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.