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Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia
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 S...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9104296/ https://www.ncbi.nlm.nih.gov/pubmed/35566472 http://dx.doi.org/10.3390/jcm11092342 |
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author | Aono, Sota Tomita, Toshihiko Tozawa, Katsuyuki Morishita, Daisuke Nakai, Keisuke Okugawa, Takuya Fukushima, Masashi Oshima, Tadayuki Fukui, Hirokazu Miwa, Hiroto |
author_facet | Aono, Sota Tomita, Toshihiko Tozawa, Katsuyuki Morishita, Daisuke Nakai, Keisuke Okugawa, Takuya Fukushima, Masashi Oshima, Tadayuki Fukui, Hirokazu Miwa, Hiroto |
author_sort | Aono, Sota |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9104296 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91042962022-05-14 Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia Aono, Sota Tomita, Toshihiko Tozawa, Katsuyuki Morishita, Daisuke Nakai, Keisuke Okugawa, Takuya Fukushima, Masashi Oshima, Tadayuki Fukui, Hirokazu Miwa, Hiroto J Clin Med Article 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. MDPI 2022-04-22 /pmc/articles/PMC9104296/ /pubmed/35566472 http://dx.doi.org/10.3390/jcm11092342 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Aono, Sota Tomita, Toshihiko Tozawa, Katsuyuki Morishita, Daisuke Nakai, Keisuke Okugawa, Takuya Fukushima, Masashi Oshima, Tadayuki Fukui, Hirokazu Miwa, Hiroto Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia |
title | Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia |
title_full | Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia |
title_fullStr | Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia |
title_full_unstemmed | Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia |
title_short | Epidemiology and Clinical Characteristics Based on the Rome III and IV Criteria of Japanese Patients with Functional Dyspepsia |
title_sort | epidemiology and clinical characteristics based on the rome iii and iv criteria of japanese patients with functional dyspepsia |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9104296/ https://www.ncbi.nlm.nih.gov/pubmed/35566472 http://dx.doi.org/10.3390/jcm11092342 |
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