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 11 February 2016

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News

Atopy overlaps with functional gastrointestinal disorders

The latest issue of the Alimentary Pharmacology & Therapeutics examines connections between atopy and functional gastrointestinal disorders in primary care.

News image

Activation of the immune system has been demonstrated in atopy and functional gastrointestinal disorders (FGIDs).

Previous data have suggested a connection between immune dysregulation, functional gastrointestinal disorders and mood disorders.

Dr Jones and colleagues from Australia investigated if these data translate to clinical practice and examine connections from the perspective of functional gastrointestinal disorders to determine whether atopy and functional gastrointestinal disorders are connected via mood disorders.

Evidence of irritable bowel syndrome (IBS), functional dyspepsia and constipation was sought from the medical records of 30,000 primary care records over a minimum 5 year period.

In the groups with IBS alone there was elevated prevalence of asthma
Alimentary Pharmacology & Therapeutics

The same records yielded diagnoses of four atopic conditions.

The team found atopic conditions in excess among all functional gastrointestinal disorder groups considered when compared with controls.

In the groups with IBS alone, functional dyspepsia alone, and those with multiple functional gastrointestinal disorders there was elevated prevalence of asthma compared with controls without a functional gastrointestinal disorder.

The team noted that across disorders the excess was generally highest among patients diagnosed with multiple functional gastrointestinal disorders, and was only partly explained by a common association between both functional gastrointestinal disorders and atopic conditions with mood disorders, although not for every atopic/functional gastrointestinal disorder combination.

Dr Jones' team concludes, "Irritable bowel syndrome, functional dyspepsia and constipation share an association with atopy that is only partly explained via a common connection with mood disorders."

"These data have important implications for understanding both the pathophysiology of functional gastrointestinal disorders and development of new treatments."

Aliment Pharmacol Ther 2014: Early View
11 July 2014

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