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Impact of coexisting irritable bowel syndrome and non-erosive reflux disease on postprandial abdominal fullness and sleep disorders in functional dyspepsia.
J Nippon Med Sch. 2013; 80(5):362-70.JN

Abstract

BACKGROUND/AIMS

The association between clinical symptoms and sleep disorders in functional dyspepsia (FD)-overlap syndrome has not been studied in detail.

METHODS

The subjects were 139 patients with FD, 14 with irritable bowel syndrome (IBS), 12 with nonerosive reflux disease (NERD), and 41 healthy volunteers. Gastric motility was evaluated with the (13)C-acetate breath test. We used Rome III criteria to evaluate upper abdominal symptoms, and Self-Rating Questionnaire for Depression (SRQ-D) scores to determine depression status. Sleep disorders were evaluated with Pittsburgh Sleep Quality Index (PSQI) scores.

RESULTS

There were no significant differences in age, body-mass index, alcohol intake, and smoking rate between patients with FD alone and those with FD-overlap syndrome. The postprandial abdominal fullness score in patients with FD-NERD-IBS was significantly greater than that in patients with FD-NERD overlap syndrome (p<0.001) or FD alone (p<0.001). The score for the feeling of hunger in patients with FD-NERD-IBS was significantly greater than that in patients with FD alone (p=0.0025), FD-NERD overlap syndrome (p=0.0088), or FD-IBS overlap syndrome (p=0.0057). The heartburn score in subjects with FD-NERD-IBS overlap syndrome was significantly greater than that in subjects with FD alone (p=0.0035) or FD-IBS overlap syndrome (p=0.0026). The Tmax in patients with FD-overlap syndrome or FD alone was significantly higher than that in healthy volunteers. The Pittsburgh Sleep Quality Index score in subjects with FD-NERD-IBS overlap syndrome was significantly greater than that in subjects with FD alone.

CONCLUSION

Symptom scores, such as those for postprandial abdominal fullness, heartburn, and the feeling of hunger, in patients with FD-overlap syndromes are significantly greater than those in patients with FD alone. Further studies are necessary to clarify whether various symptoms are related to sleep disorders in patients with FD-NERD-IBS overlap syndrome.

Authors+Show Affiliations

Division of Gastroenterology, Department of Internal Medicine, Nippon Medical School.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24189354

Citation

Futagami, Seiji, et al. "Impact of Coexisting Irritable Bowel Syndrome and Non-erosive Reflux Disease On Postprandial Abdominal Fullness and Sleep Disorders in Functional Dyspepsia." Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi, vol. 80, no. 5, 2013, pp. 362-70.
Futagami S, Yamawaki H, Shimpuku M, et al. Impact of coexisting irritable bowel syndrome and non-erosive reflux disease on postprandial abdominal fullness and sleep disorders in functional dyspepsia. J Nippon Med Sch. 2013;80(5):362-70.
Futagami, S., Yamawaki, H., Shimpuku, M., Izumi, N., Wakabayashi, T., Kodaka, Y., Nagoya, H., Shindo, T., Kawagoe, T., & Sakamoto, C. (2013). Impact of coexisting irritable bowel syndrome and non-erosive reflux disease on postprandial abdominal fullness and sleep disorders in functional dyspepsia. Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi, 80(5), 362-70.
Futagami S, et al. Impact of Coexisting Irritable Bowel Syndrome and Non-erosive Reflux Disease On Postprandial Abdominal Fullness and Sleep Disorders in Functional Dyspepsia. J Nippon Med Sch. 2013;80(5):362-70. PubMed PMID: 24189354.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of coexisting irritable bowel syndrome and non-erosive reflux disease on postprandial abdominal fullness and sleep disorders in functional dyspepsia. AU - Futagami,Seiji, AU - Yamawaki,Hiroshi, AU - Shimpuku,Mayumi, AU - Izumi,Nikki, AU - Wakabayashi,Taiga, AU - Kodaka,Yasuhiro, AU - Nagoya,Hiroyuki, AU - Shindo,Tomotaka, AU - Kawagoe,Tetsuro, AU - Sakamoto,Choitsu, PY - 2013/11/6/entrez PY - 2013/11/6/pubmed PY - 2014/4/5/medline SP - 362 EP - 70 JF - Journal of Nippon Medical School = Nippon Ika Daigaku zasshi JO - J Nippon Med Sch VL - 80 IS - 5 N2 - BACKGROUND/AIMS: The association between clinical symptoms and sleep disorders in functional dyspepsia (FD)-overlap syndrome has not been studied in detail. METHODS: The subjects were 139 patients with FD, 14 with irritable bowel syndrome (IBS), 12 with nonerosive reflux disease (NERD), and 41 healthy volunteers. Gastric motility was evaluated with the (13)C-acetate breath test. We used Rome III criteria to evaluate upper abdominal symptoms, and Self-Rating Questionnaire for Depression (SRQ-D) scores to determine depression status. Sleep disorders were evaluated with Pittsburgh Sleep Quality Index (PSQI) scores. RESULTS: There were no significant differences in age, body-mass index, alcohol intake, and smoking rate between patients with FD alone and those with FD-overlap syndrome. The postprandial abdominal fullness score in patients with FD-NERD-IBS was significantly greater than that in patients with FD-NERD overlap syndrome (p<0.001) or FD alone (p<0.001). The score for the feeling of hunger in patients with FD-NERD-IBS was significantly greater than that in patients with FD alone (p=0.0025), FD-NERD overlap syndrome (p=0.0088), or FD-IBS overlap syndrome (p=0.0057). The heartburn score in subjects with FD-NERD-IBS overlap syndrome was significantly greater than that in subjects with FD alone (p=0.0035) or FD-IBS overlap syndrome (p=0.0026). The Tmax in patients with FD-overlap syndrome or FD alone was significantly higher than that in healthy volunteers. The Pittsburgh Sleep Quality Index score in subjects with FD-NERD-IBS overlap syndrome was significantly greater than that in subjects with FD alone. CONCLUSION: Symptom scores, such as those for postprandial abdominal fullness, heartburn, and the feeling of hunger, in patients with FD-overlap syndromes are significantly greater than those in patients with FD alone. Further studies are necessary to clarify whether various symptoms are related to sleep disorders in patients with FD-NERD-IBS overlap syndrome. SN - 1347-3409 UR - https://www.unboundmedicine.com/medline/citation/24189354/Impact_of_coexisting_irritable_bowel_syndrome_and_non_erosive_reflux_disease_on_postprandial_abdominal_fullness_and_sleep_disorders_in_functional_dyspepsia_ L2 - http://joi.jlc.jst.go.jp/DN/JST.JSTAGE/jnms/80.362?lang=en&amp;from=PubMed DB - PRIME DP - Unbound Medicine ER -