有机胃肠道疾病中与肠脑交互紊乱(DGBI)相适应的症状特征:一项基于全球人口的研究。

IF 5.8 2区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
United European Gastroenterology Journal Pub Date : 2024-09-01 Epub Date: 2024-07-08 DOI:10.1002/ueg2.12617
Tom van Gils, Jóhann P Hreinsson, Hans Törnblom, Jan Tack, Shrikant I Bangdiwala, Olafur S Palsson, Ami D Sperber, Magnus Simrén
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引用次数: 0

摘要

背景:器质性胃肠道疾病(GI)和糖尿病(DM)患者可能同时存在肠脑相互作用(DGBI)紊乱:器质性胃肠道(GI)疾病和糖尿病(DM)患者可能同时伴有肠脑相互作用(DGBI)紊乱:本研究旨在比较患有和未患有自我报告的器质性胃肠道疾病或糖尿病的成年人中与 DGBI 相符的症状特征的全球流行率:在26个国家进行的一项基于人口的互联网调查中收集了数据,即罗马基金会全球流行病学研究(n = 54,127)。调查人员被问及是否曾被医生诊断患有胃食管反流病、消化性溃疡、乳糜泻、炎症性肠病(IBD)、憩室炎、消化道癌症或糖尿病。未报告相关器质性诊断的个体被纳入参照组。与 DGBI 兼容的症状特征以罗马 IV 诊断问题为基础。使用混合逻辑回归模型计算了患病率比(ORs [95%置信区间]):结果:患有所调查的一种消化道器质性疾病与任何 DGBI 相容性症状特征都有关联,从消化道癌症的 OR 1.64 [1.33, 2.02] 到 IBD 的 OR 3.22 [2.80, 3.69]。这些关联比糖尿病的 OR 1.26 [1.18, 1.35]更强。在相应的(如 IBD 和肠道 DGBI)和非相应的(如 IBD 和食道 DGBI)解剖区域,有机消化道疾病与 DGBI 相符的症状特征之间存在密切联系。大便失禁与乳糜泻之间的关联性最强,OR 为 6.94 [4.95, 9.73]。在对混杂因素进行调整后,相关性有所减弱,但仍然存在:结论:与普通人群相比,在自述患有器质性消化道疾病和糖尿病的人群中,DGBI兼容症状更常见。在治疗器质性(消化道)疾病时应考虑这些并发 DGBIs 的存在。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Symptom profiles compatible with disorders of gut-brain interaction (DGBI) in organic gastrointestinal diseases: A global population-based study.

Background: Patients with organic gastrointestinal (GI) diseases and diabetes mellitus (DM) can have concomitant disorders of gut-brain interaction (DGBI).

Objective: This study aimed to compare the global prevalence of DGBI-compatible symptom profiles in adults with and without self-reported organic GI diseases or DM.

Methods: Data were collected in a population-based internet survey in 26 countries, the Rome Foundation Global Epidemiology Study (n = 54,127). Individuals were asked if they had been diagnosed by a doctor with gastroesophageal reflux disease, peptic ulcer, coeliac disease, inflammatory bowel disease (IBD), diverticulitis, GI cancer or DM. Individuals not reporting the organic diagnosis of interest were included in the reference group. DGBI-compatible symptom profiles were based on Rome IV diagnostic questions. Odds ratios (ORs [95% confidence interval]) were calculated using mixed logistic regression models.

Results: Having one of the investigated organic GI diseases was linked to having any DGBI-compatible symptom profile ranging from OR 1.64 [1.33, 2.02] in GI cancer to OR 3.22 [2.80, 3.69] in IBD. Those associations were stronger than for DM, OR 1.26 [1.18, 1.35]. Strong links between organic GI diseases and DGBI-compatible symptom profiles were seen for corresponding (e.g., IBD and bowel DGBI) and non-corresponding (e.g., IBD and esophageal DGBI) anatomical regions. The strongest link was seen between fecal incontinence and coeliac disease, OR 6.94 [4.95, 9.73]. After adjusting for confounding factors, associations diminished, but persisted.

Conclusion: DGBI-compatible symptom profiles are more common in individuals with self-reported organic GI diseases and DM compared to the general population. The presence of these concomitant DGBIs should be considered in the management of organic (GI) diseases.

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来源期刊
United European Gastroenterology Journal
United European Gastroenterology Journal GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
10.50
自引率
13.30%
发文量
147
期刊介绍: United European Gastroenterology Journal (UEG Journal) is the official Journal of the United European Gastroenterology (UEG), a professional non-profit organisation combining all the leading European societies concerned with digestive disease. UEG’s member societies represent over 22,000 specialists working across medicine, surgery, paediatrics, GI oncology and endoscopy, which makes UEG a unique platform for collaboration and the exchange of knowledge.
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