Gastroptosis is Associated with Less Dyspepsia, Rather than a Cause of Dyspepsia, in Japanese Persons
Title: Gastroptosis is Associated with Less Dyspepsia, Rather than a Cause of Dyspepsia, in Japanese Persons
Author: Motoyasu Kusano; Fumitaka Moki; Hiroko Hosaka; Yasuyuki Shimoyama; Osamu Kawamura; Atsuto Nagoshi; Masaki Maeda; Shikou Kuribayashi; Hiroaki Zai; Masafumi Mizuide; Tsutomu Horikoshi; Masatomo Mori; Masako Akuzawa (Department of Endoscopy and Endoscopic Surgery, Gunma University Hospital, Japan; Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan; The Hidaka Hospital, Japan)
Source: Internal Medicine; ISSN:0918-2918; VOL.50; NO.7; PAGE.667-671; (2011)
Pub.Country: Japan
Language: English
Abstract: Objective Gastroptosis is recognized by its characteristic appearance on barium studies. The present prospective study assessed the relationship between gastroptosis and dyspeptic symptoms.
Methods Japanese subjects underwent health screening, and gastroptosis was diagnosed by barium studies. Consecutive subjects (500 women and 167 men) with gastroptosis were identified and the same number of age-matched subjects without gastroptosis were selected as controls. Dyspepsia was classified as reflux-like (heartburn and belching), dysmotility-like (bloating and fullness), or ulcer-like dyspepsia (epigastralgia) based on the Rome II criteria.
Results Body mass index was significantly lower in women with gastroptosis than in controls [19.7±1.83 (SD) vs. 23.4±3.70, p<0.0001], and also in men (19.7±2.00 vs. 23.9±2.89, p<0.0001). The incidence of dyspepsia was significantly lower in women with gastroptosis than in controls (56/500 vs. 87/500, p<0.01) and also in men (10/167 vs. 25/167, p<0.05), especially in women with ulcer-like dyspepsia (15/500 vs. 32/500, p<0.05) and in men with reflux-like dyspepsia (2/167 vs. 12/167, p<0.05). By logistic regression analysis, gastroptosis was associated with a lower risk of dyspepsia (odds ratio: 0.62, 95% CI: 0.405-0.941, p=0.025) and ulcer-like dyspepsia (odds ratio: 0.36, 95% CI: 0.177-0.726, p=0.004) in women.
Conclusion Dyspeptic symptoms were significantly less common in subjects with gastroptosis. Accordingly, gastroptosis may protect against dyspeptic symptoms, rather than causing functional dyspepsia.
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Title: Gastroptosis is Associated with Less Dyspepsia, Rather than a Cause of Dyspepsia, in Japanese Persons
Author: Motoyasu Kusano; Fumitaka Moki; Hiroko Hosaka; Yasuyuki Shimoyama; Osamu Kawamura; Atsuto Nagoshi; Masaki Maeda; Shikou Kuribayashi; Hiroaki Zai; Masafumi Mizuide; Tsutomu Horikoshi; Masatomo Mori; Masako Akuzawa (Department of Endoscopy and Endoscopic Surgery, Gunma University Hospital, Japan; Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan; The Hidaka Hospital, Japan)
Source: Internal Medicine; ISSN:0918-2918; VOL.50; NO.7; PAGE.667-671; (2011)
Pub.Country: Japan
Language: English
Abstract: Objective Gastroptosis is recognized by its characteristic appearance on barium studies. The present prospective study assessed the relationship between gastroptosis and dyspeptic symptoms.
Methods Japanese subjects underwent health screening, and gastroptosis was diagnosed by barium studies. Consecutive subjects (500 women and 167 men) with gastroptosis were identified and the same number of age-matched subjects without gastroptosis were selected as controls. Dyspepsia was classified as reflux-like (heartburn and belching), dysmotility-like (bloating and fullness), or ulcer-like dyspepsia (epigastralgia) based on the Rome II criteria.
Results Body mass index was significantly lower in women with gastroptosis than in controls [19.7±1.83 (SD) vs. 23.4±3.70, p<0.0001], and also in men (19.7±2.00 vs. 23.9±2.89, p<0.0001). The incidence of dyspepsia was significantly lower in women with gastroptosis than in controls (56/500 vs. 87/500, p<0.01) and also in men (10/167 vs. 25/167, p<0.05), especially in women with ulcer-like dyspepsia (15/500 vs. 32/500, p<0.05) and in men with reflux-like dyspepsia (2/167 vs. 12/167, p<0.05). By logistic regression analysis, gastroptosis was associated with a lower risk of dyspepsia (odds ratio: 0.62, 95% CI: 0.405-0.941, p=0.025) and ulcer-like dyspepsia (odds ratio: 0.36, 95% CI: 0.177-0.726, p=0.004) in women.
Conclusion Dyspeptic symptoms were significantly less common in subjects with gastroptosis. Accordingly, gastroptosis may protect against dyspeptic symptoms, rather than causing functional dyspepsia.
Jump to Full text at joi.jlc.jst.go.jp
Authentication may be needed. (Help)
Same Author Reference (includes authors with identical names)
Motoyasu Kusano
ENDOSCOPIC DIAGNOSIS AND TREATMENT OF BARRETT'S ESOPHAGUS OR BARRETT'S ADENOCARCINOMA
Intra-gastric pH following single oral administrations of rabeprazole and esomeprazole: double-blind cross-over comparison
Esophageal motility disorders (except GERD)
1. Functional Esophageal Disorders (Chest Pain or Functional Dysphagia)
Current status of endoscopic diagnosis and treatment of small bowel diseases in the Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, and its affiliated hospitals
Fumitaka Moki
Influence of gastric cancer incidence on prolongation of life expectancy by a cancer screening program
Current status and issues of individual endoscopic screening for stomach cancer in multiple facilities
Effect of the Changing Social Environment on the Accuracy of Gunma Prefecture Cancer Registry
Investigation of the Appropriate Number of Images to Take During Multicenter Endoscopic Examination, From the Viewpoint of the False-Negative Rate
Current status of use of transnasal endoscopy in personal health checkup and its accuracy in screening gastric cancers at multiple institutions
Hiroko Hosaka
ENDOSCOPIC DIAGNOSIS AND TREATMENT OF BARRETT'S ESOPHAGUS OR BARRETT'S ADENOCARCINOMA
Esophageal motility disorders (except GERD)
1. Functional Esophageal Disorders (Chest Pain or Functional Dysphagia)
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Masaki Maeda
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Esophageal motility disorders (except GERD)
1. Functional Esophageal Disorders (Chest Pain or Functional Dysphagia)
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Hiroaki Zai
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Gastrointestinal motility and Kanpo medicine
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Esophageal motility disorders (except GERD)
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Related Information
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