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Irritable bowel syndrome and basal serum tryptase: correlation between subtype, severity, and comorbidities. A pilot
Constanza Ciriza de Los Ríos1, Isabel Castel de Lucas2, Fernando Canga Rodríguez-Valcárcel3
1Gastroenterology, Hospital Clínico San Carlos. Instituto de Investigacion Sanitaria San Carlos (IdISSC), España.
Basal serum tryptase (BST) levels do not differ between irritable bowel syndrome (IBS) patients and healthy individuals. However, elevated BST was observed in IBS patients with extraintestinal comorbidities, correlating with increased bloating severity.
Area of Science:
- Gastroenterology
- Immunology
- Clinical Medicine
Background:
- Mast cell activation impacts gut function, contributing to visceral hypersensitivity and dysmotility in functional gastrointestinal disorders.
- Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder characterized by altered gut function.
Purpose of the Study:
- To compare basal serum tryptase (BST) levels between IBS patients and healthy controls.
- To investigate BST variations based on IBS subtypes, comorbidities, and their correlation with IBS severity and quality of life.
Main Methods:
- A prospective case-control study involving IBS patients diagnosed using Rome IV criteria.
- Measurements included basal serum tryptase (BST), IBS Severity Score (IBSSS), pain, bloating, flatulence, IBS Quality of Life (IBSQOL), and Patient Health Questionnaire (PHQ-9).
Main Results:
- No significant difference in BST was found between IBS patients (4.8 ± 2.6) and controls (4.7 ± 2.6).
- BST levels did not vary across IBS subtypes (IBS-D vs. IBS-C) or correlate with IBS severity.
- BST was significantly higher in IBS patients with extraintestinal comorbidities, who also reported more severe bloating.
Conclusions:
- Basal serum tryptase (BST) does not serve as a diagnostic marker to differentiate IBS patients from healthy controls.
- Elevated BST in IBS patients with extraintestinal comorbidities warrants further investigation, particularly concerning its association with bloating.
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