Unique ID issued by UMIN | UMIN000009673 |
---|---|
Receipt number | R000011274 |
Scientific Title | Comparative study on dyspeptic symptom generation and gastroduodenal capsaicin/TRPV1 expression between Korea and Japan |
Date of disclosure of the study information | 2012/12/31 |
Last modified on | 2017/03/13 17:15:40 |
Comparative study on dyspeptic symptom generation and gastroduodenal capsaicin/TRPV1 expression between Korea and Japan
Comparative study on dyspeptic symptom generation and gastroduodenal capsaicin/TRPV1
Comparative study on dyspeptic symptom generation and gastroduodenal capsaicin/TRPV1 expression between Korea and Japan
Comparative study on dyspeptic symptom generation and gastroduodenal capsaicin/TRPV1
Japan | Asia(except Japan) |
Functional dyspepsia
Medicine in general | Gastroenterology |
Others
YES
Functional dyspepsia(FD) is defined as upper gastro-intestinal disease whose patients complain such as epigastric pain and discomfort without any structual, systemic, metabolic diseases as cause of the symptom. Although the pathogenesis of FD is still unknown, relationship between gastrointestinal infection and occurance of FD is recently supposed in some patients with FD. Some researches report that transient receptor potential ion channel of the vanilloid type 1 (TRPV1), one of the receptor of capsaicin, is related to gastrointestinal sensation. Also, gene polymorphism, especially 315C, might be associated with susceptibility of FD occurance. However, detailed pathogenesis including molecular mechanism, genetic factors, differences of race and food habit, is still unclear. Now we focus on the relationship among duodenal inflammation, expression or polymorphism of TRPV1, and severity of FD symptom. Also, through collaboration with Korean research group, we analyze differences of race, food habit, infection rate of H.pylori on FD between Japan and Korea, and then we aim to find out pathogenesis and create new therapy of FD.
Others
To analyze difference of impact by race, food habit, infection rate of H.pylori on FD symptom between Japan and Korea
Exploratory
Explanatory
Not applicable
PAGI-SYM
Dyspepsia-related score
GERDQ
HADS
PAGI-QOL
Life-style
Food-life
TRPV1 expression in duodenum
TRPV1 polymorphism
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Patients whose symptoms fullfill Rome III criteria as shown below.
One or more of the following:
a. Bothersome postprandial fullness
b. Early satiation
c. Epigastric pain
d. Epigastric burning
AND
No evidence of structural disease(including at upper endoscopy) that is likely to explain the symptoms
* Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis
1. Patients who have structural disease including erosive gastritis and GERD.
2. Patients who have history of upper GI operation
3. Patients whose causes of dyspepsia are obvious like taking much food, drink, NSAIDs, much stress, and so on.
4. Patients who have history of brain structual disease, schizophrenia, and depression.
5. Alcohol or drug dependent patients.
6. Patients who have severe disorder of endocrine system like hyperthyroidism.
7. Patients who have severe disorder of cardiovascular system, liver system, renal function, infection, and hematopoietic organ.
8. Patients who have allergic reaction for some drugs for gastrointestinal system.
9. Pregnancy or lactation woman. Patients who hope pregnancy during study.
10. Patients who took H. pylori eradication therapy within 6 months
11. Patients who are difficult to stop taking drugs like gastrointestinal drugs, anti-choline drugs, anti-depressant, and so on.
12. Suspitious for IBS
13. Any other patients which primary doctor judges them appropriate for this study.
200
1st name | |
Middle name | |
Last name | Hidekazu Suzuki |
Department of Internal Medicine, Keio University School of Medicine
Gastroenterology and hepatology
35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
03-5363-3914
hsuzuki@a6.keio.jp
1st name | |
Middle name | |
Last name | Hidekazu Suzuki |
Department of Internal Medicine, Keio University School of Medicine
Gastroenterology and hepatology
35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
03-5363-3914
hsuzuki@a6.keio.jp
Keio University
Japan society for the promotion of science
Non profit foundation
NO
2012 | Year | 12 | Month | 31 | Day |
Published
Upper gastrointestinal symptoms are more common in subjects with a higher consumption of spicy foods, younger age and female gender, regardless of TRPV1 genotypes and the H. pylori infection status.
Completed
2012 | Year | 11 | Month | 26 | Day |
2012 | Year | 12 | Month | 31 | Day |
Patient who have symptom like postprandial fullness, early satiation,
, epigastric pain, and epigastric burning which occur at least 6 month before and consist at least 3 moth before visit. Also, there is no structural diseases in gastrointestinal tract. We examine severity of symptoms by questionnaires, H. pylori infection by gastric biopsy, and TRPV1 expression or polymorphism by duodenal biopsy and blood exam.
2012 | Year | 12 | Month | 31 | Day |
2017 | Year | 03 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011274