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Symptom patterns in functional dyspepsia and irritable bowel syndrome: relationship to disturbances in gastric emptying and response to a nutrient challenge in consulters and non-consulters.
Gut. 2004 Oct; 53(10):1445-51.Gut

Abstract

BACKGROUND

Our aim was to assess the relationship between gastric motor and sensory function and symptom patterns in community subjects and patients with functional dyspepsia (FD) or irritable bowel syndrome (IBS).

METHODS

We recruited 291 asymptomatic blood donors, 151 symptomatic blood donors (recurrent abdominal pain or discomfort), and 40 patients with FD or IBS. Abdominal symptoms were assessed using the bowel disease questionnaire (BDQ) and, in addition, the most bothersome symptom complex identified (dysmotility-type, ulcer-type dyspepsia, or IBS). Gastric emptying time (GET (t(1/2), min)) was measured by (13)C-octanoic breath test and a nutrient challenge performed. Twenty randomly selected asymptomatic blood donors, 48 symptomatic blood donors (30 FD, 18 IBS), and 40 patients (23 FD, 17 IBS) had additional function testing.

RESULTS

GET (t(1/2)) was significantly (p<0.05) longer in blood donors with FD symptoms (99 (6) min) and FD patients (110 (12) min) compared with asymptomatic controls (76.7 (7) min), but was not significant in IBS blood donors or patients. Overall, 25 of 48 blood donors with symptoms and 18 of 40 patients had slow gastric emptying. GET was most delayed in subjects with predominantly dysmotility-type symptoms (167 (36) min v controls; p<0.01). Symptom intensities after a nutrient challenge were significantly higher in FD patients and symptomatic blood donors compared with asymptomatic controls; 14 of 48 blood donors with symptoms and 16 of 40 patients had a symptom response to the nutrient challenge exceeding the response (mean (2SD)) of healthy asymptomatic controls.

CONCLUSION

Gastric emptying and the global symptom response to a standardised nutrient challenge are abnormal in population based (non-health care seeking) subjects with dyspepsia.

Links

PMC Free PDF

Authors+Show Affiliations

Haag S
Department of Gastroenterology, Hepatology, and General Internal Medicine, Royal Adelaide Hospital, University of Adelaide, North Terrace, Adelaide, South Australia 5000, Australia.
Talley NJ
No affiliation info available
Holtmann G
No affiliation info available

MeSH

AdolescentAdultAge DistributionAgedBreath TestsDrinkingDyspepsiaFemaleGastric EmptyingHelicobacter InfectionsHelicobacter pyloriHumansIrritable Bowel SyndromeMaleMiddle AgedSatiationSex Distribution

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15361493

Citation

Haag, S, et al. "Symptom Patterns in Functional Dyspepsia and Irritable Bowel Syndrome: Relationship to Disturbances in Gastric Emptying and Response to a Nutrient Challenge in Consulters and Non-consulters." Gut, vol. 53, no. 10, 2004, pp. 1445-51.
Haag S, Talley NJ, Holtmann G. Symptom patterns in functional dyspepsia and irritable bowel syndrome: relationship to disturbances in gastric emptying and response to a nutrient challenge in consulters and non-consulters. Gut. 2004;53(10):1445-51.
Haag, S., Talley, N. J., & Holtmann, G. (2004). Symptom patterns in functional dyspepsia and irritable bowel syndrome: relationship to disturbances in gastric emptying and response to a nutrient challenge in consulters and non-consulters. Gut, 53(10), 1445-51.
Haag S, Talley NJ, Holtmann G. Symptom Patterns in Functional Dyspepsia and Irritable Bowel Syndrome: Relationship to Disturbances in Gastric Emptying and Response to a Nutrient Challenge in Consulters and Non-consulters. Gut. 2004;53(10):1445-51. PubMed PMID: 15361493.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symptom patterns in functional dyspepsia and irritable bowel syndrome: relationship to disturbances in gastric emptying and response to a nutrient challenge in consulters and non-consulters. AU - Haag,S, AU - Talley,N J, AU - Holtmann,G, PY - 2004/9/14/pubmed PY - 2004/12/16/medline PY - 2004/9/14/entrez SP - 1445 EP - 51 JF - Gut JO - Gut VL - 53 IS - 10 N2 - BACKGROUND: Our aim was to assess the relationship between gastric motor and sensory function and symptom patterns in community subjects and patients with functional dyspepsia (FD) or irritable bowel syndrome (IBS). METHODS: We recruited 291 asymptomatic blood donors, 151 symptomatic blood donors (recurrent abdominal pain or discomfort), and 40 patients with FD or IBS. Abdominal symptoms were assessed using the bowel disease questionnaire (BDQ) and, in addition, the most bothersome symptom complex identified (dysmotility-type, ulcer-type dyspepsia, or IBS). Gastric emptying time (GET (t(1/2), min)) was measured by (13)C-octanoic breath test and a nutrient challenge performed. Twenty randomly selected asymptomatic blood donors, 48 symptomatic blood donors (30 FD, 18 IBS), and 40 patients (23 FD, 17 IBS) had additional function testing. RESULTS: GET (t(1/2)) was significantly (p<0.05) longer in blood donors with FD symptoms (99 (6) min) and FD patients (110 (12) min) compared with asymptomatic controls (76.7 (7) min), but was not significant in IBS blood donors or patients. Overall, 25 of 48 blood donors with symptoms and 18 of 40 patients had slow gastric emptying. GET was most delayed in subjects with predominantly dysmotility-type symptoms (167 (36) min v controls; p<0.01). Symptom intensities after a nutrient challenge were significantly higher in FD patients and symptomatic blood donors compared with asymptomatic controls; 14 of 48 blood donors with symptoms and 16 of 40 patients had a symptom response to the nutrient challenge exceeding the response (mean (2SD)) of healthy asymptomatic controls. CONCLUSION: Gastric emptying and the global symptom response to a standardised nutrient challenge are abnormal in population based (non-health care seeking) subjects with dyspepsia. SN - 0017-5749 UR - https://www.unboundmedicine.com/medline/citation/15361493/Symptom_patterns_in_functional_dyspepsia_and_irritable_bowel_syndrome:_relationship_to_disturbances_in_gastric_emptying_and_response_to_a_nutrient_challenge_in_consulters_and_non_consulters_ DB - PRIME DP - Unbound Medicine ER -