Universität zu Köln

Fuchs, K. -H., Musial, F., Ulbricht, F., Breithaupt, W., Reinisch, A., Babic, B., Fuchs, H. and Varga, G. (2017). Foregut symptoms, somatoform tendencies, and the selection of patients for antireflux surgery. Dis. Esophagus, 30 (7). CARY: OXFORD UNIV PRESS INC. ISSN 1442-2050

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Abstract

A large variety of foregut symptoms can occur in patients with gastroesophageal reflux disease (GERD),which can overlap with other disorders such as somatoform disorders and dyspepsia. Due to unclear diagnostic situations, these patients are often not adequately treated. The aim of this study was the evaluation of patients with foregut symptoms, referred for possible antireflux surgery, regarding their relationship with GERD and somatization tendencies based on control data from an unselected population. Symptom evaluation and somatization screening were initiated both in volunteers and in patients with foregut symptoms and GERD. Unselected volunteers from a village population were also evaluated by symptom analysis and for somatisation tendency. In addition, patients with foregut symptoms were diagnosed for GERD, and symptom analysis and psychodiagnostic evaluation were performed. There is no major significant difference in the symptom-spectrum in patients with foregut symptoms, whether they have a proven pathologic acid exposure from GERD or not. The probability for the risk of somatization was 5.6% in the unselected population of nonpatient volunteers (n = 267). In patients with foregut symptoms (n = 750), the probability for the presence of somatoform tendencies was approximately 20%, independent whether these patients had a documented GERD or a normal esophageal acid exposure, implicating further diagnostic work-up for the selection of patients for antireflux surgery. There is a remarkable symptom load and variety in patients with GERD, in patients with foregut symptoms, and in an unselected population of volunteers. There is no difference in the risk for somatization between patients with foregut symptoms and those with documented GERD. Therapeutic decision making especially prior to antireflux surgery requires an awareness of mental and emotional challenges.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fuchs, K. -H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Musial, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ulbricht, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Breithaupt, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reinisch, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Babic, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fuchs, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Varga, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-225707
DOI:	10.1093/dote/dox022
Journal or Publication Title:	Dis. Esophagus
Volume:	30
Number:	7
Date:	2017
Publisher:	OXFORD UNIV PRESS INC
Place of Publication:	CARY
ISSN:	1442-2050
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language GASTROESOPHAGEAL-REFLUX DISEASE; GASTRIC SENSORIMOTOR FUNCTION; IRRITABLE-BOWEL-SYNDROME; SOMATIZATION DISORDER; PSYCHOLOGICAL DISTRESS; FUNCTIONAL DYSPEPSIA; NISSEN FUNDOPLICATION; PSYCHOSOCIAL FACTORS; GENERAL-POPULATION; BARRETTS-ESOPHAGUS Multiple languages Gastroenterology & Hepatology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22570