Joint Hypermobility Syndrome in Patients With Functional Dyspepsia
Open accessAbstract
INTRODUCTION: The pathophysiology underlying functional dyspepsia (FD) is multifactorial and focuses on gastric sensorimotor dysfunction. Recent studies demonstrated that joint hypermobility syndrome (JHS) is strongly associated with unexplained dyspeptic symptoms in patients attending gastrointestinal clinics. We aimed to study the relationship between symptoms, gastric sensorimotor function, and JHS in FD patients. METHODS: Tertiary care FD patients who underwent a gastric barostat study and a gastric emptying breath test with 13C-octanoic acid were recruited for assessment of JHS. The presence of JHS was evaluated by a 2-phase interview and clinical examination that included major and minor criteria of the Brighton classification. RESULTS: A total of 62 FD patients (68% women, age 44 ± 1.8 years, and body mass index: 21.7 ± 0.7 kg/m 2 ) accepted to participate in the study. JHS was diagnosed in 55% of FD patients. Assessed symptom profiles during the visit did not differ between the groups. Delayed gastric emptying was not significantly more common in JHS group compared with non-JHS group (JHS group 32% vs non-JHS group 16%, P = 0.31). Prevalence of hypersensitivity to distention (JHS group 24% vs non-JHS group 29%, P = 0.76) and impaired gastric accommodation (JHS group 38% vs non-JHS group 42%, P = 0.79) was similar in patients with or without JHS. No correlations were found between the Beighton hypermobility score and gastric compliance ( r = 0.09). DISCUSSION: A large subset of this study cohort of tertiary care FD patients has coexisting JHS. We did not identify any specific differences in gastric sensorimotor function between patients with and without JHS. Further prospective research will be required to elucidate the relationship between JHS, a multisystemic disorder with widespread manifestations, and FD symptoms.
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There is no difference in the type or patterns of symptoms in patients with functional dyspepsia with or without HSD/hEDS.
“There appears to be no difference in the type or patterns of symptoms in patients with functional dyspepsia with or without HSD/hEDS.”
From Hypermobile Ehlers–Danlos syndrome and disorders of the gastrointestinal tract: What the gastroenterologist needs to know (2022) · cites this paper as [29]
Other studies of gastric sensorimotor function, compliance and emptying in small cohorts of patients with HSD/hEDS have otherwise revealed few specific abnormalities.
“Other studies of gastric sensorimotor function, compliance and emptying in small cohorts of patients with HSD/hEDS have otherwise revealed few specific abnormalities. 14 , 26 , 29 , 36 , 43 , 54 , 55”
From Hypermobile Ehlers–Danlos syndrome and disorders of the gastrointestinal tract: What the gastroenterologist needs to know (2022) · cites this paper as [29]
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“Our study raised a number of clinically significant themes that warrant further explanation, particularly as neurogastroenterology and gastroenterology clinics are progressively seeing an increase in the number of patients with hEDS/HSD. 3,5,27 We demonstrated that overall, non-GI related somatization in hEDS/HSD is g…”
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“Common 52 pathophysiological mechanism that contributed to both FD and IBS were reported involving the 53 dysfunction of gastrointestinal motility(9, 10), visceral hypersensitivity(11), immune activation(12), 54 abnormal brain-gut interaction(13) and psychosocial factors(14).”
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“FD and IBS are common pathophysiological disturbances that reportedly involve gastrointestinal (GI) motility dysfunction (Carbone et al., 2020; Tanaka et al., 2018), visceral hypersensitivity (Simrén et al., 2018), immune activation (Burns et al., 2019), abnormal brain– gut interactions (Drossman…”
- Authors
- Carbone, F., Fikree, A., Aziz, Q., & Tack, J.
- Affiliations
- KU Leuven (BE)
- Queen Mary University of London (GB)
- Corresponding author
- Tack, Jan
- Venue
- Clinical and Translational Gastroenterology
- Published
- 2020-11
- Volume
- 11
- Issue
- 11
- Pages
- e00220
- ISSN
- 2155-384X (ISSN-L)
- PMC
- PMC7641428
- OpenAlex
- W3094692629
- Cited by
- 16
- References
- 48
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 4
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Clinical and Translational Gastroenterology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lirias (submittedVersion, other-oa)
- Funders
- Universitaire Ziekenhuizen Leuven, KU Leuven
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
- Keywords
- joint hypermobility syndrome, functional dyspepsia, gastric emptying, gastric accommodation, gastric compliance, Beighton score, Brighton criteria, 13C-octanoic acid breath test
- MeSH terms
- Adolescent, Adult, Aged, Breath Tests, Dyspepsia, Female, Humans, Joint Instability, Male, Middle Aged, Retrospective Studies, Risk Factors, Severity of Illness Index, Comorbidity, Prevalence, Young Adult
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