Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?

Functional dyspepsia (FD) and gastroparesis (GP) are clinically managed as distinct upper gastrointestinal conditions but present with symptoms that are often indistinguishable. FD is a common disorder of gut–brain interaction that negatively impacts quality of life, while GP is considered a rare di...

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Main Authors: Simon Keely, Nicholas J Talley, Michael Potter, Kerith Duncanson, Stella-Maris Egboh
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:eGastroenterology
Online Access:https://egastroenterology.bmj.com/content/3/1/e100119.full
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author Simon Keely
Nicholas J Talley
Michael Potter
Kerith Duncanson
Stella-Maris Egboh
author_facet Simon Keely
Nicholas J Talley
Michael Potter
Kerith Duncanson
Stella-Maris Egboh
author_sort Simon Keely
collection DOAJ
description Functional dyspepsia (FD) and gastroparesis (GP) are clinically managed as distinct upper gastrointestinal conditions but present with symptoms that are often indistinguishable. FD is a common disorder of gut–brain interaction that negatively impacts quality of life, while GP is considered a rare disease exclusively defined by delayed gastric emptying and symptoms. The degree of overlap between these disorders makes them hard to differentiate in clinical practice, thereby impacting treatment decisions. This review is focused on exploring the similarities and differences between FD and GP to guide clinician management and improve treatment outcomes. A comprehensive literature search was performed and the full texts of eligible articles were retrieved for the extraction of information reported in this review.This summary of evidence supports the hypothesis that GP and FD represent two ends of the same disease spectrum in a major subgroup. Improved understanding of the similarities, differences and overlap is likely to help guide the development of objective biomarkers and better-targeted therapies.
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series eGastroenterology
spelling doaj-art-84b0d4d26d7b494f9cc675c3f6a150642025-02-12T09:10:12ZengBMJ Publishing GroupeGastroenterology2766-01252976-72962025-01-013110.1136/egastro-2024-100119Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?Simon Keely0Nicholas J Talley1Michael Potter2Kerith Duncanson3Stella-Maris Egboh43 Centre of Research Excellence in Transforming Gut Health, The University of Newcastle, Callaghan, New South Wales, Australia2 School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia4 Department of Gastroenterology, John Hunter Hospital, Newcastle, New South Wales, Australia2 School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia1 Federal Medical Centre, Yenagoa, Bayelsa, NigeriaFunctional dyspepsia (FD) and gastroparesis (GP) are clinically managed as distinct upper gastrointestinal conditions but present with symptoms that are often indistinguishable. FD is a common disorder of gut–brain interaction that negatively impacts quality of life, while GP is considered a rare disease exclusively defined by delayed gastric emptying and symptoms. The degree of overlap between these disorders makes them hard to differentiate in clinical practice, thereby impacting treatment decisions. This review is focused on exploring the similarities and differences between FD and GP to guide clinician management and improve treatment outcomes. A comprehensive literature search was performed and the full texts of eligible articles were retrieved for the extraction of information reported in this review.This summary of evidence supports the hypothesis that GP and FD represent two ends of the same disease spectrum in a major subgroup. Improved understanding of the similarities, differences and overlap is likely to help guide the development of objective biomarkers and better-targeted therapies.https://egastroenterology.bmj.com/content/3/1/e100119.full
spellingShingle Simon Keely
Nicholas J Talley
Michael Potter
Kerith Duncanson
Stella-Maris Egboh
Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?
eGastroenterology
title Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?
title_full Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?
title_fullStr Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?
title_full_unstemmed Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?
title_short Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?
title_sort functional dyspepsia and gastroparesis are they distinct disorders a spectrum of diseases or one disease
url https://egastroenterology.bmj.com/content/3/1/e100119.full
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