To analyze the prevalence of overlap syndromes among NERD or RH, FD, and IBS patients, and to identify and to compare the differences in their characteristics and symptoms, and to determine their risk factors.
To identify the differences in clinical features according to sex and gender.
To analyze the effect of genetic polymorphisms on overlap FGIDs over long-term follow-up period.
Enrollment
800 patients
Sex
All
Ages
18 to 80 years old
Volunteers
Accepts Healthy Volunteers
Inclusion criteria
FGID group
No organic diseases in routine laboratory tests, abdominal imaging, esophagogastroscopy, and colonoscopy
NERD or reflux hypersensitivity (RH): typical heartburn occurring at least once a week without visible esophageal mucosal break detected by endoscopy
FD or IBS: based on the Rome III criteria
Control group
Subjects who underwent GI evaluations as part of health check-up or for other problems, such as mild abdominal discomfort or pain for a relatively short period of time, but had no organic problems during GI endoscopy
Exclusion criteria
history of GI surgery except appendectomy
inflammatory bowel disease
any malignancy, or systemic diseases requiring chronic medication except for hypertension and diabetes mellitus
pregnant or lactating women
hepatic, biliary, or psychiatric disorders requiring medication.
Trial design
800 participants in 2 patient groups
FGIDs
Description:
Patient who were diagnosed with NERD/RH, FD, IBS and their overlaps (NERD/RH-FD, NERD/RH-IBS, FD-IBS, NERD/RH-FD-IBS)
Healthy controls
Description:
Subjects who underwent GI evaluations as part of health check-up or for other problems, such as mild abdominal discomfort or pain for a relatively short period of time, but had no organic problems during GI endoscopy