Nationwide Multicenter Study for Overlaps of Common Functional Gastrointestinal Disorders in Korean Patients With Constipation.
- Author:
Kyung Sik PARK
1
;
Sam Ryong JEE
;
Bong Eun LEE
;
Kyoung Sup HONG
;
Jeong Eun SHIN
;
Soo Young NA
;
Joong Goo KWON
;
Suck Chei CHOI
;
Yong Sung KIM
;
Hyun Seok LEE
;
Tae Hee LEE
;
Kyeong Ok KIM
;
Jongkyoung CHOI
;
Hee Seok MOON
;
Yeon Soo KIM
;
Moo In PARK
;
Soo Jung PARK
;
Seon Young PARK
;
Sung Noh HONG
Author Information
- Publication Type:Multicenter Study ; Original Article
- Keywords: Constipation; Dyspepsia; Gastroesophageal reflux; Overlapping
- MeSH: Constipation*; Dyspepsia; Gastroesophageal Reflux; Gastrointestinal Diseases*; Humans; Irritable Bowel Syndrome; Laxatives; Lung Diseases; Prospective Studies; Quality of Life
- From:Journal of Neurogastroenterology and Motility 2017;23(4):569-577
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: In spite of increased concerns about the overlaps among the various functional gastrointestinal disorders (FGIDs), studies for the overlap between constipation and other common FGIDs are rare. Therefore, we investigated the patterns of overlaps between constipation and other common FGIDs. METHODS: This study was designed as a prospective nationwide multi-center questionnaire study using Rome III questionnaires for functional dyspepsia (FD), irritable bowel syndrome (IBS), and functional constipation (FC), as well as various questionnaires about patients’ information, degree of symptoms, and quality of life. For the evaluation of gastroesophageal reflux disease (GERD), GERD-Q was used. RESULTS: From 19 centers, 759 patients with constipation were enrolled. The proportions of FC and IBS subtypes of constipation (IBS-C) were 59.4% and 40.6%, respectively. Among them, 492 (64.8%) showed no overlap. One hundred and thirty-six patients (17.9%) presented overlapping GERD, and 80 patients (10.5%) presented overlapping FD. Fifty one (6.7%) of patients were overlapped by both GERD and FD. Coincidental herniated nucleus pulposus (HNP) (P = 0.026) or pulmonary diseases (P = 0.034), reduced fiber intake (P = 0.013), and laxative use (P < 0.001) independently affected the rate of overlaps. These overlapping conditions negatively affected the constipation-associated quality of life, general quality of life, and degree of constipation. CONCLUSIONS: The overlap of GERD or FD was common in patients with constipation. Coincidental HNP or pulmonary diseases, reduced fiber intake, and laxatives use were found to be independent associated factors for overlapping common FGIDs in Korean patients with constipation.
