Overlap of Erosive and Non-erosive Reflux Diseases With Functional Gastrointestinal Disorders According to Rome III Criteria.
- Author:
Young Wook NOH
1
;
Hye Kyung JUNG
;
Seong Eun KIM
;
Sung Ae JUNG
Author Information
1. Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea. junghk@ewha.ac.kr
- Publication Type:Original Article
- Keywords:
Gastroesophageal reflux;
Functional gastrointestinal disorders;
Dyspepsia;
Irritable bowel syndromes
- MeSH:
Asian Continental Ancestry Group;
Dyspepsia;
Endoscopy;
Esophagitis, Peptic;
Gastroesophageal Reflux;
Gastrointestinal Diseases;
Humans;
Irritable Bowel Syndrome;
Male;
Mass Screening;
Prevalence;
Prospective Studies;
Surveys and Questionnaires;
Risk Factors;
Rome
- From:Journal of Neurogastroenterology and Motility
2010;16(2):148-156
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: Gastroesophageal reflux disease (GERD) is increasing in Asian countries. Functional dyspepsia (FD) or irritable bowel syndrome (IBS) are also prevalent and commonly overlapped with GERD. This study was conducted to compare the proportion and risk factors for overlapping reflux esophagitis (RE) and non-erosive reflux disease (NERD) with functional gastrointestinal disorders (FGIDs). METHODS: A total of 2,388 [male, 55.9%; mean age (+/- SD), 43.2 years (+/- 8.4)] Korean subjects who underwent the upper endoscopy for health screening were prospectively included. The subjects were asked about demographic, medical and social history by using a structured questionnaire, and FD and IBS were assessed according to the Rome III criteria. RESULTS: The subjects with RE were 286 (12.0%, male 88.5%, 42.8 years) and 74 subjects had NERD (3.1%) while the prevalence of FD and IBS were 8.1% and 10.1%, respectively. The proportion of FD and IBS in NERD was higher than that of RE (74.3% vs. 10.5%, p = 0.000; 41.9% vs. 11.2%, p = 0.000, respectively). The epigastric pain syndrome (EPS) was more prevalent than postprandial distress syndrome in NERD. According to multiple regression analysis, high somatization score and the presence of FD increased the odd ratio for NERD. However, male gender and current smoker were significant risk factors for RE. CONCLUSIONS: Compared to RE, NERD is more frequently overlapped with FD, especially EPS, and also are associated with significantly increased frequency of IBS. Our data draws attention to the possibility of subgrouping FGIDs and GERD to be important in understanding the pathophysiology of these conditions.
