Brain Fog in Gastrointestinal Disorders: Small Intestinal Bacterial Overgrowth, Gastroparesis, Irritable Bowel Syndrome.

IF 2.8 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Journal of clinical gastroenterology Pub Date : 2024-10-29 DOI:10.1097/MCG.0000000000002094
Maan El Halabi, Remy Arwani, Satish C Rao, Henry P Parkman
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Abstract

Introduction: Brain fog (BF) is a term used to describe difficulties with concentration, memory, and overall mental clarity. Links of BF to chronic fatigue syndrome and COVID-19 have been described, as well as recently to small intestinal bacterial overgrowth (SIBO) and probiotics.

Aim: To investigate the association between BF, SIBO, intestinal methanogen overgrowth (IMO), gastrointestinal (GI) medications, and specific GI disorders [irritable bowel syndrome (IBS) and gastroparesis] by utilizing a questionnaire to help diagnose BF.

Methods: Patients undergoing lactulose breath testing (LBT) for clinical assessment of SIBO filled out a demographic questionnaire, including an inquiry about the presence of BF, a symptom questionnaire (PAGI-SYM), and a BF Questionnaire (BFQ; 20 BF symptoms rated never=0 to always=4, total score 0 to 80).

Results: A total of 102 patients underwent LBT, with the most common indication being bloating (67%), of whom 55 (54%) reported BF. The BFQ score was significantly higher in patients reporting BF than those not [38.2±15.6 vs. 10.9±9.4 (SEM) (P=0.001)]. Patients with BF were more likely to be on probiotics and proton pump inhibitors compared with those without BF (P=0.04). There was no major difference in the use of narcotics, prokinetics, or prebiotics. Gastroparesis and IBS were more common in patients who reported BF (P=0.01 and 0.05, respectively), but not SIBO or IMO by breath testing.

Conclusions: BF was observed in over one-half of patients with common GI disorders. The prevalence of BF was higher in patients on probiotics and those with gastroparesis and IBS. The BFQ may be useful to diagnose and quantify BF severity.

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胃肠道疾病中的脑雾:小肠细菌过度生长、胃痉挛、肠易激综合征。
简介脑雾(Brain fog,BF)是一个术语,用于描述注意力、记忆力和整体精神清晰度方面的困难。目的:通过使用帮助诊断脑雾霾的调查问卷,研究脑雾霾、SIBO、肠道甲烷原过度生长(IMO)、胃肠道(GI)药物和特定胃肠道疾病(肠易激综合征(IBS)和胃痉挛)之间的关联:为临床评估 SIBO 而接受乳果糖呼气试验(LBT)的患者填写了一份人口统计学问卷,其中包括是否存在 BF 的询问、一份症状问卷(PAGI-SYM)和一份 BF 问卷(BFQ;20 种 BF 症状,从不=0 到总是=4,总分 0 到 80):共有 102 名患者接受了腹腔镜微创治疗,最常见的适应症是腹胀(67%),其中 55 人(54%)报告有腹胀症状。腹胀患者的 BFQ 得分明显高于未报告腹胀的患者[38.2±15.6 vs. 10.9±9.4 (SEM) (P=0.001)]。与无 BF 的患者相比,有 BF 的患者更有可能服用益生菌和质子泵抑制剂(P=0.04)。在使用麻醉剂、促动力药或益生元方面没有重大差异。胃痉挛和肠易激综合征在报告有 BF 的患者中更为常见(分别为 P=0.01 和 0.05),但通过呼气测试发现 SIBO 或 IMO 并不常见:结论:超过二分之一的常见消化道疾病患者都出现了胃食管反流。结论:超过半数的常见消化道疾病患者出现了BF,服用益生菌的患者、胃痉挛患者和肠易激综合征患者的BF发生率更高。BFQ可能有助于诊断和量化BF的严重程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of clinical gastroenterology
Journal of clinical gastroenterology 医学-胃肠肝病学
CiteScore
5.60
自引率
3.40%
发文量
339
审稿时长
3-8 weeks
期刊介绍: Journal of Clinical Gastroenterology gathers the world''s latest, most relevant clinical studies and reviews, case reports, and technical expertise in a single source. Regular features include cutting-edge, peer-reviewed articles and clinical reviews that put the latest research and development into the context of your practice. Also included are biographies, focused organ reviews, practice management, and therapeutic recommendations.
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