Gastrointestinal manifestations in Williams syndrome: A prospective analysis of an adult and pediatric cohort.

Williams Beuren syndrome celiac disease diverticular disease gastrointestinal symptoms healthcare utilization

Journal

American journal of medical genetics. Part A
ISSN: 1552-4833
Titre abrégé: Am J Med Genet A
Pays: United States
ID NLM: 101235741

Informations de publication

Date de publication:
29 Jul 2024
Historique:
revised: 10 06 2024
received: 17 04 2024
accepted: 14 07 2024
medline: 29 7 2024
pubmed: 29 7 2024
entrez: 29 7 2024
Statut: aheadofprint

Résumé

Williams syndrome (WS) is a multi-system condition caused by the deletion of 25-27 coding genes on human chromosome 7. Irritability, gastrointestinal (GI) reflux and slow growth are commonly reported in infants with WS, but less data exist regarding GI concerns in older children and adults with the condition. This study evaluates 62 individuals with WS (31 children aged 3-17, and 31 adults aged 18-62) as well as 36 pediatric and adult controls to assess current and historical rates of common GI symptoms. Data were evaluated using a regression model including age, sex, self-reported race, and diagnosis. Symptoms including food intolerance, reflux, dysphagia, choking/gagging, vomiting, constipation, bloating, diarrhea, hematochezia, rectal prolapse, abdominal pain, and weight loss are more common in those with WS relative to controls. In addition, people with WS utilize more GI medications, specialty care, procedures, and supplemental feeds. Among those with WS, symptoms were present at similar rates in children and adults, except for diverticular disease, which was not noted until adulthood. GI symptoms are frequent in people with WS and serve as a significant source of morbidity.

Identifiants

pubmed: 39073239
doi: 10.1002/ajmg.a.63827
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e63827

Subventions

Organisme : Division of Intramural Research for the National Heart, Lung, and Blood Institute
Organisme : National Institute of Allergy and Infectious Disease
Organisme : Clinical Center of the National Institutes of Health

Informations de copyright

Published 2024. This article is a U.S. Government work and is in the public domain in the USA. American Journal of Medical Genetics Part A published by Wiley Periodicals LLC.

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Auteurs

Michael Boechler (M)

Department of Pediatrics, Walter Reed Army Medical Center, Bethesda, Maryland, USA.
Tripler Army Military Medical Center, Honolulu, HI, USA.
National Institutes of Health Clinical Center, Bethesda, Maryland, USA.

Yi-Ping Fu (YP)

Office of Biostatistics Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, USA.

Neelam Raja (N)

Translational Vascular Medicine Branch, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, USA.

Emily Ruiz-Escobar (E)

Translational Vascular Medicine Branch, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, USA.

Likitha Nimmagadda (L)

Translational Vascular Medicine Branch, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, USA.

Sharon Osgood (S)

Office of the Clinical Director, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, USA.

Mark D Levin (MD)

Translational Vascular Medicine Branch, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, USA.

Colleen Hadigan (C)

National Institutes of Health Clinical Center, Bethesda, Maryland, USA.

Beth A Kozel (BA)

Translational Vascular Medicine Branch, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, USA.

Classifications MeSH