Analysis of Postprandial Symptom Patterns in Subgroups of Patients With Rome III or Rome IV Functional Dyspepsia.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
F CarboneJan Tack

Abstract

Among patients with functional dyspepsia (FD), there is overlap in symptoms between those in the Rome III subgroups of postprandial distress syndrome (PDS) and those with epigastric pain syndrome (EPS). The Rome IV consensus proposed to incorporate all patients with postprandial symptoms into the PDS group. We aimed to evaluate the assessment of meal-related dyspepsia symptoms in patients with FD according to the Rome III vs Rome IV subdivisions. Consecutive patients with FD referred for a gastric emptying test (n = 96) were asked to fill out the Rome III gastroduodenal questionnaire, with questions on meal-related occurrence. Study participants underwent a gastric emptying breath test, during which the intensity of dyspeptic symptoms (fullness, bloating, belching, nausea, epigastric pain, and burning) was scored before and up to 4 hours after a meal. We analyzed the association between the Rome subdivision and symptom severity and pattern during the breath test. According to Rome III, 10% had EPS alone, 29% PDS alone, and 61% overlapping EPS and PDS. The frequency of the symptoms reported in the Rome questionnaire associated with the intensity of the symptoms during the breath test in the PDS group and in the groups with PDS a...Continue Reading

Citations

Jan 5, 2020·Expert Opinion on Pharmacotherapy·A VandenbergheJ Tack
Aug 28, 2020·Alimentary Pharmacology & Therapeutics·Brigida BarberioAlexander C Ford
Dec 2, 2020·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Kok-Ann GweeXu-Dong Tang
Jul 10, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Karen Van den HouteJan Tack
Mar 23, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Florencia CarboneJan Tack
Aug 12, 2021·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Koldo Garcia-EtxebarriaMauro D'Amato
Sep 30, 2021·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Lucas WautersFrank Zerbib
Oct 14, 2021·Journal of Neurogastroenterology and Motility·Yasuhiro FujiwaraToshio Watanabe

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