scholarly journals Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese Patients

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Antonella Santonicola ◽  
Luigi Angrisani ◽  
Carolina Ciacci ◽  
Paola Iovino
Keyword(s):  
Distress Syndrome ◽  
Behavior Pattern ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Disorders ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Rome Iii Criteria ◽  
Gi Symptoms ◽  
Rome Iii ◽  
Frequency Intensity

The relationship between GI symptoms and obesity has yet to be completely clarified.Aim. To determine in a morbidly obese southern Italy adult population the prevalence of Functional Gastrointestinal Disorders (FGID) and its association with the presence of a Binge Eating (BE) behavior pattern.Methods. Consecutive obese patients eligible for bariatric surgery and 100 Healthy Controls (HC) were recruited. All participants were questioned and scored for the presence of FGID according to Rome III criteria and for the presence or the frequency-intensity of a number of upper and lower GI symptoms. BE behavior pattern was assessed.Results. One-hundred obese patients met the inclusion criteria. The prevalence of FGID was similar between obese patients and HC. There was a significant association between obese patients with BE behavior and postprandial distress syndrome (P=0.04). Moreover, a significantly higher frequency-intensity score for epigastric fullness (1.23±0.45versus0.35±0.13,P=0.01) was found in obese patients with BE behavior compared to obese patients without.Conclusions. Obese patients with a BE behavior pattern showed a significantly higher prevalence of postprandial distress syndrome. A greater knowledge of the GI symptoms associated with obesity along with the pathophysiological mechanisms underlying will be important in the clinical management of these patients.

scholarly journals Symptom-based ordinal scale fuzzy clustering of functional gastrointestinal disorders

2020 ◽  
Author(s):  
Marjan Mansourian ◽  
Hamid Reza Marateb ◽  
Ammar Hassanzadeh Keshteli ◽  
Hamed Daghagh Zadeh ◽  
Miquel Angel Mananas ◽  
...  
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Functional Constipation ◽  
Ordinal Scale ◽  
Gastrointestinal Disorders ◽  
Rome Iii Criteria ◽  
Gi Symptoms ◽  
Rome Iii ◽  
The Common ◽  
Functional Bloating ◽  
Irritable Bowel

Background The validity of Rome III criteria for diagnosing functional gastrointestinal disorders (FGIDs) have been frequently questioned in the literature. In epidemiology, when a disease is diagnosed, the existence of a true cluster must be proven. Thus, clustering the common GI symptoms of individuals and comparing the clusters with FGIDs defined by the Rome III criteria could provide insights about the validity of FGIDs defined by those criteria. Well-separated compact clusters were detected in responses to questionnaires of the epidemiological features of different FGIDs in Iranian adults using fuzzy ordinal clustering. The representative sample from each cluster i.e. Cluster Representative (CR) was formed whose corresponding FGID was diagnosed with Rome III criteria. Then, FGID diagnosis was performed for all participants in each cluster and the percentage of cases whose FGID was the same as the cluster's identified FGID (agreement) was reported. Results Fourteen valid clusters were detected in 4763 people. The average membership of the objects in each cluster was 77.3%, indicating similarity of the objects in clusters to their corresponding CRs. Eight clusters were assigned to single FGIDs (irritable bowel syndromes: constipation IBS-C, diarrhea IBS-D and un-subtyped IBS-U; functional bloating FB; functional constipation FC; belching disorder BD. The agreement was higher than 50% in single FGID clusters except those whose diagnosis was IBS-U. Conclusions IBS-C, IBS-D, FC, BD, and FB defined with Rome III criteria exist in the population, which is not the case for IBS-U.

Symptomatic Treatment of Pain-Related Pediatric Functional Gastrointestinal Disorders in a Biopsychosocial Construct, and a Validity Study of Rome III Criteria

2021 ◽  
Vol 60 (6-7) ◽  
pp. 304-313
Author(s):  
Shailender Madani ◽  
Rohit Madani ◽  
Suchi Parikh ◽  
Ahila Manivannan ◽  
Wilma R. Orellana ◽  
...  
Keyword(s):  
Positive Predictive Value ◽  
Predictive Value ◽  
Functional Gastrointestinal Disorders ◽  
High Specificity ◽  
Symptomatic Treatment ◽  
Gastrointestinal Disorders ◽  
Organic Disease ◽  
Rome Iii Criteria ◽  
Rome Criteria ◽  
Rome Iii

Our study aims to assess improvement with symptomatic treatment of pain-related functional gastrointestinal disorders (FGIDs) in a biopsychosocial construct and evaluate validity of Rome III criteria. Children with chronic abdominal pain diagnosed with an FGID or organic disease were followed for 1 year: 256/334 were diagnosed with an FGID and 78/334 were diagnosed with a possible organic disease due to alarm signs or not meeting Rome III criteria. After 1 year, 251 had true FGID and 46 had organic diseases. Ninety percent of FGID patients improved with symptomatic treatment over an average of 5.4 months. With a 95% confidence interval, Rome criteria predicted FGIDs with sensitivity 0.89, specificity 0.90, positive predictive value 0.98, and negative predictive value 0.59. We conclude that symptomatic treatment of pain-related FGIDs results in clinical improvement and could reduce invasive/expensive testing. Rome III criteria’s high specificity and positive predictive value suggest they can rule in a diagnosis of FGID.

Prevalence of functional gastrointestinal disorders among adolescents in Delhi based on Rome III criteria: A school-based survey

2016 ◽  
Vol 35 (4) ◽  
pp. 294-298 ◽  
Author(s):  
Vidyut Bhatia ◽  
Shivani Deswal ◽  
Swati Seth ◽  
Akshay Kapoor ◽  
Anupam Sibal ◽  
...  
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Disorders ◽  
Rome Iii Criteria ◽  
School Based ◽  
Rome Iii

How Reliable Are the Rome III Criteria for the Assessment of Functional Gastrointestinal Disorders in Children?

2010 ◽  
Vol 105 (12) ◽  
pp. 2697-2701 ◽  
Author(s):  
Ashish Chogle ◽  
Gati Dhroove ◽  
Marcelo Sztainberg ◽  
Carlo Di Lorenzo ◽  
Miguel Saps
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Disorders ◽  
Rome Iii Criteria ◽  
Rome Iii

Tu1190 Prevalence of Esophageal Symptoms by ROME III Criteria in Asia and Their Association With Other Functional Gastrointestinal Disorders

2013 ◽  
Vol 144 (5) ◽  
pp. S-785-S-786
Author(s):  
Kewin Tien Ho Siah ◽  
Kok Ann Gwee ◽  
William E. Whitehead ◽  
Minhu Chen ◽  
Xiao-hua Hou ◽  
...  
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Disorders ◽  
Rome Iii Criteria ◽  
Rome Iii

scholarly journals Laparoscopic sleeve Gastrectomy and its effect on Gastro oesophageal reflux disease

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A F Abadir ◽  
A M M Hefny ◽  
A M Elghandor ◽  
A M A Kirolos
Keyword(s):  
Health Concern ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Significant Weight Loss ◽  
Post Operative Period ◽  
Number Of Patients ◽  
Gi Symptoms ◽  
Rome Iii ◽  
Life Threatening

Abstract Background Obesity continues to be a leading public health concern associated with many comorbidities and major hindering effect on the daily lifestyle of many people around the world. Surgical treatment for obesity has proved that it is the best and most effective, durable means of preventing the life-threatening complications and serious problems associated with morbid obesity. Objective This study aims at identifying the effect of LSG on UGI symptoms after a mean of 6 months of follow up. Patients and Methods Our study was conducted on 25 morbidly obese patients undergoing LSG for weight reduction. Thorough history, clinical examination and investigations were applied including the validated Rome III Diagnostic questionnaire and UGI endoscopy on cases with sever symptoms. Patients were examined before surgery and had no primary complications as bleeding or leakage in the early post-operative period. Patients were followed up for a mean of 6 months regarding UGI symptoms specially GERD using the same validated Rome III Diagnostic questionnaire. Results GERD prevalence didn’t significantly change although a significant number of patients recovered from GERD which support the theory that the mechanism of upper GI symptoms after LSG is mainly due to altered motility patterns rather than acid-related disorders. Conclusion Our results show that LSG represents a safe and effective procedure to achieve significant weight loss. GERD which was considered to be a main troublesome impact of LSG showed no significant change in prevalence, on the contrary appear to abolish the symptom in a significant number of patients who complained of GERD.

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