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Systematic Review and Meta-analysis of the Prevalence of Irritable Bowel Syndrome in Individuals With Dyspepsia
Open accessAbstract
Background & aims Dyspepsia and irritable bowel syndrome (IBS) are common conditions that can coexist in patients. We performed a systematic review and meta-analysis to estimate prevalence of IBS in dyspepsia.Methods Relevant articles published through August 2008 were identified from MEDLINE and EMBASE literature searches (23,457 citations). Eligible studies included adults recruited from the community, the workplace, blood donation or screening clinics, and family physician offices or internal medicine clinics. Selected studies reported prevalence of dyspepsia and IBS within the same population. The prevalence of IBS in subjects with and without dyspepsia was pooled for all studies and compared. Odds ratios (OR) and confidence intervals (CI) were calculated. The degree of overlap between dyspepsia and IBS was determined.Results Of 239 papers evaluated, 150 reported prevalence of dyspepsia and 19 (involving 18,173 subjects) reported the proportion of subjects with IBS within the same population. The prevalence of dyspepsia was 27% (95% CI, 23%-31%). The prevalence of IBS in subjects with dyspepsia was 37% (95% CI, 30%-45%) compared with 7% (95% CI, 5%-10%) in those without. The pooled OR for IBS in subjects with dyspepsia was 8 (95% CI, 5.74-11.16). The degree of overlap between the 2 conditions varied from 15% to 42%, depending on diagnostic criteria used for each.Conclusions Individuals with dyspepsia have an 8-fold increase in prevalence of IBS compared with the population. The strength of the association suggests common pathogenic mechanisms. Dyspeptic patients should be assessed routinely for IBS.
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“Probably the most common association is the one between IBS and functional dyspepsia (FD).”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [11]
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“A high prevalence of overlap between these 2 conditions has been consistently reported in numerous studies.”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [11]
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“Moreover people with dyspepsia had an 8-fold increase in the prevalence of IBS.”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [11]
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“In a recent meta-analysis, Ford et al.11 reported the degree of overlap to be between 15-42%.”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [11]
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“Although IBS patients have been reported to have lower, rather than higher thresholds for somatic stimulation,11,12”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [11]
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정록선 (2012)
Крапивная, О. В., & Alekseenko, S. A. (2019) · Medical alphabet · doi:10.33667/2078-5631-2019-2-20(395)-54-57
González, J. A., & Montoro, M. A. (2012) · Medicine - Programa de Formación Médica Continuada Acreditado · doi:10.1016/s0304-5412(12)70264-0
Scanzi, J., & Dapoigny, M. C. (2015) · EMC - Tratado de Medicina · doi:10.1016/s1636-5410(15)70953-0
Overlap Syndrome of Functional Gastrointestinal Disorders
Kim, N. (2022) · Springer eBooks · doi:10.1007/978-981-19-0120-1_26
Diagnose und Behandlung der funktionellen Dyspepsie in der klinischen Praxis
Fox, M. R. (2022) · Schweizer Gastroenterologie · doi:10.1007/s43472-022-00086-y
Зуб, Л. О., & Shkarutyak, A. (2023) · Clinical & experimental pathology · doi:10.24061/1727-4338.xxi.4.82.2022.02
Alfaifi, A. J., Alfaifi, A. M. M., & Khan, L. A. (2023) · Saudi Journal of Medicine · doi:10.36348/sjm.2023.v08i12.002
Spectrum of Upper Gastrointestinal Endoscopy Findings in Patients with Dyspepsia
Chowdhury, M. N. F., Saha, M., & Chowdhury, M. K. S. (2024) · Medicine Today · doi:10.3329/medtoday.v36i2.74800
Pakhomova, I. G., & Андреевна, Л. А. (2025) · Meditsinskiy sovet = Medical Council · doi:10.21518/ms2024-546
Comorbidity and Comedication in Irritable Bowel Syndrome Patients
Babić, Ž. (2024) · Clinical gastroenterology · doi:10.1007/978-3-031-69800-2_23
Scientific output on dyspepsia in internal medicine: a quantitative and visual bibliometric approach
Akkaş, N. (2025) · Journal of Medicine and Palliative Care · doi:10.47582/jompac.1701916
Linas, I., Vavricka, S. R., Langhorst, J., Pohl, D., Stracke, B. A., Zimmermann, A., Funk, P., Schiefke, I., & Madisch, A. (2025) · Wiener Medizinische Wochenschrift · doi:10.1007/s10354-025-01119-2
Vécsei, A., Hammer, H. F., & Hammer, J. (2026) · Zeitschrift für Gastroenterologie · doi:10.1055/s-0046-1823095
Abdominal pain in functional dyspepsia
Waluga, M. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-41638-5.00007-7
Research Progress of Da Chaihu Decoction in the Treatment of Functional Dyspepsia
金, 磊. (2026) · Advances in Clinical Medicine · doi:10.12677/acm.2026.1672552
Chakraborty, S. (2026) · Lifestyle Medicine · doi:10.1002/lim2.70069
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Metadata
- Authors
- Ford, A. C., Marwaha, A., Lim, A., & Moayyedi, P.
- Affiliations
- McMaster University (CA)
- Corresponding author
- Ford, Alexander C.
- Venue
- Clinical Gastroenterology and Hepatology
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 8
- Issue
- 5
- Pages
- 401-409
- ISSN
- 1542-3565 (ISSN-L)
- OpenAlex
- W1968773048
- Cited by
- 195
- References
- 62
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 4 · 2023: 10 · 2022: 18 · 2021: 12 · 2020: 18 · 2019: 9 · 2018: 14 · 2017: 13 · 2016: 9 · 2015: 14 · 2014: 15 · 2013: 9 · 2012: 16
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Gastroenterology and Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Keywords
- irritable bowel syndrome, dyspepsia, prevalence, comorbidities, diagnostic criteria, pathophysiological mechanisms, screening
- MeSH terms
- Dyspepsia, Humans, Comorbidity, Prevalence, Irritable Bowel Syndrome
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