Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia

被引:3
作者
Aono, Sota [1 ]
Tomita, Toshihiko [1 ]
Tozawa, Katsuyuki [2 ]
Morishita, Daisuke [1 ]
Nakai, Keisuke [1 ]
Okugawa, Takuya [1 ]
Fukushima, Masashi [1 ]
Oshima, Tadayuki [1 ]
Fukui, Hirokazu [1 ]
Miwa, Hiroto [1 ]
机构
[1] Hyogo Coll Med, Dept Internal Med, Div Gastroenterol & Hepatol, Nishinomiya, Hyogo 6638501, Japan
[2] Amagasaki Chuo Hosp, Dept Gastroenterol & Hepatol, Amagasaki, Hyogo 6610976, Japan
关键词
functional dyspepsia; Rome criteria; epigastric symptoms; GASTROINTESTINAL DISORDERS; SYMPTOMS; PREVALENCE; REFLUX;
D O I
10.3390/jcm11092342
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The subtypes of functional dyspepsia (FD) differ depending on whether the Rome III criteria or the Rome IV criteria are used. We investigated the ability to diagnose FD patients using the Rome III and IV criteria. The subtypes of FD were evaluated using the Rome questionnaire. The Gastrointestinal Symptom Rating Score, health-related quality of life (HR-QOL; SF-8), and psychological scores (HADS, STAI) were evaluated. The questionnaire was collected from a total of 205 patients, and 54.1% were FD patients. The ratio of FD patients under the Rome III criteria was 19% for epigastric pain syndrome (EPS), 38% for postprandial distress syndrome (PDS), and 43% for an overlap of EPS and PDS, but under the Rome IV criteria overlap decreased to 17% and PDS increased to 64%. Patients whose subtype changed from overlap under the Rome III criteria to PDS under the Rome IV criteria were compared with PDS patients whose subtype did not change between the Rome III and IV criteria. The comparison showed that the former had significantly lower early satiation rates and significantly higher acid reflux and abdominal pain scores, demonstrating that EPS symptoms due to acid reflux after meals were clearly present. As a result of changing from the Rome III criteria to the Rome IV criteria, the number of overlap patients decreased, and the number of PDS patients increased.
引用
收藏
页数:10
相关论文
共 30 条
  • [1] Analysis of Postprandial Symptom Patterns in Subgroups of Patients With Rome III or Rome IV Functional Dyspepsia
    Carbone, F.
    Vanuytsel, T.
    Tack, J.
    [J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2020, 18 (04) : 838 - +
  • [2] Rome III functional dyspepsia subdivision in PDS and EPS: recognizing postprandial symptoms reduces overlap
    Carbone, F.
    Holvoet, L.
    Tack, J.
    [J]. NEUROGASTROENTEROLOGY AND MOTILITY, 2015, 27 (08) : 1069 - 1074
  • [3] Gastroesophageal reflux disease, functional dyspepsia and irritable bowel syndrome: common overlapping gastrointestinal disorders
    de Bortoli, Nicola
    Tolone, Salvatore
    Frazzoni, Marzio
    Martinucci, Irene
    Sgherri, Giulia
    Albano, Eleonora
    Ceccarelli, Linda
    Stasi, Cristina
    Bellini, Massimo
    Savarino, Vincenzo
    Savarino, Edoardo V.
    Marchi, Santino
    [J]. ANNALS OF GASTROENTEROLOGY, 2018, 31 (06): : 639 - 648
  • [4] Drossman DA, 1999, GUT, V45, P1
  • [5] Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features, and Rome IV
    Drossman, Douglas A.
    [J]. GASTROENTEROLOGY, 2016, 150 (06) : 1262 - +
  • [6] Proton pump inhibitor versus prokinetic therapy in patients with functional dyspepsia: is therapeutic response predicted by Rome III subgroups?
    Hsu, Yao-Chun
    Liou, Jyh-Ming
    Yang, Tzeng-Huey
    Hsu, Wei-Lun
    Lin, Hwai-Jeng
    Wu, Huei-Tang
    Lin, Jaw-Town
    Wang, Hsiu-Po
    Wu, Ming-Shiang
    [J]. JOURNAL OF GASTROENTEROLOGY, 2011, 46 (02) : 183 - 190
  • [7] Prevalence of overlaps between GERD, FD and IBS and impact on health-related quality of life
    Kaji, Makiko
    Fujiwara, Yasuhiro
    Shiba, Masatsugu
    Kohata, Yukie
    Yamagami, Hirokazu
    Tanigawa, Tetsuya
    Watanabe, Kenji
    Watanabe, Toshio
    Tominaga, Kazunari
    Arakawa, Tetsuo
    [J]. JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2010, 25 (06) : 1151 - 1156
  • [8] Clinical characteristics of Japanese dyspeptic patients: is the Rome III classification applicable?
    Manabe, Noriaki
    Haruma, Ken
    Hata, Jiro
    Imamura, Hiroshi
    Kamada, Tomoari
    Kusunoki, Hiroaki
    Sanuki, Eiko
    Tsumaru, Shuzo
    Futagami, Yasuhiro
    Sadamoto, Yoshimi
    Tokutomi, Tadashi
    Kurose, Hiromichi
    [J]. SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2010, 45 (05) : 567 - 572
  • [9] A placebo-controlled trial of acotiamide for meal-related symptoms of functional dyspepsia
    Matsueda, Kei
    Hongo, Michio
    Tack, Jan
    Saito, Youichi
    Kato, Hiroki
    [J]. GUT, 2012, 61 (06) : 821 - 828
  • [10] Prevalence of Uninvestigated Dyspepsia and Gastroesophageal Reflux Disease in Korea: A Population-Based Study Using the Rome III Criteria
    Min, Byung-Hoon
    Huh, Kyu Chan
    Jung, Hye-Kyung
    Yoon, Young Hoon
    Choi, Kee Don
    Song, Kyung Ho
    Keum, Bora
    Kim, Jung Won
    [J]. DIGESTIVE DISEASES AND SCIENCES, 2014, 59 (11) : 2721 - 2729