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Post-Infection DGBI (PI-DGBI): Gut | July 2026

Clinical knowledge base curated and reviewed by GastroAGI TeamLast updated July 1, 2026

Quick Answer

Introduction: Acute infectious gastroenteritis can trigger persistent gastrointestinal symptoms long after the infection has resolved, leading to post-infection disorders of gut-brain interaction (PI-DGBI). This global Rome Foundation study evaluated the prevalence, risk factors, and clinical characteristics of these disorders across 26 countries.


Introduction: Acute infectious gastroenteritis can trigger persistent gastrointestinal symptoms long after the infection has resolved, leading to post-infection disorders of gut-brain interaction (PI-DGBI). This global Rome Foundation study evaluated the prevalence, risk factors, and clinical characteristics of these disorders across 26 countries.

Why was this study needed?

  • The global burden of PI-DGBI has not been well defined.
  • Risk factors for developing chronic GI symptoms after gastroenteritis remain incompletely understood.
  • International epidemiological data are needed to guide prevention and management.
  • PI-DGBI may have distinct clinical and psychological characteristics compared with other DGBIs.
  • Better recognition may improve long-term patient care.

Results:

  • Approximately 1 in 10 patients with a disorder of gut-brain interaction reported a post-infectious onset, confirming acute gastroenteritis as an important trigger for chronic gastrointestinal disease.
  • Younger age, male sex, urban residence, anxiety, and higher somatic symptom burden were independently associated with PI-DGBI.
  • Patients with PI-DGBI experienced greater psychological distress and poorer physical health, with functional dyspepsia, irritable bowel syndrome, and anorectal disorders being the most common clinical presentations.

Clinical Impact:

This study reinforces that acute gastroenteritis is not always a self-limited illness. A significant proportion of patients develop chronic gut-brain disorders with substantial effects on quality of life. Early recognition, patient education, and multidisciplinary management—including psychological assessment when appropriate—may improve long-term outcomes.

Bottom Line:

Post-infection disorders of gut-brain interaction are common and clinically significant. Acute gastroenteritis can trigger long-lasting functional gastrointestinal disorders, highlighting the importance of prevention, early diagnosis, and comprehensive long-term care.

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