IBS overlap.

Takeaway

This study found that many people have both functional dyspepsia and irritable bowel syndrome, and feeling full after eating is a sign that might mean you have both.

Methodology

Patients completed a self-report questionnaire to determine the presence of functional dyspepsia and irritable bowel syndrome based on Rome III criteria.

Potential Biases

Potential bias due to self-reporting and the exclusion of patients with certain conditions.

Limitations

The study was conducted at a single hospital, and diagnoses were not confirmed by objective examinations.

Participant Demographics

The mean age of participants was 43.2 years, with 52.8% being female.

Statistical Information

P-Value

P < 0.001

Confidence Interval

95% CI: 1.68–2.59

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-230X-8-43

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